Concealed Carry

Change of Name or Address Notification Form

Enter your name exactly as it appears on your Concealed Carry License.


Name Change

Address Change

Old Address

New Address

Mailing Address

If different from residence address. (i.e. PO Box)


I declare and verify under penalty of perjury and the laws of Kansas that all of the foregoing information is true and correct to the best of my knowledge.

Concealed Carry