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ALIEN SUPPLEMENTARY QUESTIONAIRE (ASQ) TO IMPLEMENT FEDERAL IMMIGRATION (Larimer County)

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ALIEN SUPPLEMENTARY QUESTIONAIRE (ASQ) TO IMPLEMENT
FEDERAL IMMIGRATION STATUS REQUIREMENTS.
Prohibitions applicable to certain aliens. Federal law makes it unlawful for aliens who
are illegally or unlawfully in the United States to receive or possess firearms.
Additionally, subject to certain exceptions, aliens who are admitted into the United States
on a VISA are generally prohibited from possessing or receiving firearms in the United
States. This prohibition will not apply if the alien (1) is in possession of a valid hunting
license or permit lawfully issued in the United States {this will be the primary exception
available in this situation}; (2) is an official representative of a foreign government who is
accredited to the United States Government or his or her government’s mission to an
international organization having its headquarters in the United States; or (3) has received
a waiver from the prohibition from the Attorney General of the United States. See 18
U.S.C. 922 (y)(2) for additional exceptions.
A nonimmigrant alien, who was admitted into the United States via the Visa Waiver
Program, may legally receive and possess firearms, without having to meet any of the
exceptions set forth in 18 U.S.C 922(y)(2).
Permanent Resident Aliens may legally receive and possess firearms, without having to
meet any of the exceptions set forth in 18 U.S.C 922(y)(2).
There is no longer a 90-day proof of residency required for either Permanent Resident
Aliens or Nonimmigrant Aliens, in accordance with a revision to federal law; CFR 478.11.
In order to determine whether applicants who are not U.S. citizens are prohibited from
possessing firearms under Federal law, it is necessary to obtain answers to the following
questions.
1. Name: ____________________________________________.
2. DOB:(mm/dd/yyyy) ____/____/______.
3. Are you a citizen of the United States? Yes- No-
If the answer to Question 3 is “yes”, there is no need to answer questions 4-10. Go
directly to the certification statement in question 11.
4. What is your country of citizenship? List more than one if applicable.
________________________________________________________.
5. What is your place of birth? ________________________________.
(City, Country)
6. Are you an alien illegally in the United States? Yes- No-
7. Are you a Permanent Resident Alien? Yes - No-
7a. If “Yes”, what is your INS issued Resident Alien Number:
__________________________________________________.
No-8. Are you a Nonimmigrant Alien? Yes-
8a. Were you admitted into the United States via the Visa Waiver Program?
Yes- No-
8b. Were you admitted into the United States on a Visa?
Yes- No-
9. If admitted into the United States on a Visa, do you fall within any of the
exemptions to the nonimmigrant alien prohibition set forth in 18 U.S.C. 922 (y)?
Yes- No-
9a. If you answered “yes”, under which exemption do you fall? Please attach
documentation to support your entitlement to the claimed exemption, if applicable.
_______________________________________________________.
10. What is your INS-issued Nonimmigrant Admission Number?
________________________________________________.
11. I certify that the above answers are true and correct.
____________________________________ __________
Applicant’s signature Date
CBI-ASQ
Revised (08/2016)
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ALIEN SUPPLEMENTARY QUESTIONAIRE (ASQ) TO IMPLEMENT FEDERAL IMMIGRATION (Larimer County)

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Completed 31 January 2021

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