I have not been convicted, adjudicated delinquent, or convicted as an extended jurisdiction juvenile of a
crime of violence in Minnesota or elsewhere unless my civil rights have been restored, and I have not been
convicted of any other crime of violence during that time.
NOTE: This lifetime prohibition on possessing, receiving, shipping, or transporting firearms for
persons convicted or adjudicated delinquent of a crime of violence applies only to offenders who
are discharged from sentence or court supervision for a crime of violence on or after August 1, 1993.
• I have not been charged with a crime of violence either as an adult or a juvenile and placed in a pretrial
diversion program by the court before disposition, until I have completed the diversion program and the
charge of committing the crime of violence has been dismissed.
• I have not been convicted of fifth-degree assault as defined in Minnesota Statutes, § 609.224 or assault as
defined in Minnesota Statutes, § 609.2242 or a similar offense in another state where the victim was a family
or household member since August 1, 1992. As a further condition, I am not disqualified because three
years have elapsed from the conviction and I have not been convicted of any other violation of § 609.224,
subdivision 3 or 609.2242, subdivision 3 in Minnesota or a similar law in another state.
• I have not been convicted in any court of a misdemeanor crime of domestic violence as defined in 18 United
States Code section 922(g)(9). Federal law prohibits the possession of a firearm for anyone convicted in any
court of a qualified misdemeanor crime of domestic violence