New FOIA Shows NICS Indices Self-Submission Form In Use In Medical Facilities Since 2011

Proof That The FBI Hid The NICS-Index-Self-Submission Form, iStock-944602630
New FOIA Shows NICS Indices Self-Submission Form In Use In Medical Facilities Since 2011, iStock-944602630

On December 19, 2019, AmmoLand News broke the news that the FBI was using a form called the “NICS Indices Self-Submission Form.” The form would allow an American to add themselves to the National Instant Criminal Background Check System (NICS) as a prohibited person without meeting the requirements for the designation. Now a new Freedom of Information Act (FOIA) request by Gun Owners of America (GOA) shared with the Washington Examiner shows that the FBI had partnered with hospitals to get patients to sign away their gun rights.

“Any time you have evidence of private entities coordinating with federal agents to strip Americans of their rights, the public should be alarmed and demanding answers and action,” Aidan Johnston, federal affairs director for GOA, told AmmoLand News. “This is just the latest terrifying new instance of the illegal NICS self-submission form being used in nefarious ways, and those who used it to violate the public’s trust must be held to account.”

Medical facilities in New Hampshire, Delaware, Massachusetts, and Oklahoma used the FBI-supplied forms to have patients sign away their firearms rights between 2011 and 2019. The American citizens would sign the document stating that they are a danger to themselves or others. Many gun rights advocates worry that these Americans could have been pressured into giving up their rights or misled about what they were signing, especially since most were seeking mental counseling.

At least five cases of the forms being used were found in the FOIA response, although the actual number could be much higher. The FBI discontinued the use of the documents in 2019 once the AmmoLand News story broke. At the time, the evidence showed the forms were only in use for three years. The new FOIA response from the FBI indicates that the documents were in use for at least eight years and possibly longer.

One person who signed the form claiming “to be a danger to myself or others” was not involuntarily committed or adjudicated to be mentally defective. The person did not fall in the “prohibited” category of the NICS indices until the person signed away their rights.

The Gun Control Act of 1968 (GCA) sets the ground rules for adding a person to the NICS indices. Still, it does not include a method for someone to add themselves voluntarily to the index causing many legal experts to worry that the forms were not a legal method to be added to the prohibited list. This worry means many on the list might have been added illegally by the FBI.

The patients in question were judged not to have the mental capabilities to own a gun but were mentally sound enough to sign a life-altering document. To many, including those in Congress, that is a contradiction. Last November, Rep Andrew Clyde (R-GA) introduce a resolution demanding the Justice Department turn over records about the use of the form. Democrats in Congress blocked the bill.

The medical facilities listed in the documents that responded to AmmoLand’s request for comment refused to turn over any details, citing patient confidentiality.

About John Crump

John is a NRA instructor and a constitutional activist. John has written about firearms, interviewed people of all walks of life, and on the Constitution. John lives in Northern Virginia with his wife and sons and can be followed on Twitter at @crumpyss, or at

John Crump

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Natural rights can “neither be bartered away nor taken from them by any earthly power”. Even if it were signed into law (it was not) such renunciation is invalid.


Everyone involved needs to be arrested and their professional certifications/licenses stripped for life.


I’m surprised they don’t have loan officers on site to take further advantage of people under immense stress at their most vulnerable period.

Ansel Hazen

I would like to see links in articles like this that let us readers follow up on the issue. We the people can’t get involved unless we know the names of the violators so we can start doing something about it.


The FBI can wad that paper up and stuff it where the sun don’t shine . How about they are given a paper to fill out to see if they have mental issues or tendencies towards corruption ? FJB and the criminals at the FBI and ATF


Seems we are just starting to see the tip of the iceberg of what the ATF and other federal agencies are up to.


The laws are being used as a cudgel to beat us into submission to the Matrix/legal system! But the entire thing is a crime syndicate and scam, so where is our legitimate obligation to be a part of it all? Oh, because someone’s job depends upon their ability to commit crimes against Humanity? No, a better excuse than that will need to be used.

Watch um

Be careful what you sign ! I hate the fine print. That being said, I am 80 years old and in the latter stages of my life. I have pulmonary fibrosis which is a fatal disease. I am on palliative care and it concerns me that it includes speaking with a therapist during my visits with the doctor. I am in perfect condition as for mental health but it bothers me that I have been prescribed medication to cope with panic attacks when I have a breathing issue at times because I live by myself.


Please see my posting above.


Brother, I pray for your peace of mind, and continued clarity. Thank you for your strength. They will medicate you and take advantage of you while under a psychoactive drug. Remain vigilant. God bless you.


If someone is in that state of mind, how could they legally sign away their rights? Seems like a great big bunch of lawsuits are in order against the medical facilities and the individuals at the fbi that instigated the use of these forms.


in an “ideal” world, or even a decent one, yes…… But……….


Somehow there MUST be a move to identify which names were added by the illegal use of these forms, then go into NICS and remove ALL those names from the Prohibited Person’s List. Somehow the Effing Bee Lie must be hald to account, but we all know how long a snowball would last in the burn chamber of a coal fired electrical plant.


Submitting subject form should also place that person on the Certified Stupid List as well.


Some people aren’t stupid, just impaired. Loss of blood (car accident, knife wounds, appendicitis) any medical condition that alters one’s clarity can be exploited.


Here I go again, speaking Truth to Power! Anything that is alleged to be a bona fide contract, is voided due to fraud, threat, duress, coercion, mistake, illegality, unlawfulness, immorality, impossibility, insanity or age of minority. If you look up and fully understand just these two words in any law dictionary, you will have all that you need to know to defeat the 100% corrupted legal system at every turn it makes against you! They are Contract and Fraud. NO man or woman has a Right to commit any kind or amount of crime upon other men or women. As… Read more »

Last edited 2 days ago by Logician