[big al hunter]

We don't need permit to purchase where I am, so this is only my best guess. From the paperwork I have filled out for any background checks (this I have done many times for gun purchases and clearance to work on schools and volunteer work for the state) the agency that received the information is the one that will issue your permit. So the person accepting the application should be able to tell you which agency will need to be entered there. The other part is to be filled out by the person you give the permit application to. You only sign where it says Signature of Applicant.

You are filling out a permission slip for the agency to run a background check on you.