Form CCH-3 Carry Concealed Handgun Certificate Reorder Form - North Carolina

Form CCH-3 is a North Carolina Department of Justice form also known as the "Carry Concealed Handgun Certificate Reorder Form". The latest edition of the form was released in June 1, 2017 and is available for digital filing.

Download a PDF version of the Form CCH-3 down below or find it on North Carolina Department of Justice Forms website.

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Carry Concealed Handgun Certificate Reorder Form
Instructions: Please complete the form electronically, print and sign. Fees MUST be paid by
certified check or money order and made payable to the North Carolina Department of Justice.
Instructor #________________________
Name: __________________________________________________________________________________
Last,
First,
Middle
Mailing Address: __________________________________________________________________________
Street;
City;
State;
Zip Code
New Address:
Contact Phone: ______________
Email: _____________________________________________________
(Required)
*
Please note that the telephone numbers and addresses you list will be provided to the citizens of North Carolina
requesting lists of certified instructors in their county. **Email Address will not be released.
Firearm Course(s): ________________________________________________________________________
On which County list would you like to be placed? ______________________________________
(Your name will only be included on one county list)
Certificate Order
(Pursuant to 12 NCAC 09F .0107 -
Certificates are issued in quantities of 25)
Number of certificates requested
Amount Enclosed $ _______
(minimum of 25): ______ ($2.00 per certificate)
.
Fees must be paid by certified check or money order, and made payable to the North Carolina Department of Justice
Send Payments to:
Criminal Justice Standards Division
North Carolina Department of Justice
Post Office Drawer 149
Raleigh, North Carolina 27602
919-661-5980
**(Pursuant to N.C.G.S. § 25-3-506 a $25.00 fee is charged for all returned checks.)**
CCH_3 Rev. 06.17
Carry Concealed Handgun Certificate Reorder Form
Instructions: Please complete the form electronically, print and sign. Fees MUST be paid by
certified check or money order and made payable to the North Carolina Department of Justice.
Instructor #________________________
Name: __________________________________________________________________________________
Last,
First,
Middle
Mailing Address: __________________________________________________________________________
Street;
City;
State;
Zip Code
New Address:
Contact Phone: ______________
Email: _____________________________________________________
(Required)
*
Please note that the telephone numbers and addresses you list will be provided to the citizens of North Carolina
requesting lists of certified instructors in their county. **Email Address will not be released.
Firearm Course(s): ________________________________________________________________________
On which County list would you like to be placed? ______________________________________
(Your name will only be included on one county list)
Certificate Order
(Pursuant to 12 NCAC 09F .0107 -
Certificates are issued in quantities of 25)
Number of certificates requested
Amount Enclosed $ _______
(minimum of 25): ______ ($2.00 per certificate)
.
Fees must be paid by certified check or money order, and made payable to the North Carolina Department of Justice
Send Payments to:
Criminal Justice Standards Division
North Carolina Department of Justice
Post Office Drawer 149
Raleigh, North Carolina 27602
919-661-5980
**(Pursuant to N.C.G.S. § 25-3-506 a $25.00 fee is charged for all returned checks.)**
CCH_3 Rev. 06.17

Download Form CCH-3 Carry Concealed Handgun Certificate Reorder Form - North Carolina

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