Form DPS-769-C "Instructions to Applicant (New and Renewal of Pistol Permits and Certificates)" - Connecticut

What Is Form DPS-769-C?

This is a legal form that was released by the Connecticut Department of Emergency Services and Public Protection - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 28, 2018;
  • The latest edition provided by the Connecticut Department of Emergency Services and Public Protection;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DPS-769-C by clicking the link below or browse more documents and templates provided by the Connecticut Department of Emergency Services and Public Protection.

ADVERTISEMENT
ADVERTISEMENT

Download Form DPS-769-C "Instructions to Applicant (New and Renewal of Pistol Permits and Certificates)" - Connecticut

Download PDF

Fill PDF online

Rate (4.7 / 5) 46 votes
STATE OF CONNECTICUT
DEPARTMENT OF EMERGENCY SERVICES AND PUBLIC PROTECTION
DIVISION OF STATE POLICE
Special Licensing and Firearms Unit
Instructions to Applicants
Pistol Permits –
Pistol Permits –
Pistol Permits –
New
Renewal In-Person
Renewal by Mail
1. A valid Temporary State Permit to Carry
1. All pistol permits may be renewed in person
1.
Out-of-state pistol permits may be renewed by mail.
Pistols or Revolvers (DPS-11-C) must be
at DESPP Headquarters ninety (90) days prior
Effective 10/01/11, in-state renewals may also be completed
presented in person at the Department of
to expiration or up to ninety (90) days after
by mail.
Emergency Services and Public Protection
expiration. No permit can be renewed after the
(DESPP) Headquarters located at 1111
ninety (90) day grace period following the
2. Confirm the accuracy of the information on DPS-129-C. If
Country
Club
Road,
Middletown,
expiration date.
corrections are required, draw a single line through any
Connecticut 06457-2389.
incorrect information and write in the correct information. Sign
2. Confirm the accuracy of the information on
the corrected form in the presence of a notary prior to
2. Proof of legal and lawful presence in the
DPS-129-C. If corrections are required, draw a
mailing.
United States is required. Acceptable forms
single line through any incorrect information and
3. Using transparent tape, attach a 2” x 2” color passport
of proof include a birth certificate, U.S.
write in the correct information. Present the
passport, or documentation of permanent
corrected form to DESPP.
photo, taken within the previous six (6) months, in the box
residence from the U.S. Citizenship and
provided.
Immigration Services.
3. Bring a $70.00 check or money order made
payable to “Treasurer, State of Connecticut” or
4. Include a $70.00 check or money order made payable to
“Treasurer, State of Connecticut.” Do not send cash.
3.
Payment of a $70.00 fee is required,
exact cash payment.
either by check or money order made
payable to “Treasurer, State of Connecticut”
4. Provide proof of being legally and lawfully in
4. Proof of legal and lawful presence in the United States is
or by exact cash payment.
United States: U.S. Passport, Birth Certificate
required. Acceptable forms of proof include a birth certificate,
or Permanent Resident ID issued by I.C.E. or
U.S. passport, or documentation of permanent residence
4. Your photograph and signature will be
Naturalization Certificate;
from the U.S. Citizenship and Immigration Services. Do not
NOTE: If Place of Birth states,
taken at DESPP.
send originals.
“VERIFIED”,
5. Include a self-addressed, stamped #10 envelope.
you do not need to bring item # 4.
5. Your photograph and signature will be taken
at DESPP.
Renewals for Armed Security Officers (Blue Cards/Class 1) and Bail Enforcement Agents (Gold Cards/Class2)
Follow the instructions above for Pistol Permits – Renewal In-Person.
1.
An additional check or money order for $62.00 is required, made payable to “Treasurer, State of Connecticut.”
2.
3.
Include a self-addressed, stamped #10 envelope.
4.
Armed Security Officers must submit a DPS-1030-C annually as proof of completion of the handgun qualification refresher course.
Eligibility Certificates (New & Renewals)
1.
New applicants must complete the DPS-799-C and DPS-164-C, and sign it in the presence of an official when your photo is taken.
2.
Submit an affidavit signed by an instructor certified by the State, the National Rifle Association, or the Department of Energy and Environmental Protection
stating that the applicant successfully completed a safety or training course in the use of pistols or revolvers or long guns. Such statement shall specify that
the instructor was so certified at the time that he taught the course, and shall include the full name of the applicant, and the date, location and duration of the
course.
3.
Submit fingerprints with two (2) separate checks or money orders to cover the federal processing fee of $13.25 and the state fee of $75.00, both made
payable to “Treasurer, State of Connecticut”, for the required criminal background checks.
Submit an additional check or money order for $35.00 made payable to “Treasurer, State of Connecticut” for the processing of the Eligibility Certificate. If you
4.
are appearing in person, exact cash payments will be accepted.
5.
When applicable, criminal and/or mental health records must be submitted per Connecticut General Statutes Section 29-36g.
Renewal applicants must submit a DPS-129-C-2, with $35.00 fee made payable to “Treasurer, State of Connecticut” and documentation of legal and lawful
6.
presence in the United States (see # 2 under “Pistol Permits New” for acceptable documents), if previously not verified. Do not mail cash.
7.
Include a self-addressed, stamped #10 envelope.
Ammunition Certificates (New & Renewals):
1.
New applicants must complete DESPP-417-C, and sign it in the presence of an official when your photo is taken.
Submit check or money order for $35.00 made payable to “Treasurer, State of Connecticut” or exact cash payment, for the processing of the
2.
Ammunition Certificate.
3.
When applicable, criminal and/or mental health records must be submitted per Connecticut General Statutes Section 29-36g
Renewal applicants must submit a DPS-129-C-2 with $35.00 fee made payable to “Treasurer State of Connecticut.” Do not mail cash.
4.
SEE IMPORTANT NOTICES – REVERSE SIDE
Page 1 of 2
DPS-769-C (Rev. 12/28/2018)
An Affirmative Action/Equal Employment Opportunity Employer
STATE OF CONNECTICUT
DEPARTMENT OF EMERGENCY SERVICES AND PUBLIC PROTECTION
DIVISION OF STATE POLICE
Special Licensing and Firearms Unit
Instructions to Applicants
Pistol Permits –
Pistol Permits –
Pistol Permits –
New
Renewal In-Person
Renewal by Mail
1. A valid Temporary State Permit to Carry
1. All pistol permits may be renewed in person
1.
Out-of-state pistol permits may be renewed by mail.
Pistols or Revolvers (DPS-11-C) must be
at DESPP Headquarters ninety (90) days prior
Effective 10/01/11, in-state renewals may also be completed
presented in person at the Department of
to expiration or up to ninety (90) days after
by mail.
Emergency Services and Public Protection
expiration. No permit can be renewed after the
(DESPP) Headquarters located at 1111
ninety (90) day grace period following the
2. Confirm the accuracy of the information on DPS-129-C. If
Country
Club
Road,
Middletown,
expiration date.
corrections are required, draw a single line through any
Connecticut 06457-2389.
incorrect information and write in the correct information. Sign
2. Confirm the accuracy of the information on
the corrected form in the presence of a notary prior to
2. Proof of legal and lawful presence in the
DPS-129-C. If corrections are required, draw a
mailing.
United States is required. Acceptable forms
single line through any incorrect information and
3. Using transparent tape, attach a 2” x 2” color passport
of proof include a birth certificate, U.S.
write in the correct information. Present the
passport, or documentation of permanent
corrected form to DESPP.
photo, taken within the previous six (6) months, in the box
residence from the U.S. Citizenship and
provided.
Immigration Services.
3. Bring a $70.00 check or money order made
payable to “Treasurer, State of Connecticut” or
4. Include a $70.00 check or money order made payable to
“Treasurer, State of Connecticut.” Do not send cash.
3.
Payment of a $70.00 fee is required,
exact cash payment.
either by check or money order made
payable to “Treasurer, State of Connecticut”
4. Provide proof of being legally and lawfully in
4. Proof of legal and lawful presence in the United States is
or by exact cash payment.
United States: U.S. Passport, Birth Certificate
required. Acceptable forms of proof include a birth certificate,
or Permanent Resident ID issued by I.C.E. or
U.S. passport, or documentation of permanent residence
4. Your photograph and signature will be
Naturalization Certificate;
from the U.S. Citizenship and Immigration Services. Do not
NOTE: If Place of Birth states,
taken at DESPP.
send originals.
“VERIFIED”,
5. Include a self-addressed, stamped #10 envelope.
you do not need to bring item # 4.
5. Your photograph and signature will be taken
at DESPP.
Renewals for Armed Security Officers (Blue Cards/Class 1) and Bail Enforcement Agents (Gold Cards/Class2)
Follow the instructions above for Pistol Permits – Renewal In-Person.
1.
An additional check or money order for $62.00 is required, made payable to “Treasurer, State of Connecticut.”
2.
3.
Include a self-addressed, stamped #10 envelope.
4.
Armed Security Officers must submit a DPS-1030-C annually as proof of completion of the handgun qualification refresher course.
Eligibility Certificates (New & Renewals)
1.
New applicants must complete the DPS-799-C and DPS-164-C, and sign it in the presence of an official when your photo is taken.
2.
Submit an affidavit signed by an instructor certified by the State, the National Rifle Association, or the Department of Energy and Environmental Protection
stating that the applicant successfully completed a safety or training course in the use of pistols or revolvers or long guns. Such statement shall specify that
the instructor was so certified at the time that he taught the course, and shall include the full name of the applicant, and the date, location and duration of the
course.
3.
Submit fingerprints with two (2) separate checks or money orders to cover the federal processing fee of $13.25 and the state fee of $75.00, both made
payable to “Treasurer, State of Connecticut”, for the required criminal background checks.
Submit an additional check or money order for $35.00 made payable to “Treasurer, State of Connecticut” for the processing of the Eligibility Certificate. If you
4.
are appearing in person, exact cash payments will be accepted.
5.
When applicable, criminal and/or mental health records must be submitted per Connecticut General Statutes Section 29-36g.
Renewal applicants must submit a DPS-129-C-2, with $35.00 fee made payable to “Treasurer, State of Connecticut” and documentation of legal and lawful
6.
presence in the United States (see # 2 under “Pistol Permits New” for acceptable documents), if previously not verified. Do not mail cash.
7.
Include a self-addressed, stamped #10 envelope.
Ammunition Certificates (New & Renewals):
1.
New applicants must complete DESPP-417-C, and sign it in the presence of an official when your photo is taken.
Submit check or money order for $35.00 made payable to “Treasurer, State of Connecticut” or exact cash payment, for the processing of the
2.
Ammunition Certificate.
3.
When applicable, criminal and/or mental health records must be submitted per Connecticut General Statutes Section 29-36g
Renewal applicants must submit a DPS-129-C-2 with $35.00 fee made payable to “Treasurer State of Connecticut.” Do not mail cash.
4.
SEE IMPORTANT NOTICES – REVERSE SIDE
Page 1 of 2
DPS-769-C (Rev. 12/28/2018)
An Affirmative Action/Equal Employment Opportunity Employer
STATE OF CONNECTICUT
DEPARTMENT OF EMERGENCY SERVICES AND PUBLIC PROTECTION
DIVISION OF STATE POLICE
NOTICE
Pursuant to C.G.S. §§ 29-28, 29-32, 29-36f 29-36I, and 18 U.S.C. § 922, applications covered by these instructions will not be issued or be renewed, if:
1.
You have a FELONY CONVICTION in any jurisdiction.
2.
You have a MISDEMEANOR CONVICTION in Connecticut for one of the following crimes: After 10/01/1994
a.
Illegal possession of controlled or hallucinogenic substances, as specified under C.G.S. § 21a-279
b.
Criminally negligent homicide as specified under C.G.S. § 53a-58
c.
Assault in the third degree as specified under C.G.S. § 53a-61
d.
Assault of an elderly, blind, disabled or pregnant person or a person with intellectual disability in the third degree as specified under C.G.S. §
53a-61a
e.
Threatening in the second degree as specified under C.G.S. § 53a-62
f.
Reckless endangerment in the first degree as specified under C.G.S. § 53a-63
g.
Unlawful restraint in the second degree as specified under C.G.S. § 53a-96
h.
Riot in the first degree as specified under C.G.S. § 53a-175
i.
Riot in the second degree as specified under C.G.S. § 53a-176
j.
Inciting to riot as specified under C.G.S. § 53a-178
k.
Stalking in the second degree as specified under C.G.S. § 53a-181d
3.
You are an unlawful user of or addicted to any controlled substance (as defined in the Controlled Substances Act (21 U.S.C. 801, et. seq.).
4.
You were CONVICTED of a MISDEMEANOR CRIME of DOMESTIC VIOLENCE.
This means an offense that (1) is a misdemeanor under federal or state law; and (2) has, as an element, the use or attempted use of physical force, or
the threatened use of a deadly weapon, committed by a current or former spouse, parent or guardian of the victim, or by a person with whom the victim
shares a child in common, or by a person who is cohabiting with or who has cohabited with the victim or spouse, parent, or guardian, or by any person
similarly situated to a spouse, parent or guardian of the victim.
5.
You were discharged from custody within the preceding 20 years after having been found NOT GUILTY OF A CRIME BY REASON OF
MENTAL DISEASE OR DEFECT pursuant to C.G.S. § 53a-13.
6.
You were CONFINED TO A HOSPITAL for persons with psychiatric disabilities (C.G.S. § 17a-495) within the preceding sixty (60) months by
order of a Probate Court.
7.
You have been voluntarily admitted to a hospital for persons with psychiatric disabilities, within the preceding six (6) months for reasons
other than solely for alcohol or drug dependence.
8.
You are subject to a RESTRAINING ORDER or PROTECTIVE ORDER issued by a court after notice and an opportunity to be heard has been
provided to you in a case involving the use, attempted use or threatened use of physical force against another person.
9.
You are the subject of a court issued risk warrant to seize firearms pursuant to C.G.S. § 29-38c(d).
10. You are an ILLEGAL ALIEN in the United States.
11. You are UNDER the AGE of 21 years.
12. You have renounced your United States citizenship.
13. You have been discharged from the Armed Forces under a dishonorable condition.
14. You are prohibited by federal law, under 18 U.S.C. 922 (g) or (n).
Please mail in your renewal or direct any questions regarding your status to DESPP Headquarters, Special Licensing and Firearms Unit, located at 1111 Country
Club Road, Middletown, Connecticut 06457-2389 or by telephone at (860) 685-8290. Hours of operation are Monday through Friday 8:30 am – 4:15 pm. Please
note all locations will be closed on State and Federal holidays. Troop location may be closed during inclement weather. No appointments necessary.
Troop E – Montville I-395 N (between exits 6 & 9) Montville, CT 06382, telephone 860-848-6539 –
Tuesday, Wednesday, Friday, and Saturday 8 am – 12 pm and 12:30- 3:45 pm; Thursday 11 am – 2 pm and 2:30 – 6:45 pm.
Troop G - Bridgeport, 149 Prospect Street, Bridgeport, Connecticut, 06604; telephone (203) 696-2532
Tuesday, Wednesday, Friday, and Saturday 8 am – 12 pm and 12:30- 3:45 pm; Thursday 11 am – 2 pm and 2:30 – 6:45 pm.
Current schedules, hours and directions can be found at www.ct.gov/despp - click on Special Licensing and Firearms Unit link.
The Department of Emergency Services and Public Protection (DESPP) herein notifies the applicant that DESPP will be notified by the Department of
Mental Health and Addiction Services if the applicant has been confined in a hospital for persons with psychiatric disabilities within the preceding sixty
(60) months by order of Probate Court, or if the applicant has been voluntarily admitted to a hospital for persons with psychiatric disabilities within the
preceding six (6) months for reasons other than solely for alcohol or drug dependence. DESPP will use this information in order to fulfill its statutory
obligations under Connecticut General Statutes Sections 29-28, 29-36f.
Page 2 of 2
DPS-769-C (Rev. 12/28/2018)
An Affirmative Action/Equal Employment Opportunity Employer
Page of 2