Chl-77 - Renewal Application For License To Carry A Handgun

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Texas Department of Public Safety
HANDGUN LICENSING
Regulatory Services Division
FOR DPS USE ONLY
• MUST USE MOST CURRENT FORM
RENEWAL APPLICATION
• TYPED PREFERRED OR PRINT CLEARLY
APPLICANT
I am renewing Handgun License Number
What is the expiration date of the license you are renewing?
(MM/DD/YYYY)
(NOTE: LICENSES MAY BE RENEWED NO MORE THAN 6 MONTHS PRIOR TO EXPIRATION AND NO LATER THAN ONE YEAR AFTER EXPIRATION)
Last
First
MI
Suffix:
Name
Name
(IF ANY)
 Driver License
DL/ID State
DL/ID
Date of Birth
(2-LETTER CODE)
(MM/DD/YYYY)
Number
 ID Card
PERSONAL IDENTIFIERS
Race
Eyes
Hair
(*MATCH DL/ID)
(*MATCH DL/ID)
 Male
Gender
 Asian/Pacific Islander
 Black
 Hazel
 Bald/Unknown
 Gray/Partially
 Female
 American Indian/Alaskan Native
 Blue
 Maroon
 Black
 Red/Auburn
Height
Ft.
In.
 Black
 Brown  Multicolor
 Blonde/Strawberry  Sandy
 White/Hispanic
 Green
 Pink
 Brown
 White
Weight
Lbs.
 Other/Unknown
 Gray
 Unknown
CONTACT INFORMATION
Residence Address (Cannot be a PO Box)
City
State
ZIP Code
(2-LETTER
CODE)
Mailing Address (if different from Residence Address)
City
State
ZIP Code
(2-LETTER
CODE)
Phone Type
 Home
 Cell
 Office
Number
Phone Type
 Home
 Cell
 Office
Number
Applicant Email
(ONLY FOR CONTACT PURPOSES REGARDING THIS APPLICATION)
SPECIAL CONDITION
 Standard ($70)
 Active Peace Officer / TDCJ Correctional Officer /
 Active Military ($0)
 Retired Judicial Officer ($25)
Supervision Officer / Juvenile Probation Officer /
 Senior Citizen ($35)
 Veteran ($25)
 Felony Prosecutor ($0)
Active Texas Military Member ($25)
 Indigent ($35)
 Active Judicial Officer ($25)
 Other Prosecutor ($70)
 Retired Peace Officer ($25)
 Retired Federal Officer ($25)
I understand all fees submitted to Handgun Licensing are non-refundable and non-transferable.
I verify the information provided is true and correct, and I understand this is an official government record and any false statement made on this document
or any other supplement provided to DPS may result in criminal prosecution.
I wish to contribute to the Texas Veterans’ Assistance Fund:
 Yes
 No
Amount: $
(Whole dollar amount only.
Please include the donation with your application fee.)
Applicant Signature
Date
(MM/DD/YYYY)
(You may copy and paste a scanned .jpg or pdf of your signature)
Mail to:
Regulatory Services Division MSC 0245
Texas Department of Public Safety
P.O. Box 15888
Austin, Texas 78761-5888
CHL-77 (Rev. 1/16)

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