Form Dps-799-C (Rev. 05/22/13) - Pistol Permit/eligibility Certificate Application - State Of Connecticut Department Of Emergency Services And Public Protection

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STATE OF CONNECTICUT
DEPARTMENT OF EMERGENCY SERVICES AND PUBLIC PROTECTION
DIVISION OF STATE POLICE
Special Licensing and Firearms Unit
PISTOL PERMIT/ELIGIBILITY CERTIFICATE APPLICATION
• Before completing this application, it is suggested that you review the Connecticut General Statutes pertaining to firearms. These can
be accessed on the Internet at For those without Internet access, please contact your local library.
• For Department of Emergency Services and Public Protection (DESPP), Division of State Police, pistol permit locations, access
and follow the link to the Special Licensing and Firearms Unit or call (860) 685-8290. Eligibility Certificates must be
submitted in person at DESPP Headquarters located at 1111 Country Club Road, Middletown, Connecticut.
Type of Permit Requested:
Check Box:
60 Day Temporary State Pistol Permit
SEE APPENDIX A (DESPP-788-C)
Non-Resident State Pistol Permit
FOR MAGAZINE DECLARATION.
Eligibility Certificate to Purchase Pistols or Revolvers
ADDITIONAL COPIES CAN BE OBTAINED
Eligibility Certificate to Purchase Long Guns
at
Instructions:
Instructions for Eligibility
Instructions for Non-Resident
Certificates to Purchase Pistols or
Instructions for 60 Day Temporary State
State Pistol Permits:
Revolvers and/or Eligibility
Pistol Permits:
(Contact DESPP for packet)
Certificates to Purchase Long
Guns:
1. Complete this form (DPS-799-C) and submit to
Complete this form and submit at DESPP
You must hold a valid permit or
appropriate local authority (local police,
Headquarters, Division of State Police,
license to carry a pistol or revolver
resident state trooper or first selectperson, as
along with the below:
issued by a recognized United
applicable) along with the below:
States jurisdiction.
Completed State and Federal
 Completed State and Federal fingerprint
fingerprint card with $50.00 fee
Complete this form and submit to
cards with $50.00 fee and a $16.50 fee
and $16.50 fee payable to
DESPP, Division of State Police, pistol
payable to Treasurer, State of
Treasurer, State of
permit location along with the below:
Connecticut for criminal history
Connecticut for criminal history
background checks;
background checks;
 Completed State of CT and Federal
 Firearms Safety & Use Course
Firearms Safety & Use Course
fingerprint card with $50.00 fee and
Certificate; and
Certificate;
$16.50 fee payable to Treasurer,
 $70.00 payable to the local authority;
$35.00 payable to Treasurer,
State of Connecticut for criminal
 Proof you are legally and lawfully in the
State of Connecticut;
history background checks;
United States (e.g., certified copy of birth
Application for a State Eligibility
 Firearms Safety & Use Course
certificate, U.S. passport or
Certificate for a Pistol or
Certificate;
documentation issued by I.C.E.).
Revolver or Long Guns (DPS-
 $70.00 payable to Treasurer, State
164-C); and
of Connecticut;
2. Upon approval, the local authority will
Proof you are legally and
 Completed Application for State
lawfully in the United States
issue a Temporary State Permit to Carry Pistols
Permit to Carry Pistols and
(e.g., certified copy of birth
and Revolvers (DPS-11-C), effective for 60
Revolvers form (DPS-46-C);
certificate, U.S. passport or
days.
 Complete DPS-129-C and attach
documentation issued by I.C.E.).
2x2 color photograph (passport
3. Within the 60 day period, go to a DESPP,
style), sign and notarize form;
Division of State Police, pistol permit location
 A copy of the permit or license to
and submit the following:
carry a pistol or revolver issued to
you by a recognized United States
The Temporary State Permit to Carry
jurisdiction; and
Pistols and Revolvers (DPS-11-C)
 Proof you are legally and lawfully in
issued by the local authority;
the United States (e.g., certified copy
A completed Application for State Permit
of birth certificate, U.S. passport or
to Carry Pistols and Revolvers (DPS-46-
documentation issued by I.C.E.).
Note: All fees for all categories
C);
are separate payments.
$70.00 payable to Treasurer, State of
Provide Out of State Pistol Permit
Connecticut; and
Information:
Proof you are legally and lawfully in the
United States (e.g., certified copy of birth
State of Issue: _______________
certificate, U.S. passport or
documentation issued by I.C.E.).
Expiration Date: _____________
• Your photograph will be taken at DESPP.
Permit Number: ______________
Page 1 of 4
DPS-799-C (Rev. 05/22/13)
An Affirmative Action/Equal Employment Opportunity Employer

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