Homepage > Blank Dps 799 C Template
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The DPS 799 C form, utilized by the State of Connecticut’s Department of Emergency Services and Public Protection, serves as the application for various firearm permits and eligibility certificates. Individuals may request a temporary pistol permit, eligibility certificate to purchase pistols or revolvers, or a certificate for purchasing long guns. This form outlines the necessary steps applicants must follow to obtain these permits, including requirements for documentation and fees. Applicants are required to provide proof of firearms safety training, submit fingerprints for background checks, and demonstrate lawful presence in the United States. Upon meeting all the criteria, successful applicants receive a temporary state pistol permit valid for 60 days, during which they can finalize additional steps to secure a full pistol permit. The form also contains sections requiring detailed personal history, including employment and residential information, medical history regarding mental health, and disclosures related to any past criminal history. Overall, the DPS 799 C form is a vital component in ensuring that Connecticut’s firearm permitting process is thorough and considers various aspects of each applicant's background.

Form Sample

STATE OF CONNECTICUT

DEPARTMENT OF EMERGENCY SERVICES AND PUBLIC PROTECTION

DIVISION OF STATE POLICE

Special Licensing and Firearms Unit

PISTOL PERMIT/ELIGIBILITY CERTIFICATE APPLICATION

(Pursuant to C.G.S. §§ 29-28 et. seq., 29-36 et. seq., and 53a-217 et. seq.)

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 www.cga.ct.gov or through your local library.

Type of Permit Requested:

Check Box:

60 Day Temporary State Pistol Permit

Non-Resident State Pistol Permit

Eligibility Certificate to Purchase Pistols or Revolvers

Eligibility Certificate to Purchase Long Guns

Instructions:

 

 

 

Instructions for Non-Resident

Instructions for Eligibility

 

 

 

Certificates to Purchase Pistols

Instructions for State Pistol Permits:

 

State Pistol Permits:

or Revolvers and/or Eligibility

 

 

 

 

Certificates to Purchase Long

 

 

 

 

Guns:

1. Complete this form (DPS-799-C) and submit to

 

**CALL DESPP FOR PACKET**

1. Complete this form and submit in

appropriate local authority (local police, resident

You must hold a valid permit or

person at DESPP Headquarters,

state trooper or first select person, as applicable)

license to carry a pistol or revolver

Division of State Police, located at

along with all of the following:

issued by a recognized United States

1111 Country Club Road,

Firearms Safety & Use Course Certificate;

jurisdiction.

Middletown, Connecticut along with

 

 

the below:

$70.00, fee, payable to the local authority;

Complete this form and submit to

 

 

and

DESPP, Division of State Police, pistol

Firearms Safety & Use Course

Proof you are legally and lawfully in the

permit location along with all of the

Certificate;

 

United States (e.g., certified copy of birth

following:

$35.00 fee, payable to

 

certificate, U.S. passport or documentation

Completed State of CT and Federal

Treasurer, State of

 

issued by I.C.E.).

Connecticut;

 

 

fingerprint card with $75.00 fee and

 

 

 

Application for a State Eligibility

2. Submit fingerprints for a criminal history check

 

$13.25 fee, payable to Treasurer,

 

Certificate for a Pistol or

through a law enforcement agency. Fees include

 

State of Connecticut for criminal

 

Revolver or for Long Guns

a $75.00 fee and a $13.25 fee, payable at the

 

history background checks;

 

(DPS-164-C);

agency where the prints are taken. Fees must be

Firearms Safety & Use Course

Proof you are legally and

paid by separate checks.

 

Certificate;

 

lawfully in the United States

3. Upon approval, the local authority will issue a

$70.00 fee, payable to Treasurer,

(e.g., certified copy of birth

 

State of Connecticut;

Temporary State Permit to Carry Pistols and

 

certificate, U.S. passport or

Completed Application for State

Revolvers (DPS-11-C), effective for 60 days.

documentation issued by

 

Permit to Carry Pistols and Revolvers

 

 

 

I.C.E.); and

4. Within the 60 day period, go to a DESPP,

 

form (DPS-46-C);

 

Proof of valid state issued photo

Division of State Police, pistol permit location and

Completed DPS-129-C signed and

identification card.

submit the following:

 

notarized and 2x2 color photograph

 

 

The Temporary State Permit to Carry Pistols

 

(passport style);

2. Submit fingerprints for a criminal

Copy of the permit or license to carry

history check through a law

 

and Revolvers (DPS-11-C) issued by the

 

 

a pistol or revolver issued to you by a

enforcement agency. Fees include a

 

local authority;

 

 

 

recognized United States jurisdiction;

$75.00 fee and a $13.25 fee, payable

A completed Application for State Permit to

 

Proof you are legally and lawfully in

at the agency where the prints are

 

Carry Pistols and Revolvers (DPS-46-C);

 

 

the United States (e.g., certified copy

taken. Fees must be paid by separate

$70.00 fee, payable to Treasurer, State of

 

 

of birth certificate, U.S. passport or

checks.

 

Connecticut;

 

 

 

documentation issued by I.C.E.);and

 

Proof you are legally and lawfully in the

 

3. Upon approval, your photograph will

Proof of valid state issued photo

 

United States (e.g., certified copy of birth

 

identification card.

be taken at DESPP and you will be

 

certificate, U.S. passport or documentation

Out of State Pistol Permit Information:

issued an eligibility certificate.

 

issued by I.C.E.); and

 

Proof of valid state issued photo identification

State of Issue: _______________

 

 

card.

Expiration Date: _____________

 

5. Upon approval, your photograph will be taken at

 

Permit Number: ______________

 

DESPP and you will be issued a state pistol permit.

 

For Department of Emergency Services and Public Protection (DESPP), Division of State Police, pistol permit locations, access www.ct.gov/despp and follow the link to the Special Licensing and Firearms Unit or call (860) 685-8290. Note: All payments must be made with separate checks.

DPS-799-C (Rev. 03/03/21)

An Affirmative Action/Equal Employment Opportunity Employer

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STATE OF CONNECTICUT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DEPARTMENT OF EMERGENCY SERVICES AND PUBLIC PROTECTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DIVISION OF STATE POLICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact / Identifying Information:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Applicant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Suffix

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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First

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Middle

Initial

 

 

 

 

 

Provide all other names by which you have been known (Maiden name, Aliases, Nicknames, etc.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Attach additional sheet(s), if necessary)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

Sex

 

 

 

 

 

 

 

 

 

 

 

 

Height

 

 

 

 

 

 

Weight

 

 

 

 

Eye Color

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

F

 

M

 

 

 

 

X

 

 

 

Ft.

 

 

In.

 

 

 

 

 

 

 

 

 

 

Lbs.

 

 

Brown

 

Blue

 

 

 

Black

 

 

 

 

 

 

Month/Day/Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Green

 

Gray

 

 

 

Hazel

 

 

 

 

 

Race

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hair Color

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

White

 

 

 

 

 

American Indian/Alaskan Native

 

Asian/Pacific Islander

 

 

 

 

 

Brown

 

Black

 

 

 

Blonde

 

Red

 

 

Black

 

 

 

 

 

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gray

 

White

 

 

 

Bald

 

 

 

 

 

Place of Birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Security Number (Optional, but will help

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

prevent misidentification)

 

 

 

 

 

City/Town

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

 

 

 

 

 

 

 

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Country of Citizenship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alien Reg.

Number (If applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residential Address (List street address. Post office box numbers are not acceptable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number/Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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City/Town

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

List Residential Addresses for the Last 7 Years

(Attach additional sheet(s), if necessary)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Any subsequent changes of address must be reported within 48 hours to the Special Licensing and Firearms Unit

 

 

 

 

1. ___________________________________________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

2. ___________________________________________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address (If different from current residential address above)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number/Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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City/Town

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Telephone Number

 

Motor Vehicle Operator’s License Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Area Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

of

Issue

 

 

 

 

 

Alternate Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

 

 

 

 

 

 

 

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-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Area Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employment History:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

List Employers for the Last 7 Years (Provide employer’s name, address and telephone number)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Attach additional sheet(s), if necessary)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. __________________________________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

2. ___________________________________________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permit or Eligibility Certificate History:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you had a firearms permit, permit application or eligibility certificate of any kind from ANY jurisdiction in the

United States denied, suspended or revoked? NO

YES

 

If "YES,” provide:

 

 

 

1.

Identify the jurisdiction which issued the denial, suspension or revocation: ___________________

2.

Date of denial, suspension or revocation: _______________________________________________

3.

The reason for the denial, suspension or revocation:______________________________________

DPS-799-C (Rev. 03/03/21)

An Affirmative Action/Equal Employment Opportunity Employer

Page 2 of 4

STATE OF CONNECTICUT

DEPARTMENT OF EMERGENCY SERVICES AND PUBLIC PROTECTION

DIVISION OF STATE POLICE

Medical History:

Have you been confined in a hospital for mental illness in the past sixty (60) months by order of a Probate Court?

NO

YES If "YES," explain: (Attach additional sheet(s), if necessary)

Have you been discharged from custody within the past twenty years after having been found not guilty of a crime by reason of a mental disease or defect? NO YES

If "YES," explain: (Attach additional sheet(s), if necessary)

Have you been voluntarily admitted to a hospital for mental illness within the past six (6) months for reasons other than solely for alcohol or drug dependence? NO YES

If "YES," explain: (Attach additional sheet(s), if necessary)

Notice: DESPP herein notifies the applicant that, pursuant to C.G.S. §§ 29-28 through 29-38b, DESPP will be notified by the Department of Mental Health and Addiction Services if the applicant has been confined to a hospital for 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 mental illness within the past six (6) months for reasons other than solely for alcohol or drug dependence.

Criminal History:

Have you ever been ARRESTED for any crime, in any jurisdiction? NO YES If "YES," list all arrests, indicating charges, locations, dates of arrest and dispositions. (Attach additional sheet(s), if necessary)

Notice: You are not required to disclose the existence of any arrest, criminal charge or conviction, the records of which have been erased pursuant to C.G.S. §§46b-146, 54-76o, or 54-142a. If your criminal records have been erased pursuant to one of these statutes, you may swear under oath that you have never been arrested. Criminal records that may be erased are records pertaining to a finding of delinquency or that a child was a member of a family with service needs (C.G.S. 46b-146), an adjudication as a youthful offender (C.G.S. 54-76o), a criminal charge that has been dismissed or nolled, a criminal charge for which the person has been found not guilty, or a conviction for which the person received an absolute pardon (C.G.S. 54- 142a).

With regard to criminal history information arising from jurisdictions other than the State of Connecticut: You are not required to disclose the existence of any arrest, criminal charge or conviction, the records of which have been erased pursuant to the law of the other jurisdiction. Additionally, you are not required to disclose the existence of an arrest arising from another jurisdiction if you are permitted under the law of that jurisdiction to swear under oath that you have never been arrested.

Have you ever been CONVICTED under the laws of this state, federal law or the laws of another jurisdiction?

NO YES If "YES,” list all convictions, include charges, location, date of arrest, and disposition. (Attach additional sheet(s), if necessary)

Are you currently on probation, parole, work release, in an alcohol and/or drug treatment program or other pre-trial diversionary program or currently released on personal recognizance, a written promise to appear or a bail bond for

a pending court case?

NO

YES If "YES," explain. (Attach additional sheet(s), if necessary)

Within the past five (5) years, have you been the subject of a Protective Order or Restraining Order issued by a court in a case involving the use, attempted use or threatened use of physical force against another person, regardless of

the outcome or result of any related criminal case?

NO YES

If “YES,” which court issued the order?

Military History:

Were you ever a member of the Armed Forces of the United States? NO YES (If yes, please include a copy of your DD-214) Were you ever discharged from the Armed Forces of the United States with a less than Honorable Discharge? NO YES

DPS-799-C (Rev. 03/03/21)

An Affirmative Action/Equal Employment Opportunity Employer

Page 3 of 4

STATE OF CONNECTICUT

DEPARTMENT OF EMERGENCY SERVICES AND PUBLIC PROTECTION

DIVISION OF STATE POLICE

Proof of Training:

*Attach a copy of the letter or certificate attesting that you have completed a course in the safety and use of pistols and revolvers or long guns (as appropriate, depending upon which permit or certificate you are requesting), signed by the instructor of the course.

Instructor: (Check applicable box)

National Rifle Association

Department of Energy and Environmental Protection (DEEP)

Other: ___________________________________

State Instructor's Name and ID Number:_______________________________________________________

Declaration:

I understand that any false statement herein, which I do not believe to be true and which is intended to mislead a public servant in the performance of his or her official function, is punishable by law (See C.G.S. § 53a-157b). I further understand that any statement in this application that is determined to be false or inaccurate shall constitute grounds for the denial of such application. If approved before the facts are known, such approval shall be void if based on a false or inaccurate statement. My signature below attests to the accuracy, completeness and to the truth of all information supplied on this application:

I declare, under the penalties of false statement, that the answers to the above are true and correct.

Date ____________________

Signed

 

 

 

STATE OF

 

 

 

 

 

 

 

COUNTY OF _______________

Print Name

 

 

 

 

 

 

 

 

 

Subscribed and sworn to before me this ______ day of

 

 

20_____

Name:

Notary Public

My Commission Expires:

Commissioner of Superior Court

NOTICE: Appeal Process for Permits

In the event that your application for pistol permit or eligibility certificate is denied or revoked, you may notify the Board of Firearms Permit Examiners, at 165 Capitol Ave., Suite 1070, Hartford, CT 06106. Telephone: (860) 256-2947, in writing, within ninety (90) days, in order to begin your appeal process. At a hearing before the Board, you may request that your application be reconsidered or that your permit or eligibility certificate be reinstated.

 

 

 

 

 

For Official Use Only:

 

 

 

 

Application Received:

 

FBI Sent:

No

Yes

 

Application Status:

 

 

/

/

 

FBI Reply:

No

Yes

 

Approved

Denied

 

 

 

ICE Response:

No

Yes

 

 

 

Month/Day/Year

 

DMHAS:

No

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPBI:

No

Yes

 

 

 

 

 

(Signature and title of issuing authority)

 

 

 

Number :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DPS-799-C (Rev. 03/03/21)

An Affirmative Action/Equal Employment Opportunity Employer

Page 4 of 4

Document Specifications

Fact Name Fact Description
Governing Law The form is governed by Connecticut General Statutes (C.G.S.) §§ 29-28 et. seq., 29-36 et. seq., and 53a-217 et. seq.
Type of Permits Available The application can be used to request a 60-Day Temporary State Pistol Permit, Non-Resident State Pistol Permit, Eligibility Certificate to Purchase Pistols or Revolvers, and Eligibility Certificate to Purchase Long Guns.
Application Submission Applicants must complete the DPS 799-C form and submit it to their local authority, which may include local police or a state trooper.
Fees Required Fees include $70.00 for a temporary permit, $35.00 for non-residents, and additional charges for fingerprinting and safety courses.
Eligibility Requirements Applicants must provide proof of valid identification and demonstrate legal residency in the United States.
Fingerprinting Requirement Applicants must undergo a criminal history check and submit fingerprints through a law enforcement agency.
Approval Process Upon approval, the local authority will issue the Temporary State Permit, valid for 60 days, during which the applicant must obtain permanent licensing.
False Statement Consequences Submitting false information may result in legal consequences and grounds for application denial.

Steps to Filling Out Dps 799 C

Completing the DPS-799 C form is an important step in your application for a pistol permit or eligibility certificate in Connecticut. After submitting this form, you will follow additional procedures to ensure your application is processed. Make sure to gather all required documents and fees, as these will be necessary for the next steps in the process.

  1. Begin by clearly filling out your personal information at the top of the form, including your full name, date of birth, and contact information.
  2. Select the type of permit you are requesting by checking the appropriate box.
  3. Provide details about your history, including residential addresses for the last seven years and your employment history.
  4. Address your permit or eligibility certificate history. Answer whether you have had any permits denied, suspended, or revoked. Include details if applicable.
  5. Answer questions related to your medical history, particularly concerning mental health, using clear and concise responses.
  6. Respond to the criminal history section honestly, detailing any arrests or convictions. Remember, you are not obligated to disclose erased records.
  7. Provide information about your military service, if applicable, including attaching a copy of your DD-214 form.
  8. Attach proof of training by including a copy of the certificate for a firearms safety course you have completed.
  9. Sign and date the form at the bottom, affirming all provided information is true and accurate.
  10. Submit the completed form along with the necessary fees and required documents to the appropriate local authority for processing.

After submission, you will undergo fingerprinting for a criminal history check, which will be processed through a law enforcement agency. Ensure you keep copies of all submitted documents for your records.

More About Dps 799 C

What is the DPS-799-C form used for?

The DPS-799-C form is the application for a pistol permit or eligibility certificate in the state of Connecticut. It can be used to request a 60-day temporary state pistol permit, a non-resident state pistol permit, or an eligibility certificate to purchase pistols, revolvers, or long guns. This form is essential for individuals seeking to obtain legal permission to carry firearms or purchase gun(s), while ensuring compliance with state laws.

What are the requirements to complete the DPS-799-C form?

To fill out the DPS-799-C form, applicants must submit a variety of documents. First, they need to provide proof of being lawfully in the United States, such as a certified copy of their birth certificate or U.S. passport. Additionally, applicants are required to complete a fire safety and use course and submit a certificate as proof. Fingerprints must also be submitted through a law enforcement agency, along with applicable fees. Furthermore, individuals must have a valid permit or license to carry a pistol or revolver issued by a recognized U.S. jurisdiction.

How much does it cost to apply for a pistol permit using the DPS-799-C form?

The fees for applying using the DPS-799-C form vary based on the type of permit or certificate being requested. For a temporary state permit, applicants need to pay a fee of $70.00. Those applying for an eligibility certificate must include a $35.00 fee, along with other fees for fingerprinting — $75.00 for the criminal history check and $13.25 for the fingerprinting service. All payments must be made with separate checks.

How long is the temporary state pistol permit valid?

The temporary state pistol permit issued after the approval of your application is valid for a period of 60 days. During this time, you are required to visit a designated Division of State Police location to finalize the process and obtain your state pistol permit. It is crucial to complete this within the 60-day period to ensure lawful carrying and use of firearms.

What happens if my application is denied?

If your application for a pistol permit or eligibility certificate is denied, you have the right to appeal the decision. You must notify the Board of Firearm Permit Examiners within 90 days of the denial. This notification can be made in writing, and during the appeal process, you may request a hearing where you can present your case for reconsideration of the application.

Where can I find more information about the DPS-799-C form?

For additional information regarding the DPS-799-C form and the application process, applicants can visit the Connecticut Department of Emergency Services and Public Protection’s official website. The Special Licensing and Firearms Unit page provides detailed instructions and resources. Alternatively, individuals can also reach out by calling the Division of State Police at (860) 685-8290 for assistance.

Common mistakes

When filling out the DPS 799 C form for a pistol permit or eligibility certificate application in Connecticut, applicants often make several common mistakes. Here’s a list of the most frequent errors to watch out for:

  1. Failure to read the instructions carefully.
  2. Omitting required documents, such as proof of completion for the Firearms Safety & Use Course.
  3. Not providing separate checks for fees, which can lead to processing delays.
  4. Using a post office box instead of a valid residential address.
  5. Neglecting to report any changes of address within the required 48-hour timeframe.
  6. Inaccurately listing previous names or aliases, which can result in misidentification.
  7. Forgetting to sign or date the application, rendering it invalid.
  8. Not being honest about criminal history, which may lead to serious consequences.
  9. Failing to submit fingerprints through an appropriate law enforcement agency.

Being aware of these common mistakes can help ensure that your application is processed smoothly and efficiently. Double-check your form, gather all necessary documents, and always provide accurate and complete information.

Documents used along the form

The DPS-799-C form is an important document for individuals seeking a pistol permit or eligibility certificate in Connecticut. There are several other forms and documents that are commonly used in conjunction with DPS-799-C. Each of these documents plays a critical role in the overall application process, ensuring that all necessary information and requirements are addressed.

  • Firearms Safety & Use Course Certificate: This document verifies that the applicant has successfully completed a course in firearms safety and usage, which is a prerequisite for obtaining a pistol permit.
  • DPS-164-C Application for a State Eligibility Certificate: This form allows individuals to apply for a state eligibility certificate to purchase firearms, specifically pistols, revolvers, or long guns.
  • DPS-46-C Application for State Permit to Carry Pistols and Revolvers: This application is necessary for those seeking a state-issued permit to carry pistols and revolvers in Connecticut.
  • DPS-11-C Temporary State Permit to Carry Pistols and Revolvers: This is a provisional permit issued to applicants while their application is pending approval. It is valid for 60 days.
  • DPS-129-C Notarized Photograph Submission Form: This form requires applicants to submit a notarized application along with a recent passport-style photograph for their identification file.
  • Fingerprints Submission Card: An applicant must provide a fingerprint card for a criminal history check, which must be completed by a law enforcement agency.
  • Proof of Identity Documentation: Acceptable forms include a certified copy of the birth certificate, U.S. passport, or documentation from immigration authorities, certifying the applicant's lawful presence in the U.S.
  • Application Payment Receipts: Receipts for fees paid during the application process, typically including the costs associated with fingerprinting and other paperwork submissions.
  • Notification of Denial or Revocation: Should an application be denied or revoked, applicants may receive a formal notice detailing the reasons, which can also include instructions for the appeals process.

Each of these forms and documents serves a unique purpose and contributes to ensuring the applicant meets all legal requirements to obtain a pistol permit in Connecticut. Collectively, they help create a comprehensive and thorough application that meets law enforcement standards.

Similar forms

The DPS-164-C form, known as the Application for a State Eligibility Certificate for a Pistol or Revolver or for Long Guns, is similar to the DPS-799-C form in its purpose. Both forms are required for individuals seeking eligibility to purchase firearms. The DPS-164-C requires the applicant to provide personal information and undergo a background check, similar to the requirements outlined in the DPS-799-C. This ensures thorough scrutiny of individuals before allowing them to obtain firearms, thus promoting public safety.

The DPS-11-C form, which is a Temporary State Permit to Carry Pistols and Revolvers, also shares similarities with the DPS-799-C. After completing the DPS-799-C, the approval leads to the issuance of the DPS-11-C for those who meet the necessary criteria. The DPS-11-C requires the submission of specific documentation, including the completion of a firearms safety course, essentially mirroring the prerequisites of the DPS-799-C. The connection between these two forms highlights the steps an individual must take to legally carry a firearm in Connecticut.

The DPS-46-C form, known as the Application for State Permit to Carry Pistols and Revolvers, is another document akin to the DPS-799-C. This application is also a crucial part of the process for securing a permit to carry firearms. Like the DPS-799-C, applicants must provide proof of training, personal identification, and undergo background checks. Both forms emphasize the necessity of legal compliance and responsible firearm ownership, reinforcing the state’s regulations aimed at preventing gun violence.

Lastly, the fingerprint cards that accompany various firearms applications, including the DPS-799-C, serve as an important comparison. These cards gather an individual's fingerprints for a criminal history check, reflecting a similar requirement across multiple firearms-related applications. The fingerprinting process is an essential step in ensuring that those applying for firearm permits have no disqualifying factors, thus enhancing the vetting process across all associated documents.

Dos and Don'ts

When filling out the DPS-799 C form, it's essential to approach the process with care and attention to detail. Below is a list of dos and don'ts to guide you through this critical application process.

  • Do read the instructions carefully before starting your application.
  • Do ensure all personal information is current and accurately reflected.
  • Do attach all required documentation, such as your firearms safety course certificate and proof of identification.
  • Do double-check the spelling of your name and other identifying details.
  • Do submit your application to the appropriate local authority for processing.
  • Don't leave any sections of the form blank; every question must be answered.
  • Don't use a post office box as your residential address; provide a physical address.
  • Don't forget to sign and date your application before submission.
  • Don't submit payments in a single check; fees must be paid separately.
  • Don't provide false information, as this could lead to denial or legal consequences.

Misconceptions

Misconceptions about the DPS 799 C form can lead to confusion when applying for a pistol permit or eligibility certificate. Here are five common misconceptions:

  • Everyone can apply for a pistol permit regardless of their legal status. This is not true. You must provide proof that you are legally and lawfully in the United States, such as a certified copy of your birth certificate or a U.S. passport.
  • The fees for the application can be paid all together. Many people think they can submit a single payment for all fees. However, each fee must be paid separately using different checks, which is important to remember when preparing your application.
  • Submitting fingerprints is optional. Some may believe that fingerprint submission isn't necessary. In reality, all applicants are required to submit fingerprints for a criminal history check through a law enforcement agency.
  • It’s enough to just fill out the form and wait for approval. While completing the form is essential, there are additional steps, such as submitting your fingerprint card and providing proof of firearm safety training, that are also required to complete your application process.
  • A Temporary State Permit allows indefinite carry. This is a common misunderstanding. A Temporary State Permit is valid for only 60 days. After that, you must obtain a permanent permit to continue carrying legally.

Key takeaways

Filling out and using the DPS 799 C form, essential for obtaining a pistol permit or eligibility certificate in Connecticut, involves several important steps and considerations. Here are the key takeaways:

  • Understand the Types of Permits: Familiarize yourself with the types of permits available, including the 60-day temporary state pistol permit, non-resident state pistol permit, and eligibility certificates for purchasing pistols or long guns.
  • Submit Correct Fees: Payment of fees is critical. Ensure you pay the correct amounts: $70 for a temporary permit, $35 for non-resident permits, $75 for fingerprinting, and $13.25 for criminal history background checks. Each fee must be paid using separate checks.
  • Complete Required Courses: A firearms safety and use course is mandatory. You must provide proof of completion when submitting your application.
  • Fingerprint Submission: A criminal history check necessitates fingerprints, which must be submitted through a law enforcement agency, ensuring the appropriate fees are also submitted.
  • Documentation of Legal Status: You must prove your legal status in the United States. Acceptable documents include a birth certificate, U.S. passport, or documentation from I.C.E.
  • Address Reporting: Any changes to your residential address must be reported to the Special Licensing and Firearms Unit within 48 hours to avoid complications with your application.
  • Medical and Criminal History Disclosure: Be honest about your mental health and criminal history. Failure to disclose relevant information can lead to your application being denied.
  • Application Review Process: If your application is denied, you have the right to appeal within 90 days. You can request a hearing to reconsider your application.

Careful attention to these details will streamline your application process and increase your chances of approval.