Fill Out Your Dps 799 C Form

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.

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

An Affirmative Action/Equal Employment Opportunity Employer

Page 1 of 4

STATE OF CONNECTICUT

DEPARTMENT OF EMERGENCY SERVICES AND PUBLIC PROTECTION

DIVISION OF STATE POLICE

Contact / Identifying Information:

Name of Applicant

,

Last

Suffix

.

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

-

-

Country of Citizenship

Alien Reg.

Number (If applicable)

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

Number/Street

,

-

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

,

-

City/Town

State

Zip Code

Home Telephone Number

Motor Vehicle Operator’s License Number

(

)

-

Area Code

State

of

Issue

Alternate Telephone Number

(

)

-

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:

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

NO

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

a pending court case?

NO

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

the outcome or result of any related criminal case?

NO YES

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

An Affirmative Action/Equal Employment Opportunity Employer

Page 3 of 4

Date ____________________

Signed

STATE OF

COUNTY OF _______________

Print Name