Please enable JavaScript in your browser to complete this form.Montrose County Sheriff's Office Concealed Handgun Permit ApplicationType of PermitRegularRenewalTemporary/EmergencyPermit #County of IssueApplicant InformationName *FirstMiddleLastResident of Colorado?YesNoOther Names (maiden name, birthname, previous marriages, adoption, alias, etc.)Date of BirthHeightWeightEye ColorHair ColorRaceAmerican Indian/Alaskan NativeAsian or Pacific IslanderWhite (including Hispanic/Latino)BlackOtherSocial Security NumberSocial Security number is voluntary but may assist in the background investigation in the event there are other individuals with a similar name who have had contact with law enforcement authorities. Colorado County of ResidenceEmail *Home PhoneCell PhoneCurrent Home AddressAddress Line 1Address Line 2CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMailing Address if Different Than AboveAddress Line 1Address Line 2CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLength of Time at Current AddressList all physical addresses from the past ten years. Do not include any mailing addresses. Applicant HistoryIf you answer “yes” to any questions below, provide a detailed explanation below. Where applicable the information provided must include dates, locations, etc. Concerning “conviction”, answer “no” if pardoned or if the conviction has been expunged, sealed, or set aside.1. Have you been treated for alcoholism within the past ten years or ever been involuntarily committed as an alcoholic?YesNo2. Have you had two or more alcohol-related convictions within the past ten years?YesNo3. Have you been convicted of perjury under C.R.S. Section 18-8-503?YesNo4. Are you currently the subject of either a criminal or civil restraining order?YesNo5. Are you under indictment or information in any court for a felony, or any other crime, for which the judge could imprison you for more than one year?YesNo6. Have you been convicted in any court of a felony, or attempt or conspiracy to commit a felony, or any other crime for which the judge could have imprisoned you for more than one year, even if you received a shorter sentence including probation?YesNo the includes subject 7. Are you a fugitive from justice?YesNo8. Are you an unlawful user of, or addicted to, marijuana, or any depressant, stimulant, or narcotic drug, or any other controlled substance?YesNoWARNING: The medicinal or recreational use of marijuana, although legalized in Colorado, is illegal pursuant to federal law and would prohibit the lawful possession of firearms pursuant to 18 USC 922 (g)(3). 9. Have you been adjudicated mentally defective (which includes having been adjudicated incompetent to manage your own affairs) or have you ever been committed to a mental institution?YesNo10. Have you been convicted in any court of a misdemeanor crime of domestic violence as defined in the code of Federal Regulations, subpart 478.11?YesNo10. Have you been convicted in any court of a misdemeanor crime of domestic violence as defined in the code of Federal Regulations, subpart 478.11? (copy)YesNo11. Have you been convicted of a misdemeanor offense listed in C.R.S. 24-33.5-424 (3)(b.3) within the past five years?YesNo12. Have you been adjudicated as a juvenile for a crime that would constitute a felony if committed by an adult or attempt or conspiracy to commit a felony, under any state law or federal law?YesNo13. Have you been discharged from the Armed Forces under dishonorable conditions?YesNo14. Have you renounced your United States citizenship?YesNo15. Are you an alien or non-citizen status in the United States? (If “YES”, please complete supplemental form)YesNoIf you answer “yes” to any questions below, provide a detailed explanation below. Where applicable the information provided must include dates, locations, etc. Concerning “conviction”, answer “no” if pardoned or if the conviction has been expunged, sealed, or set aside.Proof of Firearms TrainingPlease check one pertaining to your application submittal.A training certificate from a concealed handgun training class (as defined in C.R.S. 18-12-202.5 (1)) obtained within one year preceding the submittal of this application. It must be the original training certificate that includes the original signature of the class instructor.A refresher training certificate from a concealed handgun refresher class (as defined in C.R.S. 18-12-202.5 (4)) obtained within six months preceding the submittal of this renewal application. The training certificate must include the original signature of the class instructor. A refresher training certificate is only valid for the renewal of a permit and will not work for an initial Concealed Handgun Permit application.Proof of honorable discharge from a branch of the United States Armed Forces (DD214) within the three years preceding submittal of this application.Proof of honorable discharge from a branch of the United States Armed Forces (DD214) that reflects pistol qualifications obtained within the ten years preceding submittal of this application.Evidence that, at the time this application is submitted, the applicant is a certified firearms instructor.Evidence of experience with a firearm through participation in organized shooting competitions, current military service, or current certification as a peace officer pursuant to Article 2.5 of Title 16.A certificate showing retirement from a Colorado Law Enforcement Agency that reflects pistol qualifications obtained within the ten years preceding submittal of this application.Notice of Disclaimer and Personal Inquiry WaiverNOTE TO RECIPIENT: A PHOTOCOPY REPRODUCTION OF THIS SIGNED REQUEST SHALL BE FOR ALL INTENTS AND PURPOSES AS VALID AS THE ORIGINAL. YOU MAY RETAIN THIS FORM IN YOUR FILES. THE ORIGINAL OF THIS FORM WILL REMAIN IN THE SHERIFF’S OFFICE CONCEALED WEAPONS FILES. Handguns have been classified by both Federal and Colorado law as deadly weapons. They are capable of causing death, serious injury, and property damage. I certify that I have read and understand the information provided in the application packet and the attached Colorado Revised Statutes pertaining to the use of deadly physical force and agree that any violation will be cause for revocation of this permit. By issuing this permit, the Montrose County Sheriff, Sheriff’s Office County, County Sheriffs of Colorado and employees shall not be held liable or responsible for the manner in which the permit holder uses the concealed handgun or the results of said use, including, but not limited to, the death of, or injury to, any person or damage to any property resulting either directly or indirectly from the intentional, reckless, negligent or accidental discharge of a handgun, or any criminal acts committed by the permit holder involving the use of the concealed handgun. Furthermore, the Montrose County Sheriff's Office in no way stands as Warrantor or Guarantor of the structural, mechanical, or functional fitness of the concealed handgun for any purpose whatsoever. By signing this application, I acknowledge and accept the terms contained in the Notice of Disclaimer. I hereby certify that all statements made by me in the completion of this application are, to the best of my knowledge, accurate and true. I understand that any false answer (deceitfully made) or any fraud whatsoever constitutes a basis for rejection of this application with no further consideration. If fraud and/or deceit is subsequently discovered, such fraud and/or deceit will become grounds for rejection of this application and may result in criminal charges. I fully understand that the Montrose County Sheriff's Office conducts a background investigation of all applicants who are being considered for a concealed handgun permit. This investigation includes, but is not limited to, an investigation of military, police, driving records, and character. I hereby authorize any person who is contacted by the Montrose County Sheriff's Office personnel to release any information to the Montrose County Sheriff's Office pertaining to the background investigation including, but not limited to, military, police, driving records and character for use by the Montrose County Sheriff's Office in the consideration of my application. I further agree to release and hold harmless the Montrose County Sheriff's Office, its agencies, elected officials, officers, agents, and employees from any and all liability or claims which I may have arising out of the disclosure of such information to the Montrose County Sheriff's Office in the consideration of my application. This authorization for the release of information shall be valid for a six (6) month period from the date hereof. Any release of claims or liability set forth herein shall survive the termination of the agreement. The applicant swears under oath that the contents of the permit application and the information contained in the permit application are true and correct. Signature Clear Signature Please use your mouse or finger to sign above.Text SignaturePlease type your name.DateSubmit
