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Blank Texas Chl 100 PDF Template

The Texas CHL 100 form is a certificate of training that verifies a student's completion of the required training for obtaining a Concealed Handgun License (CHL) in Texas. This form is completed by a certified instructor and includes essential information about the training course, including topics covered and proficiency demonstrated. It serves as an important document for both original applications and renewals of the CHL.

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Contents

Form Example

Texas Department of Public Safety Regulatory Services Division

For DPS Use Only

www.dps.texas.gov

LICENSE TO CARRY A HANDGUN PROFICIENCY COURSE

CERTIFICATE OF TRAINING

STUDENT INFORMATION

Last Name

First Name

Middle Initial

Driver License

Issuing State

Number:

(2- letter code)

Number:

(2- letter code)

CLASSROOM TRAINING

Laws That Relate to Weapons / Use of Force

Min

Safe Storage

Min

Non-Violent Dispute Resolution

Min

Handgun Use and Safety

Min

(Including use of restraint holsters)

Total Classroom Time: Hr

Min

My signature verifies the above named individual has received a minimum of 4 hours classroom instruction and successfully passed the required written test for a Texas License to Carry a Handgun.

LTC Instructor Name (printed)		Instructor #	LTC Instructor Signature	Completion Date
				(MM/DD/YYYY)
PROFICIENCY DEMONSTRATION

Name of Range (if any)			LTC Instructor renewal

Address

City	State	Zip Code

My signature verifies the above named individual has successfully demonstrated proficiency using the required course of fire for a Texas License to Carry a Handgun.

LTC Instructor Name (printed)	Instructor #	LTC Instructor Signature	Completion Date
			(MM/DD/YYYY)

STUDENT CERTIFICATION

I verify that the information provided is true and correct. I also understand this is an official Government record and any missing information and/or false statement made on this document may result in criminal prosecution.

Student Name (printed)	Student Signature	Date
		(MM/DD/YYYY)

CHL-100 (Rev. 12/2015)

Sec. 559.003. RIGHT TO NOTICE ABOUT CERTAIN INFORMATION LAWS AND PRACTICES.

(a)Each state governmental body that collects information about an individual by means of a form that the individual completes and files with the governmental body in a paper format or in an electronic format on an Internet site shall prominently state, on the paper form and prominently post on the Internet site in connection with the electronic form, that:

(1)with few exceptions, the individual is entitled on request to be informed about the information that the state governmental body collects about the individual;

(2)under Sections 552.021 and 552.023 of the Government Code, the individual is entitled to receive and review the information; and

(3)under Section 559.004 of the Government Code, the individual is entitled to have the state governmental body correct information about the individual that is incorrect.

(b)Each state governmental body that collects information about an individual by means of an Internet site or that collects information about the computer network location

or identity of a user of the Internet site shall prominently post on the Internet site what information is being collected through the site about the individual or about the computer network location or identity of a user of the site, including what information is being collected by means that are not obvious.

Please visit: http://www.statutes.legis.state.tx.us/docs/GV/htm/GV.559.htm

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Common mistakes

Incomplete Personal Information: Failing to provide the full name of the student, including last name, first name, and middle initial, can lead to significant issues. It is essential that this information matches the identification documents to avoid discrepancies.
Incorrect Driver License or ID Number: Entering an incorrect driver's license or identification card number can result in delays or denials of the application. Students must ensure that they accurately record this information, including the two-digit state code.
Omitting Required Training Hours: Students often forget to fill in the hours spent on each required topic, such as Use of Force or Handgun Use. Each topic must have a specific time allocation, and the total class time should be calculated correctly to meet the minimum requirements.
Missing Instructor Information: The instructor's printed name, certificate number, and signature must be included. If multiple instructors participated, only the primary instructor's information is necessary, but it must be complete. Omitting this information can invalidate the form.

Key takeaways

When filling out the Texas CHL 100 form, there are several important points to keep in mind:

Complete All Required Information: Ensure that the student's name, driver's license or identification card number, and pass/fail status are accurately filled out. This includes indicating whether the application is for a renewal or an original license.
Document Training Hours: Clearly list the time spent on each required topic, including Use of Force, Safe Storage, Non-Violent Dispute, and Handgun Use. Total classroom hours must be calculated and documented.
Instructor Verification: The instructor must provide their printed name, instructor number, and location of the training. The instructor's signature is also essential to validate the form.
Retention of Records: Instructors are required to keep a copy of the CHL 100 form for three years after course completion. Students should also retain a copy for their records after submitting the original with their application.

⇓ Texas Chl 100 PDF

Steps to Using Texas Chl 100

Once you have the Texas CHL 100 form, it’s time to fill it out. This form is essential for those seeking a Concealed Handgun License in Texas. Ensure all information is accurate and complete, as this will be submitted with your application.

Start by entering the student's name in the designated space.
Fill in the student's driver license or identification card number along with the state abbreviation (e.g., 99999999 TX).
Indicate whether the student passed or failed the training.
Circle whether the application is for a Renewal or Original license.
List the time allocation for each required training topic, including:

Use of Force
Safe Storage
Non-Violent Dispute
Handgun Use

Add any additional topics covered, along with the time spent on each.
Calculate and enter the total classroom time.
For proficiency training, indicate the type of weapon used by filling in the circle for:

SA (Semi-Automatic)
NSA (Non-Semi Automatic)
Both (for instructor certificate renewal)

Record the total range time spent on proficiency training.
Have the instructor sign the form.
Provide the instructor's printed name and instructor certificate number.
Fill in the location where the training took place.
List all dates when the training occurred.
The student must then sign the CHL-100 form.

After completing the form, attach the original signed CHL-100 to your application. Keep a copy for your records. This ensures you have proof of training for your concealed handgun license application.