Blank Texas Chl 77 PDF Template

APPLICANT INFORMATION

I am renewing Concealed Handgun License Number ___________________________

What is the expiration date of the license you are renewing? _______/_______/__________(MM/DD/YYYY)

(NOTE: LICENSES MAY BE RENEWED NO MORE THAN 6 MONTHS PRIOR TO EXPIRATION AND NO LATER THAN ONE YEAR AFTER EXPIRATION)

(**ATTACH A PHOTO COPY OF THE FRONT AND BACK OF DL OR ID IF ISSUED BY ANOTHER STATE**)

PERSONAL IDENTIFIERS

Residence Address

(Cannot be a PO Box

Must be a physical address)

Mailing Address

(IF DIFFERENT FROM RESIDENCE ADDRESS

Note: See reverse for information regarding required documentation to support the condition you have indicated.

Iunderstand that all fees submitted to Concealed Handgun Licensing are non-refundable and non-transferable.

Iverify the information provided is true and correct, and I understand that this is an official Government record and that any false statement made on this document or any other supplement provided to the Department may result in criminal prosecution.

Applicant Signature________________________________________________ Date____ /____ /________

Mail this completed form, along with any and all required supplemental documents and/or fee to:

Regulatory Services Division MSC 0245

Texas Department of Public Safety

PO Box 15888

Austin, TX 78761-5888

Application Processing Information

Applications cannot be processed until all required items are received Submit all required items at the same time, including renewal fee

Inaccurate or incomplete information will delay the processing of your application

Required items must be received within 12 months. If your information is not received within this time period, your application will be terminated and the fee will not be refunded.

ONote: Once any part of the application is received, the application is subject to any deadlines set forth by the notification or request for information from the Department

Required Items Checklist

CHL-100 Training Form (Received from CHL instructor upon course completion)

CHL-100 (proof of Continuing Education course completion) is required for 1st and 2nd time renewals. After the 2nd renewal, applicants must complete a Continuing Education course once every 10 years (GC§411.185). Applicants do not have to take a course for their third consecutive renewal if a course was completed on the previous renewal.

Court Documents of pending charges or convictions (if applicable) CHL-85: Authorization for Release of Records

CHL-86: Knowledge of Laws and Eligibility Affidavit

Out-of-state residents need to provide a copy, front and back, of your state issued identification or driver license.

Renewal Fee

OAcceptable forms of payment:

Money Order

Personal Check

Cashier’s Check

Condition of License - Below is the list of conditions and supporting documentation needed

OSenior Citizen: No additional documentation is required for a Senior Citizen (ages 60 or older).

OActive military personnel, including active reservists: Copy of your military identification and your most current leave earnings statement.

ORetired military personnel or veterans: Copy of your retired military credentials and a copy of your DD-214 that shows honorably discharged.

ODistrict Attorneys, County Attorneys, or Judges: Copy of your letterhead or your District Attorney or County Attorney identification documents.

OOther Prosecutor: Statement from employing agency verifying employment

ORetired Judicial Officer: Statement verifying retired status

OFull-time Texas Peace Officers: Letter from your department head with all the information required under §411.1991, Texas Government Code.

ORetired Texas Peace Officers or Federal Peace Officers: Copy of your retirement credentials and a letter from your retirement agency with all the information required under §411.199, Texas Government Code.

OIndigent individuals: Copy of your last IRS tax return.

Privacy Policy: (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.