Blank Adams County Colorado Concealed Permit PDF Form Customize Adams County Colorado Concealed Permit Now

Blank Adams County Colorado Concealed Permit PDF Form

The Adams County Colorado Concealed Handgun Permit Application is a document that individuals must complete to obtain a permit for carrying a concealed handgun in Adams County, Colorado. This application requires accurate personal information and answers to specific questions regarding the applicant's background. It's essential to provide truthful information, as any false statements can lead to criminal charges.

The Adams County Colorado Concealed Handgun Permit Application is a crucial document for individuals seeking to carry a concealed weapon legally within the county. This form requires applicants to provide personal information, including their name, date of birth, and current address, along with details about their residency status and previous addresses if applicable. A section of the application focuses on the applicant's history, asking specific questions about past legal issues, mental health, and firearm training. It is important for applicants to answer these questions honestly, as providing false information can lead to criminal charges. Additionally, the form includes a section for proof of firearms training, which can be satisfied through various means, such as a training certificate or military discharge documentation. The application also contains a disclaimer, emphasizing the responsibilities of the permit holder and the limitations of liability for the issuing sheriff's office. By signing the application, individuals affirm that the information provided is accurate and that they understand the implications of obtaining a concealed carry permit.

Document Example

ADAMS COUNTY SHERIFF'S OFFICE

CONCEALED HANDGUN PERMIT APPLICATION

WARNING: The information you provide will be verified. Providing false information on this application constitutes a criminal

offense for which you may be prosecuted. Print or type all information except signatures.

Type of permit requested

 

New or Renewal?

Permit number if renewal

Current Expire Date

County of issue

 

Regular

Temporary/emergency

New

Renewal

 

 

 

 

ADAMS

 

 

 

 

 

 

 

 

 

 

Applicant's Name (LAST, FIRST, MIDDLE)

 

 

 

 

 

 

Colorado Resident?

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

Other Names (Nickname, maiden name, alias, etc.)

 

 

 

 

 

 

Date of Birth (MM/DD/YYYY)

 

 

 

 

 

 

 

 

 

 

Social Security Number *

 

 

 

Colorado County of Residence**

 

 

E-Mail (Voluntary-assists us in contacting you discreetly)***

 

 

 

 

 

 

 

 

 

 

 

 

Current Home Address

 

 

 

 

 

 

City/State/Zip

 

Area Code + Home Phone***

 

 

 

 

 

 

 

 

 

Mailing Address if different from above

 

 

 

 

City/State/Zip

 

Other phone-Area Code + Home Phone***

 

 

 

 

 

 

Length of time at current address

 

If at current address less than 10 years, List all previous addresses for the past 10 years. Attach seperate sheet if additional space is needed

 

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

3

 

 

 

 

4

5

*Social 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 a contact with law enforcement authorities. It also helps to ensure that your record will never be accidentally merged with that of any other individual.

**If not a Colorado resident, please explain in a seperate attachment why you need a permit and identify any property or business you own in Colorado.

***Voluntary. This information will help us contact you if necessary to complete the application process or quickly clear up any issues or questions.

Applicant History - If you answer "yes" to questions one through fourteen, provide a detailed explanation on a separate sheet and attach it to this form.Where applicable, the information provided must include dates, locations, etc. Reference your explanations by preceding each with the number of the pertinent question. Legibly print or type all information. Attachments must be clearly legible. 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?.............

2.Have you had two or more alcohol-related convictions within the past ten years? .....................................................................................

3.Have you ever been convicted of perjury under C.R.S. Section 18-8-503?........................................................................................................

4.Are you currently the subject of either a civil or criminal restraining order? ...................................................................................................

5.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? ..............................................................................................................................................................................................

6.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?...

7.Are you a fugitive from justice? .........................................................................................................................................................................................

8.Are you an unlawful user of, or addicted to, marijuana, or any depressant, stimulant, or narcotic drug, or any other controlled substance? ..........................................................................................................................................................................................................

9.Have you ever 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? .................................................................................................

10.Have you ever been convicted in any court of a misdemeanor crime of domestic violence as defined in the code of

Federal Regulations, subpart 178.11? ............................................................................................................................................................................

11.Have you ever 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 and state or federal law? ...................................................................................................

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

No

No

No

No

No

No

No

No

No

No

FORM 1022 REV 103009

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(form continued on next page)

12.Have you ever been discharged from the Armed Forces under DISHONORABLE conditions? .......................................................................

13.Have you ever renounced your United States citizenship? ...................................................................................................................................

14.Are you of alien or non-citizen status in the United States? (If you answer "yes", please complete supplemental form)..............

Yes

Yes

Yes

No

No

No

PROOF OF FIREARMS TRAINING

Please check one pertaining to your application submittal

A training certificate from a handgun training class (as defined in C.R.S. 18-12-202.5) obtained within the ten years preceding submittal of this application. It must be the original training certificate or a photocopy that includes the original signature of the class instructor.

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 instructor.

Evidence of experience with a firearm through participation in organized shooting competitions or current military service.

A certificate showing retirement from a Colorado Law Enforcement Agency that reflects pistol qualification obtained within the ten years preceding submittal of this application.

NOTICE OF DISCLAIMER AND PERSONAL INQUIRY WAIVER

NOTE TO RECIPIENT A PHOTOCOPY 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 HANDGUN PERMIT 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 issuing County Sheriff, Sheriff's Office County, County Sheriff's of Colorado and employees shall not be held liable or responsible for the manner in which the permit holder used 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 from 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 issuing 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 issuing 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 issuing County Sheriff's Office personnel to release any information to the issuing County Sheriff's Office pertaining to the background investigation including, but not limited to military, police and driving records and character for use by the issuing County Sheriff's Office in the consideration of my application.

I further agree to release and hold harmless, the issuing County Sheriff's Office, it's 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 issuing 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 is true and correct.

Applicant's Signature __________________________________________ Subscribed and sworn before me this _______day of __________________, ____________

Witness my hand ____________________________________________________________

Sheriff or designee

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Documents used along the form

When applying for a concealed handgun permit in Adams County, Colorado, several additional forms and documents may be necessary to ensure a complete application. Below is a list of commonly used forms that accompany the application process. Each document serves a specific purpose, aiding in the verification and approval of your permit.

  • Proof of Firearms Training Certificate: This document verifies that you have completed a recognized handgun training course within the past ten years. It must include the instructor's original signature.
  • DD214 Form: If you are a veteran, this form provides proof of honorable discharge from the military. It may also show pistol qualifications if obtained within the last ten years.
  • Personal Inquiry Waiver: This signed document allows the sheriff's office to conduct a background check. It ensures that you consent to the release of your personal information for this purpose.
  • Supplemental Form for Non-Citizens: If you are not a U.S. citizen, this form must be completed to explain your status and provide necessary details related to your application.
  • Previous Addresses Form: If you have lived at your current address for less than ten years, this document lists all previous addresses during that time frame.
  • Durable Power of Attorney:** This essential document allows you to designate someone to manage your financial affairs in case of incapacity, ensuring your wishes are honored. For more information, visit smarttemplates.net.
  • Character Reference Letters: Letters from individuals who can vouch for your character may be requested. These should come from credible sources who know you well.
  • Application for Renewal: If you are renewing your permit, this form details your current permit information and any changes since the last application.
  • Affidavit of Mental Health: This document may be required to confirm that you have not been adjudicated mentally defective or committed to a mental institution.
  • Proof of Residency: A document such as a utility bill or lease agreement that confirms your current residence in Adams County may be needed.

Completing these forms accurately and thoroughly will help facilitate the processing of your concealed handgun permit application. Ensuring that all required documents are submitted will contribute to a smoother experience as you navigate this important process.

How to Fill Out Adams County Colorado Concealed Permit

Filling out the Adams County Colorado Concealed Permit form requires careful attention to detail. Ensure that all information is accurate and complete, as any discrepancies can lead to delays or rejection of your application. Once you have filled out the form, you will need to submit it along with any required documentation to the Adams County Sheriff's Office.

  1. Begin by indicating the type of permit requested: New or Renewal. If you are renewing, provide your permit number and current expiration date.
  2. Fill in your name (last, first, middle) and indicate if you are a Colorado resident by checking "Yes" or "No."
  3. List any other names you have used, such as nicknames or maiden names.
  4. Enter your date of birth in the format MM/DD/YYYY.
  5. Provide your Social Security number (optional but recommended for background checks).
  6. Specify your county of residence in Colorado.
  7. Include your email address (optional) to facilitate communication.
  8. Fill in your current home address, including city, state, and zip code.
  9. Provide your home phone number with area code.
  10. If your mailing address differs from your home address, fill in the mailing address section.
  11. List your length of time at current address.
  12. If you have lived at your current address for less than 10 years, provide all previous addresses for the past 10 years. Attach a separate sheet if necessary.
  13. Answer the questions in the Applicant History section truthfully. If you answer "yes" to any questions, provide detailed explanations on a separate sheet.
  14. Indicate proof of firearms training by checking the appropriate box and attaching the relevant documentation.
  15. Read the Notice of Disclaimer and Personal Inquiry Waiver carefully. Sign and date the application.
  16. Have your signature notarized by a sheriff or designee.

Similar forms

The Adams County Colorado Concealed Permit form shares similarities with the Federal Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) Form 4473. This form is used for firearm purchases from licensed dealers. Both documents require personal information, including name, address, and date of birth. They also include questions regarding criminal history and mental health, ensuring that individuals purchasing firearms meet legal requirements. Both forms aim to prevent firearms from falling into the hands of those deemed unfit to own them.

When engaging in the sale of off-road vehicles, it's essential to have the proper documentation, just like with firearms. For those involved in the dirt bike market, the California Dirt Bike Bill of Sale form is a vital resource to ensure the transaction is legally recorded. It allows both parties to document the sale accurately, providing essential details such as the vehicle's condition and the agreed-upon price. To simplify the process, you can download the Dirt Bike Bill of Sale form and get started on your way to a smooth transfer of ownership.

Another comparable document is the Colorado Firearm Transfer Record. This record is utilized during private firearm sales in Colorado. Like the concealed permit application, it collects personal details and assesses the buyer's eligibility to possess a firearm. Both documents facilitate background checks and verify that the individual does not have a criminal record that would prohibit ownership. They serve a similar purpose in regulating firearm transactions within the state.

The National Instant Criminal Background Check System (NICS) form is also relevant. When individuals attempt to purchase firearms, the NICS form is completed to conduct a background check. Similar to the concealed permit application, it gathers personal information and addresses potential disqualifying factors. Both documents are designed to enhance public safety by ensuring that only eligible individuals can acquire firearms.

The Colorado Concealed Carry Permit Renewal Application is another document that parallels the original permit application. It requires similar information, including personal details and proof of training. Just as the initial application serves to establish eligibility, the renewal application reassesses the applicant’s qualifications to continue carrying a concealed weapon. This ongoing evaluation helps maintain accountability among permit holders.

The FBI’s Criminal Background Check form is also akin to the concealed permit application. This form is used for various purposes, including firearm purchases and employment screenings. Both documents require the applicant to disclose personal information and undergo a background check. They serve as safeguards against allowing individuals with criminal backgrounds to access firearms or sensitive positions.

The application for a Colorado Handgun Purchase Permit is another similar document. This permit is specifically for individuals seeking to purchase handguns in Colorado. Like the concealed permit application, it collects personal information and evaluates the applicant's eligibility based on criminal history and mental health status. Both processes aim to ensure responsible gun ownership and public safety.

The application for a Temporary Protection Order (TPO) in Colorado also bears similarities. While its primary purpose is to protect individuals from domestic violence, it requires detailed personal information and can affect firearm ownership. Both documents assess the applicant's history and circumstances, ultimately influencing their ability to possess firearms. They reflect a commitment to safeguarding individuals and communities.

The application for a Colorado Certificate of Competency for Firearms Training is another related document. This certificate is required for individuals seeking to demonstrate proficiency in handling firearms. Both the training certificate and the concealed permit application require proof of training and experience. They ensure that individuals who wish to carry concealed firearms have received adequate instruction, promoting safe handling practices.

The application for a Colorado Law Enforcement Officer's Firearm Qualification is also similar. This document is used to certify that law enforcement officers have met the necessary training standards for firearm use. Like the concealed permit application, it emphasizes the importance of training and competency in firearms handling. Both documents aim to ensure that individuals who carry firearms, whether in law enforcement or as civilians, are adequately prepared.

Lastly, the application for a Colorado Personal Protection Order (PPO) is akin to the concealed permit form. A PPO is designed to protect individuals from threats or harm. Similar to the concealed permit application, it requires detailed personal information and assesses the applicant's circumstances. Both documents play a role in addressing safety concerns and regulating firearm access in sensitive situations.

Frequently Asked Questions

What is the process for applying for a concealed handgun permit in Adams County, Colorado?

The application process involves several steps. First, you need to complete the concealed handgun permit application form accurately. Ensure that all information is printed or typed clearly. Once completed, submit the application to the Adams County Sheriff's Office along with any required documentation, such as proof of firearms training. A background investigation will then be conducted. If approved, you will receive your permit. If denied, you will be informed of the reasons for the denial.

What information is required on the application form?

The application form requires personal details, including your name, date of birth, address, and contact information. You must also disclose any previous addresses if you have lived at your current address for less than ten years. Additionally, you will need to answer questions regarding your criminal history, mental health, and any firearms training you have completed. Be honest, as providing false information can lead to criminal charges.

How do I provide proof of firearms training?

You must submit a training certificate from a recognized handgun training class taken within the last ten years. This certificate should be the original or a photocopy that includes the instructor's original signature. Alternatively, you can provide proof of military service that includes pistol qualifications or evidence of being a certified instructor. Make sure to include this documentation with your application.

Can I apply for a concealed permit if I am not a Colorado resident?

Yes, non-residents can apply for a concealed handgun permit. However, you must include a separate attachment explaining why you need a permit and identify any property or business you own in Colorado. This information is crucial for the Sheriff's Office to evaluate your application.

What happens if my application is denied?

If your application is denied, the Adams County Sheriff's Office will provide you with the reasons for the denial. You may have the option to appeal the decision, but this process can vary. It is advisable to carefully review the reasons for denial and address any issues before reapplying.

How long does it take to receive my concealed handgun permit?

The time frame for receiving your permit can vary based on several factors, including the thoroughness of the background investigation. Generally, it may take several weeks to a few months. To avoid delays, ensure that your application is complete and accurate, and respond promptly to any requests for additional information from the Sheriff's Office.

Dos and Don'ts

When filling out the Adams County Colorado Concealed Permit form, it is important to follow specific guidelines to ensure a smooth application process. Below is a list of things you should and shouldn't do.

  • Do print or type all information clearly, except for signatures.
  • Do provide accurate information. Any false statements can lead to criminal charges.
  • Do include your current home address and any previous addresses from the last ten years if applicable.
  • Do attach separate sheets if you need more space for explanations or additional information.
  • Do provide a training certificate or proof of firearms training if required for your application.
  • Don't leave any required fields blank. Incomplete applications may be rejected.
  • Don't use nicknames or abbreviations for your name; use your full legal name as it appears on official documents.
  • Don't forget to sign the application. An unsigned form is invalid.
  • Don't provide false information regarding your criminal history or mental health status.
  • Don't submit photocopies of documents that require original signatures unless specified.