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In the heart of Louisiana's efforts to ensure responsible firearm ownership, the DPSSP 4012 form stands as a crucial document. This application, governed by the Louisiana Revised Statutes, Title 40, Section 1783, is a necessary step for individuals looking to register a firearm within the state. Managed by the Louisiana Department of Public Safety and Corrections Office of State Police, it lays out detailed requirements that applicants must fulfill. From providing personal information such as name, address, and Social Security Number to disclosing specifics about the firearm including the manufacturer, type, and serial number, the form comprehensively assesses eligibility for firearm possession. It further explores the necessity of a Federal Firearms License for the applicant, reinforcing the careful checks aligned with both state and federal regulations. The application also probes into the applicant's legal eligibility to possess a firearm, asking for an honest disclosure of any past offenses that might disqualify them. This mandatory form, which must be submitted in duplicate, includes a solemn declaration of the truthfulness of the provided information under penalty of perjury, reinforcing the seriousness with which the state of Louisiana treats firearm registration. Through approving or disapproving these applications, the review officials play a pivotal role in maintaining public safety and ensuring that firearms are only in the hands of those legally and responsibly able to possess them.

Form Example

APPLICATION TO REGISTER FIREARM

LOUISIANA REVISED STATUTES, TITLE 40, SECTION 1783

Louisiana Department of Public Safety and Corrections

Office of State Police

PO Box 66375

Baton Rouge, LA 70896

FIREARM(S) – As Defined in LRS 40:1781 (3).

 

 

Applicant Information

Name

 

 

Telephone No.

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

Parish of Residence

 

 

 

 

 

 

 

Social Security Number

 

 

 

 

 

 

 

Employer Identification Number

 

 

 

 

 

 

Is a Federal Firearms License required? No

Yes

Federal Firearms License #

 

 

 

 

 

 

 

Firearm Data

Name and Address of

 

 

 

 

Manufacturer/Importer

 

 

 

 

Type of Firearm

 

 

Caliber, Gauge, or Size

 

 

 

 

 

 

Model

 

 

Length of Barrel

 

 

 

 

 

 

Serial Number

 

 

Overall Length

 

 

 

 

 

 

Additional Description or Data Appearing on Firearm:

 

 

 

 

 

 

 

 

 

 

 

 

 

Place Where Firearm is to be Kept

Street Address

City, State, Zip Code

Parish

Home

Business

 

 

 

 

 

 

 

 

Are you eligible to possess a Firearm under State and Federal law?

No

Yes

 

 

 

If NO, state details of disposition, date, offense, etc.

 

 

 

 

 

 

 

 

 

 

UNDER PENALTY OF PERJURY, I DECLARE that I have examined this application, and to the best of my knowledge and belief it is true, correct, and complete.

 

Signature of Applicant

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Department Use Only

 

By authority of the Secretary, this application to register a firearm has been examined and the application is:

Approved

Disapproved

Reviewing Official

 

Date

***********************NOTE: FORM MUST BE SUBMITTED IN DUPLICATE. ****************************

DPSSP 4012 (Rev. 01/07)

Document Breakdown

Fact Detail
Form Name DPSSP 4012
Purpose Application to Register Firearm
Governing Law Louisiana Revised Statutes, Title 40, Section 1783
Issuing Authority Louisiana Department of Public Safety and Corrections, Office of State Police
Key Requirements Applicant Information, Firearm Data, Place Where Firearm is to be Kept, Eligibility Confirmation

Instructions on Filling in Dpssp 4012

Filling out the DPSSP 4012 form is a straightforward process, but paying attention to detail is crucial. This form is necessary for registering a firearm in Louisiana, as per the state's law. Ensuring that every piece of information you provide is accurate and complete is important for the smooth processing of your application. Once you've filled it out, remember to make a duplicate since two copies are required for submission. Here's how you can accurately complete the DPSSP 4012 form.

  1. Start by entering your Name as the applicant, ensuring it matches your legal documents.
  2. Provide your Telephone No. including the area code.
  3. Fill in your Address which should include your street address, city, and zip code.
  4. Enter the Parish of Residence to indicate where you currently live.
  5. Specify your Social Security Number or Employer Identification Number if applying for a business.
  6. Answer whether a Federal Firearms License is required by marking “Yes” or “No”. If “Yes”, include the license number in the space provided.
  7. Under Firearm Data, provide the Name and Address of Manufacturer/Importer of the firearm.
  8. Specify the Type of Firearm, Caliber, Gauge, or Size, and the Model.
  9. Enter the Length of Barrel, Serial Number, and Overall Length of the firearm.
  10. Include any Additional Description or Data that appears on the firearm.
  11. Determine the Place Where Firearm is to be Kept, providing the street address, city, state, zip code, and parish. Indicate whether it is at a home or business location.
  12. Assess your eligibility to possess a firearm under State and Federal law by marking “Yes” or “No”. If “No”, provide details of the disposition, date, offense, etc., as required.
  13. Read the declaration carefully, ensuring all information you've provided is true, correct, and complete to the best of your knowledge.
  14. Sign and date the application to finalize your submission. Make sure to keep a copy for your records.
  15. Remember to prepare a duplicate of the completed form before sending both copies to the address provided.

After submitting your DPSSP 4012 form, the Louisiana Department of Public Safety and Corrections will review your application. The process involves verifying the information you've provided and ensuring you meet all the criteria for firearm registration as per Louisiana law. During this period, it's a good idea to keep a copy of your submitted form and any correspondence you receive about your application. Approval times can vary, so patience is key. You'll be contacted once a decision is made regarding your application.

Listed Questions and Answers

What is the DPSSP 4012 form used for?

The DPSSP 4012 form is a document used to apply for the registration of a firearm in the state of Louisiana. It is a requirement under the Louisiana Revised Statutes, Title 40, Section 1783. By completing and submitting this form to the Louisiana Department of Public Safety and Corrections, Office of State Police, an individual can legally register a firearm(s) as defined in LRS 40:1781 (3).

What information do I need to provide on the DPSSP 4012 form?

To successfully complete the DPSSP 4012 form, applicants are required to provide a variety of information related to both themselves and the firearm they wish to register. This information includes:

  • Applicant's name, telephone number, address, and parish of residence.
  • Social Security Number and Employer Identification Number (if applicable).
  • Details about whether a Federal Firearms License is required and its number if so.
  • Comprehensive firearm data such as the name and address of the manufacturer/importer, type of firearm, caliber, gauge, or size, model, length of the barrel, serial number, overall length, and any additional description or data appearing on the firearm.
  • The place where the firearm will be kept, including the street address, city, state, zip code, and parish, and whether this location is a home or business.
  • Declaration of eligibility to possess a firearm under State and Federal law, with details if not eligible.

All information must be accurately provided to ensure the application can be processed without delay.

Do I need a Federal Firearms License to submit Form DPSSP 4012?

Whether you need a Federal Firearms License (FFL) to submit Form DPSSP 4012 depends on your specific circumstances. The form asks if a Federal Firearms License is required for your situation. Generally, an FFL is necessary for individuals who are in the business of selling firearms or certain types of firearms. If you possess an FFL, you must provide the license number on the application. If you are unsure whether you need an FFL, it's recommended to seek advice from a legal expert or contact the Louisiana Department of Public Safety and Corrections directly.

What are the steps to submit the DPSSP 4012 form?

Submitting the DPSSP 4012 form involves a few clear steps:

  1. Fully complete the application, providing all the required information about yourself and the firearm you wish to register.
  2. Ensure the form is signed under penalty of perjury, attesting that the information provided is true, correct, and complete to the best of your knowledge and belief.
  3. Prepare a duplicate of the completed form, as submissions must be made in duplicate.
  4. Mail both copies of the completed form to the Louisiana Department of Public Safety and Corrections, Office of State Police, PO Box 66375, Baton Rouge, LA 70896.

After submission, the form will be reviewed by the Department, and you will be notified of the outcome. Ensure you retain a copy of the form for your records.

Common mistakes

Filling out official forms can be a daunting task, and when it comes to the DPSSP 4012 form for firearm registration in Louisiana, accuracy is key. A misstep in the process can lead to delays or even denial of the application. Here's a closer look at some common mistakes people make when completing this form, helping potential applicants navigate the intricacies of the registration process.

  1. Not submitting the form in duplicate: As explicitly stated, the DPSSP 4012 form must be submitted in duplicate. Overlooking this requirement can stall the application process.
  2. Incomplete applicant information: Every section under Applicant Information, including the social security and employer identification numbers if applicable, must be filled out. Skipping any part might result in an incomplete application.
  3. Incorrect firearm data: The Firearm Data section requires precise details. Errors in the firearm's make, model, caliber, or serial number are common mistakes that can lead to application rejection.
  4. Not specifying the firearm's storage location correctly: The form requests specific details about where the firearm will be kept. Vagueness or inaccuracies here can raise concerns.
  5. Omitting additional description or data of the firearm: If the firearm has distinctive features or markings, failing to note these can lead to discrepancies and potential delays in the firearm's identification.
  6. Forgetting to declare eligibility to possess firearms: The form requires a clear declaration of eligibility under both state and federal laws. Neglecting to fill this section out accurately can have legal consequences.
  7. Leaving the Federal Firearms License (FFL) section blank when applicable: If the applicant requires an FFL, not including this number can result in an incomplete application.
  8. Inaccuracy in the signature and date fields: The application isn't valid without the applicant's signature and the date. A common oversight is not signing or dating the form, rendering it invalid.
  9. Not fully reading the declaration under penalty of perjury: Applicants sometimes forget to carefully read and understand this declaration, risking incorrect information submissions that can be legally binding.

When completing the DPSSP 4012 form, attention to detail is paramount. A careful review of the following areas will avoid the typical mistakes:

  • Doubling checking the firearm data for accuracy.
  • Ensuring all personal information is complete and correct.
  • Understanding the legal implications of the declaration section.
  • Verifying the form is submitted in duplicate as required.

By avoiding these common pitfalls, applicants can streamline their firearm registration process, ensuring a smoother transaction with the Louisiana Department of Public Safety and Corrections.

Documents used along the form

When dealing with the process of registering a firearm in Louisiana, specifically through the DPSSP 4012 form, individuals often need to submit additional documents to ensure compliance with state and federal regulations. These documents span a variety of purposes, from verifying the applicant's identity and legal status to meeting specific criteria related to the handling or storage of firearms. Below is a list of forms and documents frequently used alongside the DPSSP 4012 form.

  • Proof of Identification: A government-issued photo ID, such as a driver's license or passport, is required to confirm the applicant's identity.
  • Background Check Consent Form: This form authorizes the Louisiana Department of Public Safety and Corrections to perform a background check on the applicant, ensuring they are legally permitted to own a firearm.
  • Proof of Residency: Documents such as a utility bill, lease agreement, or property tax statement, verify the applicant’s address in the specified parish.
  • Federal Firearms License (FFL) Documentation: For applicants required to have an FFL, a copy of the current license verifies this status.
  • Firearm Safety Certificate: Evidence of having completed a firearm safety course, if applicable, as certain jurisdictions may require this for registration.
  • Bill of Sale or Purchase Receipt: Documentation showing the acquisition of the firearm, providing details such as the date of purchase, the seller's information, and the firearm's specifications.
  • Proof of Secure Storage: Some applicants may need to demonstrate that they have safe storage for their firearms, through documentation like safe purchase receipts or pictures of the storage unit.
  • Letter of Intent: For businesses or individuals planning to use the firearm for specific purposes (e.g., security services), a letter outlining the intended use may be required.
  • Property Tax Statement: For applicants applying to register a firearm to a business, a recent property tax statement can serve as proof of business location and operation.

Collecting and preparing these documents in advance can streamline the registration process, ensuring that the application is not delayed due to incomplete information. It is essential for applicants to accurately fill out the DPSSP 4012 form and gather the correct supporting documents to ensure their application is processed efficiently by the Louisiana Department of Public Safety and Corrections.

Similar forms

The DPSSP 4012 form, utilized for the application to register a firearm in Louisiana, shares similarities with other documents required in the realm of firearms and legal documentation. Specifically, its structure and required information are reminiscent of forms like the ATF Form 4473 and the ATF Form 7, each serving distinct yet related purposes in the regulation and documentation of firearms within the United States.

ATF Form 4473 (Firearms Transaction Record) is a federal form required for the purchase of firearms from licensed firearms dealers in the United States. Much like the DPSSP 4012, ATF Form 4473 collects detailed information on the firearm being transferred, including the make, model, caliber, and serial number. Additionally, both forms require the applicant's personal information, such as name, address, and social security number. However, ATF Form 4473 goes a step further by incorporating questions designed to ascertain the buyer's eligibility to purchase or possess firearms under federal law, including questions about criminal history, drug use, and mental health.

ATF Form 7 (Application for Federal Firearms License) is another document that shows a resemblance to the DPSSP 4012 form, albeit from a more regulatory perspective. ATF Form 7 is used by individuals or entities applying to become licensed firearms dealers, manufacturers, or importers. Like the DPSSP 4012, it collects detailed information on the applicant, including employer identification numbers and business premises details. Both forms are critical to ensuring that the individuals or entities involved in the manufacturing, selling, or ownership of firearms are documented and meet the legal requirements set forth by both state and federal law. However, the DPSSP 4012 focuses more on the registration of a specific firearm, while Form 7 is concerned with the broader licensing of the applicant to engage in firearm-related business activities.

Dos and Don'ts

When completing the DPSSP 4012 form for registering a firearm in Louisiana, it's crucial to adhere to specific guidelines to ensure the process is smooth and compliant with the law. Below are key dos and don'ts to follow:

  • Do ensure that all information provided is accurate and complete. This involves double-checking entries such as the firearm's serial number, manufacturer details, and your personal information.
  • Do provide a Federal Firearms License (FFL) number if applicable. If you're required to have this license, not including it could result in the denial of your application.
  • Do verify your eligibility to possess a firearm under state and federal law before submitting the form. Affirming eligibility without full compliance could lead to legal consequences.
  • Do sign the declaration at the end of the application, as it is a statement of perjury attesting to the truthfulness of your provided information.
  • Do not leave any required fields incomplete. Failure to provide essential details may result in the rejection of your application.
  • Do not provide false information. Misrepresenting any facts on the form constitutes perjury and could lead to criminal charges.
  • Do not forget to submit the form in duplicate. The Louisiana Department of Public Safety and Corrections requires two copies for processing your application.
  • Do not overlook the requirement to specify the place where the firearm will be kept, as this information is necessary for the registration process.

By following these guidelines, applicants can navigate the process of registering a firearm in Louisiana more effectively, ensuring compliance with the regulations set forth by the Louisiana Department of Public Safety and Corrections.

Misconceptions

When it comes to legal forms, accurate information is crucial to ensure compliance and avoid unnecessary complications. The DPSSP 4012 form, an Application to Register Firearm in Louisiana, often falls victim to misconceptions. Understanding these can help streamline the process of firearms registration, align expectations, and demystify requirements. Below are five common misconceptions about the DPSSP 4012 form:

  • Every firearm owner in Louisiana must fill out the DPSSP 4012 form. This is not entirely accurate. While many firearm owners in Louisiana may need to register their firearms, not all firearms or owners are necessarily subject to this requirement. It’s essential to verify whether your specific situation requires you to fill out this form based on state laws and the type of firearm you own.
  • The DPSSP 4012 form requires a Federal Firearms License (FFL). This misconception confuses many. The form does ask whether the applicant possesses a Federal Firearms License, but this is more about gathering information rather than a requirement for all applicants. Whether you need an FFL depends on your intentions with the firearm, such as dealing in firearms or manufacturing them, rather than mere possession.
  • Completion of the DPSSP 4012 form guarantees firearm registration approval. Simply filling out and submitting this form does not ensure that your application to register a firearm will be approved. The Department of Public Safety and Corrections reviews each application carefully to ensure compliance with all state and federal laws before approval.
  • The information on the DPSSP 4012 form does not need to be current. This is a critical misunderstanding. All information provided on the DPSSP 4012 form, including your address, telephone number, and details about the firearm, must be up-to-date and accurate. Any discrepancies can lead to delays or denial of the application.
  • There’s no need to submit the DPSSP 4012 form in duplicate. The note at the bottom of the form specifies that it must be submitted in duplicate, contradicting this misconception. This requirement is put in place for processing and record-keeping purposes. Failing to submit a duplicate copy can result in processing delays or even application denial.

Clearing up these misconceptions about the DPSSP 4012 form is key to a smoother registration process for firearm owners in Louisiana. Always refer to the most current form and instructions provided by the Louisiana Department of Public Safety and Corrections to ensure compliance and understand your responsibilities fully.

Key takeaways

When filling out and using the DPSSP 4012 form for registering a firearm in Louisiana, there are several key points to keep in mind. Knowing these can help ensure the process is handled correctly and efficiently.

  • Accurate and Complete Information is Crucial: The applicant must provide detailed and precise information across all sections, including personal data and specific firearm details such as the manufacturer, type, caliber, and serial number. Any inaccuracy or omission could result in delays or the rejection of the application.
  • Understanding Eligibility Requirements: Applicants must confirm their eligibility to possess a firearm under both state and federal laws. It involves self-disclosing any legal dispositions, offenses, or other details that might affect eligibility. Being honest and clear in this section is paramount to avoid legal consequences.
  • Requirement for a Federal Firearms License (FFL): For individuals or entities dealing with firearms beyond personal use, such as for selling or manufacturing, indicating whether a Federal Firearms License is held is necessary. This information is crucial for the state to determine the legal standing and intent behind the firearm registration.
  • Permanent Location of the Firearm: Specifying where the firearm will be predominantly kept, whether at home or a business location, is a requirement. This information assists law enforcement and regulatory bodies in understanding the intended use and storage of the firearm, ensuring it aligns with safety and legal standards.

Submitting the DPSSP 4012 form in duplicate as directed and signing under penalty of perjury declares the applicant's acknowledgment of the form's accuracy and completeness. This legal declaration emphasizes the importance of truthfulness and conformity with Louisiana's firearm laws.

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