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Free Dpssp 4645 Template

The DPSSP 4645 form is an essential document issued by the Louisiana Department of Public Safety and Corrections Office of State Police, designed specifically for those seeking a Louisiana Concealed Handgun Permit. It serves as a comprehensive application packet that must be correctly completed and submitted along with the requisite fees and supporting documents to avoid processing delays. This form facilitates a crucial step for residents of Louisiana who aim to lawfully carry a concealed handgun, ensuring they meet all eligibility requirements and comply with state laws and regulations.

To navigate through this process efficiently and ensure all prerequisites are met, applicants are advised to thoroughly review and adhere to the instructions provided in the DPSSP 4645 form. For a straightforward experience in filling out your Louisiana Concealed Handgun Permit Application, click the button below.

Fill Out Dpssp 4645 Here

Structure

Navigating the nuances and requirements of the Louisiana Department of Public Safety and Corrections Office of State Police Louisiana Concealed Handgun Permit Application can be a complex process. The DPSSP 4645 form, as a cornerstone of this process, is a comprehensive document that applicants must complete accurately to avoid delays in the processing of their concealed handgun permits. From the outset, this application packet emphasizes the importance of reading and understanding specific laws related to concealed handgun permits, as well as adhering to detailed instructions laid out within the form. Applicants are faced with various considerations such as eligibility criteria defined by law, a non-refundable fee schedule that varies based on the type of permit and applicant status (including discounts for seniors and active duty military), and specific processing steps that necessitate careful attention to detail. Additional requirements include submitting proof of firearms training, which underscores the state’s commitment to responsible gun ownership and safety. Moreover, the form requires disclosing personal information, criminal history, and medical conditions that could impact the applicant's ability to safely own and operate a firearm. Applicants also need to prepare for submitting fingerprint cards and navigating potential complications arising from their marital status or any past criminal offenses. The procedural steps, from submitting the initial application to the requirements for renewal applications, underscore the thorough nature of the Louisiana concealed handgun permit process. Taken together, the DPSSP 4645 form serves as a crucial tool in ensuring that applicants meet the state's stringent standards for carrying a concealed handgun, aiming to balance the right to bear arms with public safety concerns.

Form Example

CONTINUED

Louisiana Department of Public Safety and Corrections

Office of State Police

Louisiana Concealed Handgun Permit

Application Packet

Submit applications to: Concealed Handgun Permit Unit, P.O. Box 66375, Baton Rouge, LA 70896

If you have questions you may contact the Concealed Handgun Permit Unit by telephone at (225) 925-4867, by fax (225) 922-0225, by mail : P.O. Box 66375, Baton Rouge, LA 70896, or by email: concealed.handguns@dps.la.us

Information can also be found at www.lsp.org/handguns.html

GENERAL INFORMATION AND INSTRUCTIONS

Please read and follow instructions carefully. Failure to submit application correctly will result in processing delays.

1.CONCEALED HANDGUN PERMIT LAW – LRS 40:1379.3

a)All applicants must read this law and swear to this fact. The statute contains the eligibility requirements to receive a concealed handgun permit as well as the rules and regulations regarding the code of conduct of permittees.

b)A copy of the “Louisiana Concealed Handgun Permit Laws, Administrative Rules and Selected Statutes” can be found at www.lsp.org/handguns.html

2.APPLICATION PROCESSING FEES (New and Renewal Applications)

ALL FEES ARE NON-REFUNDABLE

a)	45 Day Temporary permit	- $25.00 (Balance must be paid upon approval of 5 year or Lifetime permit)
b)	5 year permits	- $125.00	(65 years and older or active duty military personnel - $62.50)
c)	Lifetime permits	- $500.00	(65 years and older or active duty military personnel - $250.00)

d)*NOTE* Effective August 1, 2016 Act 44 of the 2016 Louisiana Legislative Session exempts HONORABLY DISCHARGED veterans of the U.S. armed forces from all fees associated with 5-year or lifetime concealed handgun permits. This Act doesn’t affect currently active military personnel. Active duty personnel remain eligible to receive the half price discount with a copy of your most recent orders

e)*Note* If any applicant has not continuously resided in Louisiana for the past 15 years an additional $50.00 fee is required (HONORABLY DISCHARGED VETERANS ONLY are exempt from this fee).

f)A fee schedule is listed in the “Louisiana Concealed Handgun Permit Laws, Administrative Rules and Selected Statute.” Initial application fees are found in LAC 55:I:1307.B.15. Renewal application fees are found in LAC 55:I:1307.D.2.

g)Fees are payable to the Louisiana Department of Public Safety and Corrections in the form of a cashier’s check, certified check or money order. Personal checks and cash are not accepted.

h)*Note* Online applicants will receive a confirmation email upon submission of their application and another email upon acceptance of their application. The acceptance email will contain a link to submit a credit card payment. If payment is not made within thirty (30) days, the application will be purged from the system and will require a new submission to proceed.

3.FIREARMS TRAINING REQUIREMENTS

a)Louisiana law states that an applicant shall demonstrate competence with a handgun.

b)Applicants must provide a copy of proof of training with their original (5yr or lifetime) or renewal application.

c)Lifetime permit holders will have to provide proof of recertification training every 5 years.

d)Approved firearms safety training tuition costs vary by organization and are not regulated by the DPS&C.

e)A list of approved instructors can be found at www.lsp.org/handguns.html

f)Original Applications-Specific modes of demonstrating competence are listed in LRS 40:1379.3 (D)(1) and also in LAC 55:I.1311.A.

g)Renewal Applications-Specific modes of demonstrating competence are listed in LAC 55:I.1311.B.

h)Training for both applications shall include:

instruction on handgun nomenclature and safe handling;

instruction on ammunition knowledge and fundamentals of pistol shooting;

instruction on handgun shooting positions;

instruction on the use of deadly force and conflict resolution which shall include a review of R.S. 14:18 through 14:22 and which may include a review of any other laws relating to the use of deadly force;

instruction on child access prevention; and

actual live range fire and proper handgun cleaning procedures.

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GENERAL INFORMATION AND INSTRUCTIONS (continued)

4.GENERAL APPLICATION INFORMATION

a)You must submit a “New” permit application if:

This is the first time you have applied for a permit in Louisiana.

Your previous permit has been expired for more than 60 days.

Your previous application was denied or your permit was revoked.

b)Submit the completed, original application form included in this packet. Please print legibly or type the data in the form fields. Do not send photocopied or double sided applications. Affidavits must be notarized within sixty (60) days of the application date.

c)For purposes of obtaining a permit, “resident” is defined in LRS 40:1379.3(J)(3) and LAC 55:I:1305.

For proof that an applicant has resided within this state prior to his/her application for a permit, the applicant shall submit with the application a photocopy of their valid Louisiana driver’s license or Louisiana identification card.

d)Photocopies of any other documentation, if required, MUST clearly show all names, signatures and other pertinent information. Copies which are too dark or too light and do not show all pertinent information cannot be accepted. DO NOT

SEND ORIGINALS, UNLESS SPECIFICALLY REQUIRED TO DO SO, AS THEY CANNOT BE RETURNED.

e)Fingerprint Cards - Fingerprint cards must be signed and filled out completely, including your name and signature, address, date of birth, place of birth, social security number (SSN – see below) and your physical characteristics (sex, race, height, etc.).

Two (2) fingerprint cards must be submitted. Both cards must be legible. Fingerprints should be taken/rolled by trained fingerprint technicians on a complete, legible, and classifiable FBI applicant fingerprint card by a person employed by a law enforcement agency. Fingerprint cards that are not legible will be returned to the applicant and will cause a delay in processing the application.

Note: When being printed on AFIS, you must have your prints taken twice (do not print the same set twice). When prints are done with ink, you must submit two different cards.

The social security number (SSN) is requested on the application in order for the Department of Public Safety and Corrections to fully conduct a criminal history background check on all applicants as required by law. The social security number will be used for Criminal Justice purposes only. Such information will be utilized to verify identification and ensure that applicants have no arrests, convictions, or warrants that would make them ineligible for a permit. Inclusion of your social security number is optional and will not constitute grounds for denial. However, verification of your eligibility to carry a concealed handgun is not optional. As such, failure to include the social security number may result in a delay of approving your application.

f)Marital Status – If you have ever been divorced, you must provide the department with a copy of the divorce settlement, decree, or final judgment along with any other orders or injunctions of the court. Failure to include this information will result in the delay of your application. If you are submitting this application as a Renewal, and you have previously submitted this information, it is not necessary to include in your application again.

g)Criminal Offense, Arrests, Detentions and Litigation - Criminal Offense: an act punishable by law. If you have ever been arrested, charged, detained, indicted, or summoned for any criminal offense or violation, EVEN THOSE CHARGES WHICH YOU

BELIEVE TO HAVE BEEN DROPPED, DISMISSED, NOLLE PROS, EXPUNGED, etc.., you must answer “YES” to the arrest questions (Question #7) and submit certified true copies of the final court disposition of the case with your application. You must list all violations of law or municipal ordinances, except those such as traffic violations (speeding, red light, expired license, etc.). Failure to answer this question correctly will result in the denial of your application.

FAILURE TO LIST ALL ARRESTS, DETENTIONS, AND LITIGATION MAY RESULT IN DELAY OR DENIAL OF THE PERMIT, AND OTHER CRIMINAL PENALTIES AS ALLOWED BY LAW. NOTE: The issuance of a Citation or Summons is an arrest and must be listed.

You must still list violations that were EXPUNGED, DISMISSED, or SET ASIDE through either Article 893, Article 894, R.S. 40:983, or for which you were PARDONED and you must provide certified documentation of each arrest with your application.

h)Military Service - If you have served in the Armed Forces of the United States, you must include a copy of your Department of Defense Forms 214, 256 or 257 (type of discharge must be listed). If you are currently in the military and are using the military discount, you must include a copy of your most recent orders or a copy of your military ID, if allowed. (for LAARNG, as noted in 1.8.1.1. “the cardholder may allow photocopying of their ID card to facilitate DoD benefits”)

i)Medical Information - If you answered “yes” to any of the medical questions #13-19, the Medical Summary must be completed by the treating physician or your Medical Doctor (no Physicians Assistants). This information MUST be included with your application.

Department of Public Safety and Corrections

Office of State Police

Concealed Handgun Permit Unit

P.O. Box 66375 Baton Rouge, LA 70896

www.lsp.org/handguns.html

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Louisiana Department of Public Safety and Corrections

Office of State Police

Louisiana Concealed Handgun Permit

Application

This application will not be processed unless completed in its entirety and submitted along with all supporting documents and application fees.

Application Type					Current GP # (Renewal Only)				For Office Use Only
NEW PERMIT - 5 YEAR				45 DAY
NEW PERMIT – LIFETIME			PERMIT
RENEWAL to 5 YR PERMIT			for permanent		DATE:				PARISH OF RESIDENCE
RENEWAL to a LIFETIME			injunction or
RENEWAL to a LIFETIME			protective order
			protective order
LEGAL NAME (LAST, FIRST, MIDDLE)									MAIDEN NAME

LIST ANY ALIASES OR LEGAL NAME CHANGES									EMAIL ADDRESS

RACE	ASIAN/PACIFIC ISLANDER				BLACK		UNKNOWN		HOME PHONE NUMBER
	NATIVE AMERICAN/ALASKAN NATIVE				WHITE

SEX	HEIGHT	WEIGHT		EYE COLOR	HAIR	DATE OF BIRTH			DAYTIME/BUSINESS PHONE NUMBER
FEMALE					COLOR
MALE
SOCIAL SECURITY NUMBER (SSN)				DRIVERS LICENSE NUMBER				STATE	LA IDENTIFICATION CARD NUMBER

PLACE OF BIRTH (City, State, Country)				ISSUE DATE OF D/L OR ID CARD				EXPIRATION DATE OF D/L OR ID CARD

CURRENT PHYSICAL ADDRESS (STREET ADDRESS)					CITY			STATE	POSTAL ZIP CODE

CURRENT MAILING ADDRESS (STREET/PO BOX)					CITY			STATE	POSTAL ZIP CODE

How long have you lived at your current address? From _______________________ to present.

Previous residences – Complete this section if you have not lived at your current address for the fifteen (15) years preceding the date of this application. Attach separate page if necessary.

ADDRESS

CITY

STATE

DATES

FROM

NAME OF COMPANY/BUSINESS/FIRM, ETC.

ADDRESS

PLACE OF

EMPLOYMENT

CITY

STATE

POSTAL CODE

NAME OF SUPERVISOR

CONTACT NUMBER

MARITAL STATUS

SINGLE

MARRIED

DIVORCED

WIDOWED

IF EVER DIVORCED PLEASE

(Check all that currently apply)

PROVIDE DIVORCE DECREE

OFFICE USE ONLY

DATE ENTERED

CHECK NUMBER

RECEIPT NUMBER

INITIALS

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ALL APPLICANTS: PLEASE ANSWER “YES” OR “NO” TO ALL QUESTIONS BELOW. Read each question carefully. If you make an error, cross out the incorrect choice and initial the change. If you answer “Yes” to questions 7-12, attach certified true copies of the court documents, or “Yes” to questions 13-19, have the treating physician complete the medical summary disposition form.

YES YES YES YES YES YES

YES

YES YES YES YES YES

YES YES

YES YES YES YES

YES

NO NO NO NO NO NO

NO NO NO NO NO

NO NO

NO NO NO NO

1.Are you a United States Citizen?

2.Are you lawfully present in the United States?

3.Are you a legal resident of the State of Louisiana?

4.Have you continuously resided in the State of Louisiana for the past fifteen (15) years?

5.Are you at least 21 years of age?

6.Have you completed training as prescribed in LRS 40:1379.3(D)(1) and LAC 55:I.1311.A? (Attach Proof)

You MUST indicate the type of Handgun you received training with: Pistol Revolver Both

7.Have you ever been arrested for any criminal offense? Criminal Offense: an act punishable by law. If you have ever been arrested, charged, detained, indicted, or summoned for any criminal offense or violation, EVEN THOSE CHARGES WHICH YOU BELIEVE TO HAVE BEEN DROPPED, DISMISSED, NOLLE PROS, EXPUNGED, etc.., you must answer “YES” to the arrest questions and submit certified true copies of the final court disposition of the case with your application. You must list all violations of law or municipal ordinances, except those such as traffic violations (speeding, red light, expired license, etc.). Failure to answer this question correctly will result in the denial of your application.

8.Have you ever been found guilty of, or entered a plea of guilty or nolo contendere to Operating a Vehicle While Intoxicated?

9.Have you ever received a pardon or expungement for a criminal offense?

10.Are you currently on probation or parole for a criminal offense?

11.Are you a fugitive from justice?

12.Are you currently subject to any preliminary or permanent injunction, or restraining or protective order, including but not limited to divorces, family or domestic violence?

13.Are you an unlawful user of or addicted to Marijuana, depressants, stimulants, or narcotic drugs?

14.Have you ever been committed involuntarily, or voluntarily admitted to any treatment facility, institution, or hospital for the abuse of a controlled dangerous substance as defined in R.S. 40:961 and 964 or for the abuse of alcoholic beverages?

15.Have you ever been adjudicated mentally deficient or been committed to a mental institution?

16.Have you ever been hospitalized for any form of mental illness or infirmity?

17.Have you ever received medical treatment for a mental disorder of any kind by a licensed medical practitioner?

18.Are you currently taking, or have you ever been prescribed any medication used for the treatment of depression, psychosis or any mental illness?

19.Are you suffering from any mental or physical infirmity due to disease, illness, or retardation, which could prevent the safe handling of a handgun?

20.Have you ever been denied a concealed handgun permit in any jurisdiction or had such permit suspended or revoked?

ARRESTS, DETENTIONS, AND LITIGATION

If you answered “Yes” to questions 7-12, provide details below and attach certified true copies of documentation to prove disposition. If additional space is needed, attach a signed statement providing the requested information listed below.

Date of Arrest

Charge

Location (City/State)

Disposition

Arresting Agency

MILITARY SERVICE

YES YES

NO NO

1.Have you ever served in the Armed Forces of the United States?

2.Are you currently serving in the Armed Forces of the United States?

3.If actively serving in the Armed Forces, please provide your current orders or a copy of your military ID, if allowed.

4.If Discharged indicate the type of discharge. ________________________ Note: You must Provide Proof of Discharge. For example, Department of Defense or DD Form-214, 256 or 257.

MEDICAL INFORMATION

If you answered “Yes” to questions 13-19, provide details below and attach a completed medical summary form from your treating physician.

Treating Physician

Name:

Address:

Phone Number:

ADDITIONAL INFORMATION

USE THE SPACE BELOW FOR INFORMATION RELATING TO THE FOLLOWING:

Questions 7-12 (Arrests), Questions 13-19 (Medical) or Question 20 (Permit Status)

Attach additional sheet if necessary

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AFFIDAVIT of FACT

STATE OF LOUISIANAPARISH OF ________________________

Affiant’s Name (Printed)

Affiant’s Address (Printed)

I, _________________________, having been duly sworn, depose and say that I have read the foregoing

application, and the contents thereof, and do hereby certify that my responses and information contained within this application are true and correct and they are an accurate account of the requested information. In addition, I have also read, understand, and agree to comply with the statutes contained in R.S. 40:1379.3 and 1382, and the corresponding administrative regulations contained in LAC 55:I:1301 et seq. I have executed this statement voluntarily with the knowledge that any failure to provide truthful information is cause for denial of my application or revocation of a permit, and that the making of any false statement or response in this application is a violation of R.S. 14:133, Filing False Public Records, a criminal offense punishable by imprisonment for not more than five (5) years with or without hard labor or a fine not to exceed five thousand dollars, or both.

____________________________________

Affiant’s Signature

SWORN TO AND SUBSCRIBED BEFORE ME ON THIS ___________ DAY OF _____________, _________

______________________________________	___________________________________
Print, Type, or Stamp Name of Notary Public	Notary Public

MY COMMISSION EXPIRES _____________________________________

Affidavits are valid for sixty days after notarization.

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INDEMNIFICATION AND HOLD HARMLESS AFFIDAVIT

STATE OF LOUISIANA

PARISH OF ________________________

BEFORE ME, the undersigned Notary Public, duly commissioned and qualified, in and for the Parish and State aforesaid, personally came and appeared:

Affiant’s Name (Printed)

Affiant’s Address (Printed)

Who being by me first duly sworn, deposed and said:

I, ______________________________, pursuant to R.S. 40:1379.3, agree to indemnify and hold

harmless the state of Louisiana, the Department of Public Safety and Corrections, the Secretary and the Deputy Secretary of the Louisiana Department of Public Safety and Corrections, and any of its agents or employees, and any peace officer within this state, from and against any and all liability, claims, actions, fines or losses of any kind or nature, including costs and attorney’s fees, in any way arising out of, connected with or related to the issuance or use of my Louisiana Concealed Handgun Permit.

____________________________________

Affiant’s Signature

SWORN TO AND SUBSCRIBED BEFORE ME ON THIS ___________ DAY OF _____________, _________

_________________________________________	_________________________________
Print, Type, or Stamp Name of Notary Public	Notary Public

MY COMMISSION EXPIRES _____________________________________

Affidavits are valid for sixty days after notarization.

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AUTHORIZATION FOR RELEASE OF MEDICAL AND

PERSONAL INFORMATION


STATE OF LOUISIANA		PARISH OF ________________________
TO:	Any physician, psychologist, social worker, hospital, clinic, or other health care provider, law enforcement

Agency or officer, any branch of the Armed Forces of the United States, or any individual or institution having information about me.

BEFORE ME, the undersigned Notary Public, duly commissioned and qualified, in and for the Parish and State aforesaid, personally came and appeared:

Affiant’s Name (Printed)

Affiant’s Address (Printed)

Who being by me first duly sworn, deposed and said:

I, _________________________, do hereby give my consent in authorizing full disclosure and review of all

records and information, verbal or written, concerning myself to any duly authorized agent of the Louisiana Department of Public Safety and Corrections, Office of State Police, Concealed Handgun Permit Section, whether said records are public, private, confidential, or privileged in nature. I further understand that if any of the records obtained are confidential or privileged, the Louisiana Department of Public Safety and Corrections will maintain the privilege or confidentiality of such records.

The intent of this authorization is to give my consent for full and complete disclosure of any and all medical, criminal, or other personal information regarding me, including but not limited to physical, psychiatric, or substance abuse treatment and/or consultation records, and all records pertaining to my conduct such as background reports, criminal history records, etc. I further understand that this release will only be used to obtain information for the purpose of determining my eligibility for a Louisiana Concealed Handgun Permit.

I understand that any information obtained through a medical or personal history background investigation which is developed directly or indirectly, in whole or in part, upon this release authorization will be considered in determining my eligibility for a concealed handgun permit. I also certify that any person(s) who may furnish such information concerning me shall not be held liable for giving this information, and I do hereby release said person(s) from any and all liability which may be incurred as a result of furnishing such information.

I also understand that a reproductive copy of this release affidavit shall be for all intents and purposes as valid as the original. I request and appreciate your full cooperation.

This release shall be and remain valid from the date of execution until the expiration or revocation of any concealed handgun permit issued to me pursuant to this application, or until my application for a concealed handgun permit has been denied pursuant to a final judicial decision.

	____________________________________
	Affiant’s Signature
SWORN TO AND SUBSCRIBED BEFORE ME ON THIS __________ DAY OF _____________, _________
_________________________________________	_______________________________
Print, Type, or Stamp Name of Notary Public	Notary Public

MY COMMISSION EXPIRES _____________________________________

Affidavits are valid for sixty days after notarization.

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Required Documents Checklist

Application with the 3 affidavits completed and notarized.

Copy of Louisiana Driver’s License or Louisiana Identification Card.

Copy of Louisiana permanent injunction or the protective order. (If Applicable)

Correct Fee as described in Rule Booklet.

Proof of Training as described in Rule Booklet.

Two sets of fingerprints on an FBI Applicant Card. If the fingerprints were taken electronically, they must be on two separate cards.

Marital Status - If you are divorced, copies of the divorce settlement, decree, or final judgment along with any orders or injunctions of the court must be included.

Arrests – If you have been arrested, you must include Certified True Copies of court minutes as requested in “Arrests, Detention, and Litigation Section.” You must still list violations that were EXPUNGED, DISMISSED, or SET ASIDE through either Article 893, Article 894, R.S. 40:983, or for which you were PARDONED.

Military - If you have served in the Armed Forces of the United States, you must include a copy of your DD-214. If you are currently serving in the Armed Forces of the United States, you must include a copy of your current orders or a copy of your military ID if allowed. (for LAARNG as noted in 1.8.1.1. “the cardholder may allow photocopying of their ID card to facilitate DoD benefits”)

Medical Summary Disposition – If you answered “yes” to any of the medical questions #13-19, the Medical Summary must be completed by the treating physician. This information MUST be included with your application.

Permit Status - If you answered “yes” to question #20 and have ever had a permit denied, suspended, or revoked in ANY jurisdiction, please provide details in the space provided under ADDITIONAL INFORMATION.

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Free Dpssp 4645 PDF

Document Breakdown

Fact	Detail
Governing Law for Permit Application	Louisiana Revised Statutes (LRS) 40:1379.3
Application Submission Address	Concealed Handgun Permit Unit, P.O. Box 66375, Baton Rouge, LA 70896
Contact Information	Telephone: (225) 925-4867, Fax: (225) 922-0225, Email: concealed.handguns@dps.la.us
Eligibility requirements & Conduct Regulations	Applicants must read, understand, and comply with the conduct regulations and eligibility requirements set forth in the law.
Application Fees	Fees vary: $25 for a 45-day temporary permit, $125 for 5-year permits (discounts for seniors and active duty military), $500 for lifetime permits. Veterans are exempt from fees for 5-year or lifetime permits as of August 1, 2016, per Act 44 of the 2016 Louisiana Legislative Session. Additional $50 for applicants not residing in Louisiana for the past 15 years, except for honorably discharged veterans.
Firearms Training Requirements	Applicants must demonstrate competence with a handgun as defined by Louisiana law, including a range of both practical and classroom instruction. Proof of training must accompany the application, and lifetime permit holders must recertify every 5 years.
Residency Definition for Application	Applicants are required to prove Louisiana residency as defined in LRS 40:1379.3(J)(3) and LAC 55:I:1305, typically through a valid Louisiana driver’s license or state ID card.

Instructions on Filling in Dpssp 4645

Filling out the DPSSP 4645 form is a critical step for Louisiana residents who are applying for a concealed handgun permit. Thorough attention to detail and accuracy in providing the required information will assist in a smooth application process. This ensures that applicants comply with Louisiana's regulations and helps prevent unnecessary delays. Here are the detailed steps to accurately complete the form.

Start by reading the "Louisiana Concealed Handgun Permit Laws, Administrative Rules, and Selected Statutes" available at www.lsp.org/handguns.html to understand eligibility and training requirements.
Determine the type of application: New permit (5-year, 45-day temporary, or lifetime) or renewal application, and check the appropriate box on the form.
Fill in your detailed personal information including your legal name, any maiden names or aliases, and contact information.
Indicate your race, sex, height, weight, eye and hair color, date of birth, and social security number (optional, but helps expedite your application).
Provide your driver’s license or state identification card number, the issuing state, and expiration date.
Enter your current physical and mailing addresses. If you haven’t lived at your current address for the last 15 years, list your previous residences.
Detail your place of employment including the company name, address, supervisor name, and contact number.
Check the marital status that applies to you. If you are divorced, be prepared to provide a copy of the divorce decree.
Answer "Yes" or "No" to all questions in the application to confirm eligibility. This section queries about U.S. citizenship, residency, arrest history, mental health, substance use, military service, and more.
For any "Yes" answer to questions 7-12 and 13-19, attach certified copies of court documents or a completed medical summary form from your treating physician, as necessary.
Fill in the arrest, detention, and litigation section if applicable. Include dates, charges, locations, and outcomes.
Indicate your military service status and provide a copy of your discharge documents or current military ID/orders if applicable.
In the medical information section, detail any relevant conditions or treatments that may affect your eligibility.
Use the additional information space for further details regarding arrests, medical conditions, or permit status.
Review the affidavit of fact, enter the state and parish, then print your name and address. Sign in the presence of a Notary Public who will also sign, print their name, and indicate when their commission expires.
Ensure all required documentation and correct application fees (via cashier's check, certified check, or money order payable to the Louisiana Department of Public Safety and Corrections) are ready to be submitted with your completed DPSSP 4645 form.
Mail the notarized application, supporting documents, and payment to the address provided: Concealed Handhandgun Permit Unit, P.O. Box 66375, Baton Rouge, LA 70896.

Upon submission, your application will undergo a review process. Make sure to provide complete and accurate information to avoid delays. Keep a copy of all submitted documents for your records. Consider monitoring your email for the confirmation of receipt and any further communications regarding your application status. Timeliness in responding to any inquiries from the Concealed Handgun Permit Unit can significantly impact the processing time of your application.

Listed Questions and Answers

What is the DPSSP 4645 form?

The DPSSP 4645 form is an application for obtaining a Louisiana Concealed Handgun Permit. This form is required by the Louisiana Department of Public Safety and Corrections, Office of State Police, for anyone seeking to legally carry a concealed handgun in Louisiana.

Where do I submit my DPSSP 4645 form?

The completed DPSSP 4645 form should be submitted to the Concealed Handgun Permit Unit at P.O. Box 66375, Baton Rouge, LA 70896. Applicants can also contact the unit by phone or email for assistance.

Is there a fee to submit the DPSSP 4645 form?

Yes, there are fees associated with the Concealed Handgun Permit application, which vary depending on the type of permit (temporary, 5-year, lifetime) and whether the applicant is a senior citizen, active duty military personnel, or a veteran. All fees are non-refundable and must be paid through specific payment methods.

What are the firearms training requirements for the DPSSP 4645 application?

Louisiana law mandates that applicants must demonstrate competence with a handgun through approved firearms safety training. This includes instruction on various topics related to handgun safety and usage, the use of deadly force, and conflict resolution. Proof of training must accompany both original and renewal applications.

Who is eligible to apply for a Concealed Handgun Permit in Louisiana?

To be eligible, applicants must meet several criteria including being a legal resident of Louisiana, being at least 21 years of age, and having no criminal history or restrictions that would disqualify them from holding a permit. Specific details regarding eligibility, including continuous residency requirements and criminal history disclosures, are outlined in the application instructions.

What documentation is required with my DPSSP 4645 application?

Apart from the completed application form, applicants must submit proof of firearm training, a valid Louisiana driver's license or identification card, payment of fees, two fingerprint cards, and additional documentation as required (such as military service records, medical information, and court documents for any criminal history).

How long does it take to process a DPSSP 4645 application?

Processing times can vary. However, failure to submit the application correctly or include all required documentation can result in delays. Applicants can contact the Concealed Handgun Permit Unit for information about current processing times.

Can I submit my DPSSP 4645 application online?

Yes, online submissions are available for the DPSSP 4645 form. Applicants will receive a confirmation email upon submission and another email upon acceptance, which will include instructions for payment.

What happens if my DPSSP 4645 application is denied?

If an application is denied, the applicant will be notified of the decision and the reasons for denial. Information on how to appeal the decision or correct any issues leading to denial will also be provided.

Common mistakes

Not providing accurate, legible, and complete information on the application, including all necessary details in the "ARRESTS, DETENTIONS, AND LITIGATION" section, can lead to denial or delay. Applicants sometimes fail to disclose all arrests or provide certified true copies of the final court disposition of each case. It's essential that nothing is omitted, as even expunged or dismissed charges must be listed.
Failing to include the correct processing fee or not using the proper payment method. The form specifies that fees are non-refundable and must be paid via cashier’s check, certified check, or money order. Personal checks and cash are not accepted. Also, online applicants must submit payment within 30 days after receiving the acceptance email, or else their application will be purged from the system.
Omitting required documentation such as proof of firearms training, a copy of a valid Louisiana driver's license or ID for residency verification, and, if applicable, military service documentation. For instance, renewing lifetime permit holders need to submit proof of recertification training every 5 years. Failure to include necessary documents can cause significant processing delays.
Incorrectly handling the fingerprint card requirement. Applicants must submit two legible fingerprint cards, rolled by trained technicians. Mistakes in this area, such as submitting cards that are illegible or not properly completed with all required information, will lead to the cards being returned to the applicant, resulting in processing delays.

Documents used along the form

When applying for a Louisiana Concealed Handgun Permit with the DPSSP 4645 form, applicants are often required to submit additional documentation and forms for a complete and compliant application process. These supplementary documents ensure that all legal and safety measures are met according to the state's requirements. Below is a list of possible forms and documents that applicants may need to prepare alongside the DPSSP 4645 form.

Proof of Firearms Safety Training Certificate: This document verifies the applicant has completed the necessary firearms safety training mandated by Louisiana law, emphasizing the importance of safe handling, shooting positions, and the legal implications of using deadly force.
Fingerprint Cards: Typically, two fingerprint cards are needed, taken by a certified technician, to conduct a thorough background check, ensuring that the applicant has no criminal history that would impede the permit issuance.
Proof of Residence: A copy of a Louisiana driver's license or state ID card serves as proof that the applicant is a resident of Louisiana, fulfilling the state residency requirements for permit issuance.
Court Documents for Criminal History Disclosure: For individuals with a past arrest or a criminal record, certified court documents detailing the final disposition of each case must be provided, ensuring full transparency and honesty in the permit application process.
DD214 or Military Service Record: Veterans and active-duty military personnel may need to submit their DD214 or equivalent documentation to avail of fee exemptions or discounts available under Louisiana law for handgun permits.
Medical Summary Form: If an applicant has a medical history that could influence their ability to safely handle a firearm, a detailed medical summary from a licensed physician may be required, ensuring that the permit holder is physically and mentally capable of bearing arms.
Divorce Decree: Applicants who have been divorced and wish to change their name on the permit or need to disclose alterations in marital status may be required to submit a copy of their divorce decree.
Permit Renewal Application: For existing permit holders seeking to renew or upgrade their permits, a specific renewal application will need to be filled out, demonstrating continued eligibility and compliance with state regulations.
Change of Address or Personal Information Form: If an individual needs to update their address or any personal information after submitting their initial application, this form will be required to keep permit records current and accurate.

Collectively, these documents work in tandem with the DPSSP 4645 form to ensure a comprehensive review process by the Louisiana Department of Public Safety and Corrections. The thoroughness of this procedure upholds the safety and legal standards set forth by the state, ensuring that individuals granted a concealed handgun permit are qualified, responsible, and well-informed about the rights and duties that accompany the permit.

Similar forms

The DPSSP 4645 form, utilized for Louisiana Concealed Handgun Permit applications, shares similarities with other forms and documents required for various permissions or licenses that necessitate comprehensive background checks and personal disclosures. These documents include firearm purchase background check forms, like the ATF Form 4473, and applications for professional licenses that demand a detailed history of the applicant's background, qualifications, and legal compliance.

Similar to the ATF Form 4473, the DPSSP 4645 form requires applicants to disclose personal information, criminal history, and affirm their understanding of applicable laws. The ATF Form 4473, which is needed for the purchase of firearms from a licensed dealer, similarly collects detailed personal information and criminal history to prevent the sale of firearms to prohibited persons. Both forms serve as tools to conduct background checks, ensuring that applicants meet legal requirements. While the DPSSP 4645 focuses on concealed handgun permits, highlighting state-specific laws and trainings, the ATF Form 4473 covers a wider array of firearms transactions on a national level, emphasizing federal eligibility.

Comparable to Professional License Applications, the DPSSP 4645 form requires applicants to provide comprehensive details about their background, training, and any potential legal impediments to their licensure. Professional licenses, such as those for medical professionals, lawyers, or those in finance, often require similar disclosures. These applications seek thorough information to assess the applicant's eligibility and integrity, including criminal history, educational background, and sometimes, medical fitness. Moreover, like the DPSSP 4645 form, professional license applications may require affidavits or notarized statements to affirm the truthfulness of the information provided, ensuring the applicant meets specific professional and ethical standards.

Dos and Don'ts

When approaching the task of completing the DPSSP 4645 form for a Louisiana Concealed Handgun Permit, it's essential to navigate with care and due diligence. This form serves as a legal document and reflects the applicant's eligibility and compliance with the state's requirements for carrying a concealed handgun. Here are six dos and don'ts to guide applicants through the process efficiently and accurately.

Do thoroughly read all instructions and laws related to the Louisiana Concealed Handgun Permit before filling out the form to ensure comprehension of obligations and rights.
Do collect all necessary documentation, such as proof of firearms training, before beginning the application process to ensure a smooth and uninterrupted application experience.
Do use a cashier's check, certified check, or money order for the payment of processing fees, as personal checks and cash are not accepted, to avoid any delays in processing the application.
Don't overlook the requirement to submit two legible fingerprint cards, as failure to provide clear prints could lead to processing delays or even the return of the application.
Don't send original documents unless explicitly required, as these documents cannot be returned. Instead, provide clear photocopies that show all pertinent information.
Don't ignore the need to disclose any previous arrests, charges, or detentions, regardless of their final disposition, as this could result in the denial of the application if discovered later.

Adherence to these guidelines not only ensures compliance with the requisite procedures but also streamlines the application process. Understanding and respecting the legal framework surrounding the issuance of a concealed handgun permit in Louisiana fosters responsible ownership and use of firearms, aligning with both individual and public safety interests.

Misconceptions

When it comes to completing and submitting the DPSSP 4645 form for a Louisiana Concealed Handgun Permit, there are several misunderstandings that can complicate the process for applicants. Here’s a look at some of these misconceptions and the facts to set them straight:

Any past arrests, even if charges were dropped or expunged, do not need to be disclosed. This is false. The application requires you to disclose all arrests, detentions, and litigation, even for charges that were dropped, dismissed, nolle prossed, expunged, or for which you were pardoned. Failure to do so could result in denial or delay of your application.
Fees are refundable if your application is not approved. Actually, all fees associated with the application are non-refundable, regardless of the outcome. This includes the initial application fee and any additional fees that may be required.
A Social Security Number (SSN) is mandatory for the application. While the form does request an SSN to conduct a thorough background check, providing your SSN is optional. However, not including it may delay the process of verifying your eligibility for a concealed handgun permit.
Military service exempts you from all fees. While honorably discharged veterans are exempt from the application fees for 5-year or lifetime permits, active duty military personnel are only eligible for a reduced fee, not a complete exemption. This distinction is important to note to ensure the correct fee is submitted.
Personal checks or cash are accepted for payment of fees. The correct forms of payment are cashier’s checks, certified checks, or money orders. Personal checks and cash are not accepted. If applying online, credit card payments are permitted through a link provided in an acceptance email.
Online applications are processed without further action from the applicant. After submitting an online application, you must follow up with payment within 30 days through the provided link, or the application will be purged from the system, requiring you to restart the process.
Applicants do not need to provide proof of firearms training. Louisiana law mandates that applicants must demonstrate competence with a handgun, which involves submitting proof of firearms training with both original and renewal applications.
If previously divorced, you don't need to submit documentation again for renewals. If you are renewing your permit and have already submitted divorce documents previously, you do not need to resubmit this documentation with your renewal application.
Any medical conditions, treatments, or medications for mental health issues aren't relevant to the application. If you answer "yes" to questions about mental health or physical infirmity that could impact the safe handling of a handgun, you must provide details and potentially a medical summary from your physician. Omitting this information can delay or result in the denial of your application.

Understanding the nuances of the DPSSP 4645 form is crucial for a smooth application process. Whether it’s fees, required documentation, or disclosing past legal and medical history, being informed can help avoid unnecessary delays or denial of your Louisiana Concealed Handgun Permit application.

Key takeaways

Filling out and using the DPSSP 4645 form, vital for applying for a Louisiana Concealed Handgun Permit, requires attention to detail and adherence to specific instructions. Here are seven key takeaways to assist applicants in navigating through the process seamlessly:

Understand the Eligibility and Conduct Requirements: Applicants are required to read LRS 40:1379.3 to comprehend the eligibility criteria and the conduct expected from permit holders. Access to the relevant laws, administrative rules, and statutes is available online.
Non-Refundable Fees: With a structured fee schedule for new and renewal applications, it's crucial to recognize that all fees are non-refundable, including temporary permits, 5-year permits, lifetime permits, and additional charges for those not continuously residing in Louisiana for 15 years, except for honorably discharged veterans.
Firearm Training: Louisiana law mandates that applicants must demonstrate competence with a handgun. This entails providing proof of firearms safety training from an approved instructor with specific focus areas such as safe handling, shooting positions, use of deadly force, child access prevention, and more.
Application Submission: The application process distinguishes between new permits, renewals, and situations involving previous denials or revocations. Emphasis is placed on submitting a legibly completed, original application form with notarized affidavits and accurate, complete personal information.
Documentation and Fingerprinting: The accuracy and clarity of submitted documents, including photocopies of identification, fingerprint cards, and relevant legal documents such as divorce decrees or military discharge papers, are pivotal. Fingerprint cards, in particular, must be legible and properly processed.
Criminal Offense Disclosure: Applicants must disclose all arrests, detentions, and criminal charges, irrespective of the outcome. Failing to disclose or incorrectly listing these incidents can lead to application denial or further legal consequences.
Medical and Military Disclosure: Honesty is also required when providing information about medical conditions or military service. Such disclosures include any mental health issues or physical infirmities that might impair the safe handling of a handgun and details of military discharge or service.

Given these considerations, potential applicants are encouraged to carefully review and comply with all specified requirements of the DPSSP 4645 form and accompanying instructions to ensure a smooth application process for a Louisiana Concealed Handgun Permit.

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