Form Chl 78A PDF Details

The journey to legally carry a concealed handgun in Texas navigates through a thorough documentation process orchestrated by the Texas Department of Public Safety, converging at the crucial dock of the CHL 78A form. This document serves as the original application required for individuals seeking a Concealed Handgun License (CHL) or opting for Qualified Instructor Certification within the state's jurisdiction. Precision in completion, highlighted by the mandate to use only black ink, underscores its importance in the regulatory framework overseen by the Concealed Handgun Licensing unit of the Regulatory Services Division. The form not only caters to first-time applicants but also extends its realm to encompass those with previous applications, regardless of the outcome (issued, terminated, denied, or still valid), thereby weaving a web of inclusivity around varied applicant profiles. Integral to the process is the provision for applicants to declare their specific application condition, spanning categories from active military personnel to senior citizens, each carrying its own set of instructions and implications. Personal identifiers, a comprehensive contact information section, employment details, and a candid disclosure of any criminal or psychiatric history further sculpt the application, ensuring a multifaceted view of the applicant's background. The CHL 78A form, meticulously structured and demanding attention to detail, stands as a testimonial to Texas’s commitment to safety and regulation in the area of concealed firearms.

QuestionAnswer
Form NameForm Chl 78A
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesCHL 78A how to fill out chl 78a rev 082010 form

Form Preview Example

Texas Department of Public Safety

MUST USE MOST CURRENT FORM CONCEALED HANDGUN LICENSING

Regulatory Services Division

PRINT CLEARLY IN BLACK INK

EXAMPLE:

 

www.txdps.state.tx.us

MAKE SURE ENTIRE CIRCLE IS FILLED

Yes

No

 

ORIGINAL APPLICATION

APPLICANT INFORMATION

Have you previously applied for a Texas Concealed Handgun License and/or Qualified

Yes

Instructor Certification? (REGARDLESS IF ISSUED, TERMINATED, DENIED OR STILL VALID)

No

Iam applying for: (*APPLICANTS FOR QUALIFIED INSTRUCTORS CERTIFICATION MUST ATTACH CHL-90 FORM)

 Concealed Handgun License Only

Qualified Instructor Certification Only

Both

 

(*SKIP APPLICATION CONDITION BELOW)

 

THE ABOVE SPACE IS RESERVED FOF OFFICE USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Application Condition

Active Peace Officer

Active Military

Retired Judicial Officer

 

 

 

Indigent

(SEE INSTRUCTIONS FOR DETAILS)

Retired Peace Officer

Veteran/Retired Military

Felony Prosecutor

 

 

 

Senior Citizen(60+ YEARS

Standard

Retired Federal Officer

Active Judicial Officer

Other Prosecutor

 

 

 

OLD AT TIME OF APPLICATION)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant Last Name

 

 

First

 

 

 

M.I.

 

Suffix

(*AS APPEARS ON DL/ID)

 

 

Name

 

 

 

 

 

 

(IF ANY)

 

 

 

 

 

 

 

 

 

Driver License

Issuing State?

DL/ID Number (*PROVIDE

 

Date of Birth

ID Card

 

(2-LETTER CODE)

COLOR COPY OF DL/ID)

 

(MM/DD/YYYY)

 

 

 

 

 

 

 

 

 

 

 

 

Place of

(CITY)

 

 

(STATE)

(COUNTRY)

Birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

/

 

SSN

-

-

Born outside U.S.

Yes

*If YES, attach legal status

or U.S. Territory?

No

documentation.

PERSONAL IDENTIFIERS

 

Gender

Male



Race

Eyes (*MATCH DL/ID)

Hair (*MATCH DL/ID)

 

 

Female

Asian/Pacific Islander

Black

Hazel

Bald/Unknown

Gray/Partially

 

Height

 

 

AmericanIndian/AlaskanNative

Blue

Maroon

Black

Red/Auburn

 

 

 

 

 

Ft.

In.

Black

Brown

Multicolor

Blonde/Strawberry

Sandy

 

Weight

 

 

Other/Unknown

Green

Pink

Brown

White

 

 

 

Lbs.

White/Hispanic

Gray

Unknown

 

 

 

 

 

 

 

 

 

CONTACT INFORMATION

Residence Address (NO PO

BOXES. MUST BE A PHYSICAL ADDRESS)

City

 

 

 

 

State

 

 

ZIP

 

 

 

(2-LETTER CODE)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you lived at this residence address for the previous 5 years and is this the only

Yes



residence information for the previous 5 years (60 months)?

 

 

No

*If NO, please fill out and attach Supplement CHL-78B

Is your mailing address different from the Residence Address listed above?

Yes

*If YES, provide mailing address in space below

No

 

 

 

 

 

 

Mailing Address

 

 

 

 

 

 

 

(IF APPLICABLE)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

State

 

 

ZIP

 

 

 

(2-LETTER CODE)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you currently employed and do you have an employment address different from

Yes

*If YES, provide employment address in space below

the address listed above?

 

 

 

No

Employer

 

 

 

 

 

 

 

Name/Address

 

 

 

 

 

 

 

City

 

 

 

State

 

 

ZIP

 

 

 

(2-LETTER CODE)

 

 

 

 

 

 

 

 

 

 

Is this the only employment information for the previous 5 years (60 months)?

Yes



No

*If NO, please fill out and attach Supplement CHL-78B

 

 

 

 

 

 

Applicant Contact

(

)

Applicant Alternate

(

)

 

Phone Number

Number (OPTIONAL)

 

Applicant Email (ONLY FOR CONTACT

PURPOSES REGARDING THIS APPLICATION)

THIS SIDE SPACE IS RESERVED FOR OFFICE USE ONLY

REPORTED HISTORY

Have you ever been arrested or charged with a crime? (Regardless if pending, dismissed,

Yes

*If YES, please fill out and attach Supplement CHL-78C

committed as a juvenile, was long ago OR was in another state.)

No

Have you ever been treated and/or admitted to a facility for drug, alcohol and/or psychiatric

 

 

care; OR been diagnosed as suffering from a psychiatric disorder or condition that causes or is

Yes

*If YES, please fill out and attach Supplement CHL-78C

likely to cause substantial impairment in judgment, mood, perception, impulse control, or

No

intellectual ability; OR pled innocent by reason of insanity; OR been found mentally

 

 

incompetent; OR had court ordered outpatient treatment?

 

 

I verify that the information provided is true and correct, and I understand that any required fee is non-refundable. I also understand that this is an official Government record and that any missing information and/or false statement made on this document or any other supplement provided to the Department will cause a delay in the processing of my application and may result in criminal prosecution.

Applicant Signature________________________________________________

Date____ /____ /________

CHL-78A (Rev. 08/2010)

FORM