Form Dssp158 is the latest form released by the IRS. It is designed to help business owners and individuals with their tax filings. The form can be used to report certain activities, including dividends, interest income, and other payments. Anyone who has received or expects to receive any of these types of payments should use Form Dssp158 to report them. The form is simple to use and can be completed online. Filing early will help ensure that you get your refund as quickly as possible. If you have any questions about Form Dssp158 or need assistance filing, please contact our team for help. We're here to make filing your taxes as easy as possible!
Question | Answer |
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Form Name | Form Dssp158 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | dssp158 nh firearm proficiency certification locations form |
State of New Hampshire
DEPARTMENT OF SAFETY
DIVISION OF STATE POLICE
FIREARMS PROFICIENCY CERTIFICATION
1) |
Name __________________________________________ Date of Birth _______________________ |
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(Print name of individual) |
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2) |
Address ___________________________________________________________________________ |
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(No. Street) |
(City or Town) |
(State) |
(Zip Code) |
3) |
Present Employer ___________________________________________________________________ |
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(If |
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4)Employer’s Address _________________________________________________________________
5)Position ___________________________________________________________________________
INSTRUCTOR TO PLACE AN X IN THE APPROPRIATE BOX WHEN COMPLETED.
4 Hours of instruction on firearms techniques and safety, laws on use of deadly force, and the moral
and ethical use of force. Date: |
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Location: |
CHOOSE EITHER A OR B: Check box chosen
A
Handgun Qualifications as Follows:
DISTANCE |
ROUNDS |
FORMAT |
TIME |
A. 3 Yards |
4 |
2 |
Sets of 2 from Holster Strong Hand |
3 Sec. |
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B. 5 Yards |
6 |
3 |
Rounds 15 Degree Cant Right Hand |
7 Sec. |
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3 |
Rounds 15 Degree Cant Left Hand |
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C. 7 Yards |
6 |
1 |
Set of 6 Rnds. Cover Down Holster |
8 Sec. |
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D. 10 Yards |
6 |
1 |
Set of 6 Rnds. Cover Down Holster |
10 Sec. |
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2 |
Right Side Tilt Out |
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2 |
Right Side Kneeling |
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E. 15 Yards |
8 |
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(Reload) |
25 Sec. |
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2 |
Left Side Tilt Out |
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2 |
Left Side Kneeling |
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(All Strong Hand) |
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2 each |
Stand 5 Ft. Behind Cover, Upon Command |
8 Sec. |
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F. 25 Yards |
segment |
Move into Kneeling Position Behind Cover, |
each |
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6 Total |
(Strong Side) Drawing Weapon Fire 2 Rnds. |
segment |
Note: Reloading given numerous weapons, mag. capacity, and calibers will be done upon need by student, except Section E.
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This course of fire must be fired twice consecutively and passing both times. |
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36 Rounds Total |
- Q Target - 27 contacts for 75% Pass/Fail |
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B |
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An alternative course, which has been |
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New Hampshire State Police – Permits and License Unit. |
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(Must submit copy of course with this form). |
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TYPE OF WEAPON QUALIFIED (CHECK ONLY ONE): |
Revolver |
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FIRING RANGE RESULTS: |
(Place an X in correct box) |
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PASS |
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FAIL |
Date |
Location |
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DSSP158 (Rev. 09/12)
Shotgun familiarization as follows: (Required of all security officers whose employers issue or have as part of their equipment, shotguns)
SHOTGUN FAMILIARIZATION COURSE
Rifled Slugs: |
- Start from car carry condition |
- Used sustained reloading techniques |
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50 Yards: 1 round; standing, from the shoulder |
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40 Yards: |
2 rounds; 1 standing, from the shoulder; 1 kneeling |
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25 Yards: |
2 rounds; 1 standing, from the shoulder; 1 kneeling |
CHANGE TARGET
00 BUCKSHOT (#9 pellet or #12 pellet)
12 Yards: 3 rounds; 1 standing, from the shoulder; 2 kneeling
EVALUATE TARGETS
Target:
Scoring: Rifled Slug-
Buckshot-
Use scoring rings. Assign a value of 2 points to scoring area of highest value, 1 point to area of next highest value and no value to rest of target.
2 points per hit on entire silhouette for #9 pellet buckshot, or 1.5 points per hit for #12 pellet loads.
Maximum total equals 100 points.
DateLocation
Has complied with the annual firearms proficiency requirements of NH RSA
Has failed to comply and must be
Name of Instructor (Print or Type)
Date
Signature of Firearms Instructor
Date
Signature of Applicant
Applicant must provide positive identification to instructor at time of qualification. (Driver’s license, guard license, photo I.D.)
Instructor’s Comments: