DPSSP 4645 (Rv 6/25/20) Page 2 of 9
GENERAL INFORMATION AND INSTRUCTIONS (continued)
4. GENERAL APPLICATION INFORMATION
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Your previous application was denied or your permit was revoked.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
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
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,
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 220.127.116.11. “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 Summar y 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