APPLICANT
Applicant Last Name (AS IT APPEARS ON DL / ID) First Name Middle Name Sufx (IF ANY)
PERSONAL IDENTIFIERS
Gender
Male
Female
Race
Asian/Pacific Islander
American Indian/Alaskan Native
Black
White/Hispanic
Other/Unknown
Eyes (*MATCH DL/ID)
Black Hazel
Blue Maroon
Brown Multicolor
Green Pink
Gray Unknown
Hair (*MATCH DL/ID)
Bald/Unknown Gray/Partially
Black Red/Auburn
Blonde/Strawberry Sandy
Brown White
Height Ft. In.
Weight Lbs.
CONTACT INFORMATION
Residence Address (Cannot be a PO Box) City State
(2-LETTER
CODE)
ZIP Code
REPORTED HISTORY
Have you ever been arrested or charged with a crime? (Regardless if pending, dismissed,
committed as a juvenile, was long ago OR was in another state.)
Yes
No
*If YES, please complete
and attach LTC-91C.
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 likely to cause substantial
impairment in judgment, mood, perception, impulse control or intellectual ability; OR pleaded innocent by
reason of insanity; OR been found mentally incompetent; OR had court-ordered outpatient treatment?
Yes
No
*If YES, please complete
and attach LTC-91C.
I understand all fees submitted to Handgun Licensing are non-refundable and non-transferable.
I verify the information provided is true and correct, and I understand this is an ofcial government record and any false statement made on this document
or any other supplement provided to DPS may result in criminal prosecution.
Applicant Signature Date (MM/DD/YYYY)
(You may copy and paste a scanned .jpg or pdf of your signature)
Mail to: Regulatory Services Division MSC 0245, Texas Department of Public Safety, P.O. Box 15888, Austin, Texas 78761-5888
LTC-91 (Rev. 12/18)
Place of Birth (City): State
(2-LETTER
CODE)
Country Born outside the U.S. or U.S. Territory?
Yes No
*If YES, attach
legal status
documentation.
Applicant Home Phone Number Applicant Work Phone Number
Applicant Email
Host / Domain Name (URL) for Online Classroom
Have you lived at this residence for the previous ve (5) years and is this the only residence
information for the previous ve (5) years (60 months)?
Yes
No
*If NO, please complete
and attach LTC-91B
Mailing Address (if different from Residence Address) City State
(2-LETTER
CODE)
ZIP Code
FOR DPS USE ONLY
Texas Department of Public Safety
Regulatory Services Division
P.O. BOX 15888, Austin, Texas 78761-5888
HANDGUN LICENSING
• MUST USE MOST CURRENT FORM
• PRINT CLEARLY IN BLACK INK
• MAKE SURE ENTIRE CIRCLE IS FILLED
EXAMPLE:
Yes No
PAYMENT INFORMATION: Approved Online Course Provider Application Fee: $100
Note: Payment must be in the form of a personal check, cashier's check, or money order to Texas Department of Public Safety.
I understand all fees submitted to Handgun Licensing are non-refundable and non-transferable.
ONLINE COURSE PROVIDER
ORIGINAL APPLICATION
Driver License
ID Card
DL/ID State
(2-LETTER
CODE)
DL/ID Number Date of Birth (MM/DD/YYYY)
click to sign
signature
click to edit
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