Broomfield Police Department Colorado Online Concealed Handgun Permit Application

Welcome! This is an official application for a concealed handgun permit. You must completely and accurately fill-out this application to be considered for a permit. Any falsification of the information within this application will result in the denial of this application for a concealed handgun permit.

Applicant Information:

Last Name: ^{(official ID)}

First Name:

Middle Name:

Maiden Name:

Suffix: ^{(jr, sr, etc.)}

SSN:

SSN: ^(confirm)

Current Concealed Permit Information: ^{enter your existing permit # and the issuing county}

CHP#:

Issuing County:

Previous Aliases: ^{(please list all previous aliases)}

Previous Last Name	Previous First Name	Previous Middle Name

Driver's License / Non-Operator ID: ^{(or other State Issued ID)}

^{ID Number:}

^{Issuing State:}

Information Related To Your Birth:

Date of Birth:

Current Age:

Birth Country:

Birth City:

Birth State:

Demographic Information:

Gender:

Male

Female

Height:

^feet ^inches

Weight:

Hair Color:

Eye Color:

Telephone Number: ^{(###-###-####)}

^Primary:

^Work:

^{Mobile Phone:}

^Fax:

Updates via text message?

Yes No

Email:

^Address:

^Confirm:

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Password:

Password: ^(confirm)

Password Information: In order to comply with CJIS standards we have employed the use of a password complexity monitor. As you enter your password, we will display an indicator of complexity. You will only be able to submit passwords that are sufficiently complex as to be considered 'safe' by CJIS standards. The visual indicator will turn Blue or Green to indicate that your password is safe.

Important: CJIS requires we maintain a strict password policy and system of checks. As such, we check the following items as you enter your new password:

The password must be a minimum length of eight (8) characters on all systems
The password must not be a dictionary word
The password must not be the same as your email address
The password must not be a proper name

Current Residence Address: ^{(this may be different than your mailing address)}

Address Line 1:

Address Line 2:

City:

County:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

^{Mailing Address Different:}

Yes No

Present Mailing Address: ^{(if different from residence address)}

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Time At Present Address:

^Years:

^Months:

Previous Addresses: ^{Please list all previous addresses for 10 years}

Address Line 1	Address Line 2	City	State	Zip	Country	From	To

Police Report:

Police Report Number:

Attach Documentation:

To upload documentation, please use the button below to begin the process. Please scan each document individually. The maximum size of individual files is 5 MB. You MUST upload the following (failure to do so will potentially delay the processing of your application):

Valid Colorado issued driver’s license or ID card
Current/Previous CHP Permit - if you kept a copy of it

Uploaded Files:

Add files...

Please select a document type then, click on the “Attach” button to complete the upload process.

Select Your Application Type:

Replacement for a LOST or DESTROYED Permit

Replacement for a STOLEN Permit

Total Fee:

$0

NOTE TO RECIPIENT: A photocopy reproduction of this signed request shall be for all intents and purposes as valid as the original. You may retain this form in your files. The original of this form will remain in the sheriff’s or police department's office concealed handgun files.

Handguns are classified by both Federal and Colorado law as deadly weapons. They are capable of causing death, serious injury, and property damage. I certify that I have read and understand the information provided in the application packet and the attached Colorado Revised Statutes pertaining to the uses of deadly physical force, and agree that any violation will be cause for revocation of this permit.

By issuing this permit, the issuing County Sheriff or Police Department employees shall not be held liable or responsible for the manner in which the permit holder uses the concealed handgun or the results of said use, including, but not limited to, the death of, or injury to, any person or damage to any property resulting either directly or indirectly from the intentional, reckless, negligent or accidental discharge of a handgun, or any criminal acts committed by the permit holder involving the use of the concealed handgun. Furthermore, the issuing County Sheriff's or Police Department’s Office in no way stands as Warrantor or Guarantor of the structural, mechanical, or functional fitness of a handgun for any purpose whatsoever.

By signing this application, I acknowledge and accept the terms contained in the Notice of Disclaimer. I hereby certify that all statements made by me in the completion of this application are, to the best of my knowledge, accurate and true. I understand that any false answer (deceitfully made), or any fraud whatsoever, constitutes a basis for rejection of this application with no further consideration. If fraud and/or deceit is subsequently discovered, such fraud and/or deceit will become grounds for rejection of this application and may result in criminal charges.

I fully understand that the issuing County Sheriff's or Police Department’s Office conducts a background investigation of all applicants who are being considered for a concealed handgun permit. This investigation includes, but is not limited to, an investigation of military, police, driving records, and character.

I hereby authorize any person who is contacted by the issuing County Sheriff's or Police Department’s Office personnel to release any information to the issuing County Sheriff's or Police Department’s Office pertaining to the background investigation including, but not limited to, military, police, driving records, and character for use by the issuing County Sheriff's or Police Department’s Office in the consideration of my application.

I further agree to release and hold harmless the issuing County Sheriff's or Police Department’s Office, its agencies, elected officials, officers, agents, and employees from any and all liability or claims which I may have arising out of the disclosure of such information to the issuing County Sheriff's or Police Department’s Office in the consideration of my application.

This authorization for the release of information shall be valid for a six (6) month period from the date hereof. Any release of claims or liability set forth herein shall survive the termination of the agreement.

The applicant swears under oath that the contents of the information and contained in this concealed handgun permit application is true, complete and correct.

Please enter your e-Signature

Your Initials:

For security purposes, we logged your IP Address: 216.73.216.74, 104.23.243.50:27597, 40.1.3.73

Required signature

Application Qualification Questions:

Yes No

Are you currently the subject of either a criminal or civil restraining order?

YES! I would like to make a donation to the County Sheriffs of Colorado, a 501(c)(3) charitable organization. (Please select the checkbox on the left to donate.)

Your generosity will be used for:

CSOC's mission to support deputies and their loved ones experiencing hardships
Professional development & training for public safety personnel throughout Colorado
Advocacy & awareness of public safety initiatives which may affect the Office of Sheriff and their constituents

If you have any questions about ways in which the donation may be used, please call 720-344-2762 or email info@csoc.org. Through your donation you may also receive occasional emails from CSOC. Visit CSOC's Website for more information.

Donation Amount:

The applicant swears under oath that the contents of the information and contained in this concealed handgun permit application is true, complete and correct.

Coupon Code:

Your Initials:

Back To Previous Step

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

← prior month
← prior week

first available →
next week →
next month→

None Selected

You are expected to be checked in at the Broomfield Police Department Administration building located at 7 Descombes Drive, Broomfield, CO 80020 at the time of your scheduled appointment. If you are more than 15 minutes late to your scheduled appointment you will NOT be seen and you will be asked to reschedule your appointment. Your appointment will be marked as a no-show appointment and you will be prompted to reschedule using Permitium. You will log into your Permitium account through your confirmation email using your order number and password that you had created at the time of making your original appointment. Once there you will be able to select from the available appointments.

The applicant swears under oath that the contents of the information and contained in this concealed handgun permit application is true, complete and correct.

Coupon Code:

Your Initials:

Back To Previous Step

Broomfield Police Department Colorado

Concealed Handgun Permit Application Please Enter All Information

Please read the following before proceeding:

Applicant Information:

Current Concealed Permit Information: ^{enter your existing permit # and the issuing county}

Previous Aliases: ^{(please list all previous aliases)}

Driver's License / Non-Operator ID: ^{(or other State Issued ID)}

Information Related To Your Birth:

Select Appropriate Immigrant Classification: ^{(only choose one)}

Which of the following exceptions set forth in 18Z USC 922(y) do you meet?:

Demographic Information:

Telephone Number: ^{(###-###-####)}

Email:

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Current Residence Address: ^{(this may be different than your mailing address)}

Present Mailing Address: ^{(if different from residence address)}

Time At Present Address:

Previous Addresses: ^{Please list all previous addresses for 10 years}

Police Report:

Attach Documentation:

Uploaded Files:

Select Your Application Type:

Total Fee:

$0

Please enter your e-Signature

Application Qualification Questions:

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Concealed Handgun Permit Application Please Enter All Information

Add An Address

Add a reference

Update a reference

Please read the following before proceeding:

Applicant Information:

Current Concealed Permit Information: enter your existing permit # and the issuing county

Previous Aliases: (please list all previous aliases)

Driver's License / Non-Operator ID: (or other State Issued ID)

Information Related To Your Birth:

Select Appropriate Immigrant Classification: (only choose one)

Which of the following exceptions set forth in 18Z USC 922(y) do you meet?:

Demographic Information:

Telephone Number: (###-###-####)

Email:

Please Create A Password: (you can use this to track progress, and we may need to contact you during the process)

Current Residence Address: (this may be different than your mailing address)

Present Mailing Address: (if different from residence address)

Time At Present Address:

Previous Addresses: Please list all previous addresses for 10 years

Police Report:

Attach Documentation:

Uploaded Files:

Select Your Application Type:

Total Fee:

$0

Please enter your e-Signature

Application Qualification Questions:

You Must Select An Appointment: your appointment will be confirmed prior to checkout

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Your Appointment Choice Is:

No Appointments Available

Your signature is required.

Error processing application

Error processing application

Not a US Citizen?

Required field missing

Required field missing

Permit Expired

Permit Expired

Permit Expired

No Appointments Available

Permit Expires Soon

Permit Expired

Credit Card Payment Required

You Must Select An Appointment: your appointment will be confirmed prior to checkout

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Your Appointment Choice Is:

No Appointments Available

You Must Select An Appointment: your appointment will be confirmed prior to checkout

To Reserve An Appointment Select The Date & Time Below

Showing the first available appointment date

Please select a time below:

Your Appointment Choice Is:

No Appointments Available

Current Concealed Permit Information: ^{enter your existing permit # and the issuing county}

Previous Aliases: ^{(please list all previous aliases)}

Driver's License / Non-Operator ID: ^{(or other State Issued ID)}

Select Appropriate Immigrant Classification: ^{(only choose one)}

Telephone Number: ^{(###-###-####)}

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Current Residence Address: ^{(this may be different than your mailing address)}

Present Mailing Address: ^{(if different from residence address)}

Previous Addresses: ^{Please list all previous addresses for 10 years}

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}