Fillable Printable Sales or Transfer of All Firearms - Connecticut
Fillable Printable Sales or Transfer of All Firearms - Connecticut
 
                        Sales or Transfer of All Firearms - Connecticut

STATE OF CONNECTICUT 
DEPARTMENT OF EMERGENCY SERVICES AND PUBLIC PROTECTION 
DIVISION OF STATE POLICE 
Sale or Transfer of All Firearms 
Date of Sale 
Sale Authorization No. 
Manufacturer 
Exact Model 
Serial Number 
Caliber/Gauge 
General Description 
Barrel Length 
Handgun     
Date of Birth 
Place of Birth 
Long Gun    
Other          * 
Purchaser or Transferee (Print First, Middle, Last Name) 
Purchaser or Transferee’s Pistol Permit, Eligibility 
Certificate, Police ID or FFL # 
Purchaser or Transferee’s  Address (No., Street, City/Town, ZIP Code) 
Seller or Transferor’s (Print First, Middle, Last Name) 
Seller or Transferor’s Pistol Permit, Eligibility Certificate, 
Police ID or FFL # 
Date of Birth 
Seller or Transferor’s Address (No., Street, City/Town, ZIP Code) 
Signature of Seller or Transferor 
Signature of Purchaser or Transferee 
Seller, obtain authorization number by calling (860) 685-8400. Retain the original copy for your records, give one copy to the purchaser as a 
receipt, submit one copy to the local police authority where the purchaser resides, and submit a final copy to the Department of Emergency 
Services and Public Protection, Special Licensing and Firearms Unit, 1111 Country Club Road, Middletown, Connecticut 06457-2389.  See 
Appendix A, DESPP-788-C, to declare large capacity magazines.  
DPS-3-C (Rev. 06/30/13) * “Other” refers to frames, receivers, NFA weapons, etc. See instructions for Question 18 on ATF form 4473 
STATE OF CONNECTICUT 
DEPARTMENT OF EMERGENCY SERVICES AND PUBLIC PROTECTION 
DIVISION OF STATE POLICE 
Sale or Transfer of All Firearms 
Date of Sale 
Sale Authorization No. 
Manufacturer 
Exact Model 
Serial Number 
Caliber/Gauge 
General Description 
Barrel Length 
Handgun     
Date of Birth 
Place of Birth 
Long Gun    
Other          * 
Purchaser or Transferee (Print First, Middle, Last Name) 
Purchaser or Transferee’s Pistol Permit, Eligibility 
Certificate, Police ID or FFL # 
Purchaser or Transferee’s  Address (No., Street, City/Town, ZIP Code) 
Seller  or Transferor’s (Print First, Middle, Last Name) 
Seller or Transferor’s Pistol Permit, Eligibility Certificate, 
Police ID or FFL # 
Date of Birth 
Seller or Transferor’s Address (No., Street, City/Town, ZIP Code) 
Signature of Seller or Transferor 
Signature of Purchaser or Transferee 
Seller, obtain authorization number by calling (860) 685-8400. Retain the original copy for your records, give one copy to the purchaser as a 
receipt, submit one copy to the local police authority where the purchaser resides, and submit a final copy to the Department of Emergency 
Services and Public Protection, Special Licensing and Firearms Unit, 1111 Country Club Road, Middletown, Connecticut 06457-2389.  See 
Appendix A, DESPP-788-C, to declare large capacity magazines. 
DPS-3-C (Rev. 06/30/13) * “Other” refers to frames, receivers, NFA weapons, etc. See instructions for Question 18 on ATF form 4473 
 
             
    
