Citizen Connect

Houston County Sheriffs Office

New registration

Renewal

First Name

Middle Name

Last Name

1 Year - Cost: $20.00

5 Years - Cost: $100.00

Lifetime (Under 60 years of age) - Cost: $300.00

Lifetime (60 years of age and older) - Cost: $150.00

Retired Law Enforcement Officer - Cost: $0.00

Retired Military - Cost: $0.00

Post Certified Law Enforcement - Cost: $0.00

Active Military - Cost: $0.00

House Number

Dir

Road/Street Name

City

State

Zip Code

House Number

Dir

Road/Street Name

City

State

Zip Code

Email Address

Best Contact Number

Place of Birth

Sex

Race

Height

Weight

HairColor

EyeColor

Drivers License Number

State

Other State ID

Social Security Number

Are you a US Citizen

Yes

Have you ever had a pistol permit?

Yes

If so, when and where?

Have you ever had a pistol permit revoked or denied?

Yes

If so, when and where?

Have you ever been convicted of a crime?

Yes

If so, describe details

Are you now or have you ever been under indictment?

Yes

If so, describe details

Are you now or have you ever been treated for a mental illness or substance abuse (drugs/alcohol)?

Yes

If so, describe details

Are you now or have you ever been under a restraining order to prevent endangering yourself or others?

Yes

If so, describe details

Are you awaiting trial as a defendant in any criminal case?

Yes

If so, describe details

Have you ever been found guilty by reason of mental illness in a criminal case?

Yes

If so, describe details

Have you ever been found not guilty in a criminal case by reason of insanity or mental disease or defect?

Yes

If so, describe details

Have you ever been declared incompetent to stand trial in a criminal case?

Yes

If so, describe details

Have you ever asserted a defense in a criminal case of not guilty by reason of insanity or mental disease or defect?

Yes

If so, describe details

Have you ever been found not guilty by reason of lack of mental responsibility under the Uniform Code of Military Justice?

Yes

If so, describe details

Have you required involuntary outpatient treatment in a psychiatric hospital or similar treatment facility based on a finding that you are an imminent danger to yourself or to others?

Yes

If so, describe details

Have you ever required involuntary commitment to a psychiatric hospital or similar treatment facility for any reasons, including drug use?

Yes

If so, describe details

Are you lawfully in the United States?

Yes

Signature (Type your full legal name) By typing your name above, you are providing your electronic signature.

Yes, to the best of my ability, the information I've provided is true and correct.

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Applicant

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