Brooklyn, CT · Windham County

Pistol Permit and Eligibility Certificate Application

This four-page Connecticut application lets residents request a temporary pistol permit, a non-resident state pistol permit, or an eligibility certificate to purchase pistols, revolvers, or long guns.

Detailed form~25 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

Applicants use this form to provide identifying information, address and employment history, permit history, and answers about medical, criminal, and military history. The form also includes a declaration under penalties of false statement and asks applicants to attach proof of the appropriate firearms safety and use course. Brooklyn applicants are instructed to submit it with required materials to the appropriate local authority, such as local police, a resident state trooper, or the first select person.

Who needs it

People applying for a temporary or non-resident state pistol permit, or an eligibility certificate to purchase pistols, revolvers, or long guns, use this application.

Why it needs a notary

The applicant signs the declaration under oath in the jurat on page four, where the notary records that it was subscribed and sworn to before them.

How to get this notarized

  1. 1

    Download the Application

    Get the four-page application and review the instructions for the permit or eligibility certificate you are requesting.

  2. 2

    Complete the Form

    Fill in the requested information and prepare the required course certificate and other materials listed in the instructions.

  3. 3

    Book an Online Notary

    Schedule a video appointment with a commissioned online notary for the sworn declaration on page four.

  4. 4

    Sign on Video

    Sign the declaration during the online notarization appointment so the notary can complete the jurat.

  5. 5

    Submit to the Local Authority

    Submit the completed application and required materials to the appropriate local authority identified in the form instructions.

Preview the form

The blank PDF straight from Brooklyn. Look it over, then upload your filled copy to start the notary session.

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You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I get the declaration on this application notarized online?
Complete the application, then book with a commissioned online notary. Sign the declaration during the video appointment so the notary can complete the jurat on page four.
Do I need to sign the application in front of a notary?
Yes. Page four has a declaration under oath and a subscribed-and-sworn jurat. The applicant signs before the notary, who completes the notarial block.
Where do I submit the completed application?
The form directs applicants to submit it to the appropriate local authority, such as local police, a resident state trooper, or the first select person. Confirm with the town clerk if unsure.
Can I use an online notary for this Connecticut application?
Connecticut authorizes its own notaries to perform remote online notarizations under Public Act 23-28, effective October 1, 2023. Connecticut law also recognizes certain notarial acts performed outside the state.

Pistol Permit and Eligibility Certificate Application in other Windham County cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Pistol Permit and Eligibility Certificate Application?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.