Appeal Letter
Date:
Board of Firearms Permit Examiners
165 Capitol Ave., Suite 1070
Hartford, CT 06106
Dear Board Members,
I would like to appeal the revocation / denial of my pistol permit. (Please circle one)
My permit was revoked / denied on ___________(date on top of letter received)
Signature:
Print your name:
Address: (street, town, state, zip)
Date of Birth: ____/____/______
Phone numbers:
Home (_____) ______-_______
Work (_____) ______-_______
Cell (_____) ______-_______
Email address:
If you have a copy of the letter of denial or revocation sent to you by the police, please send a copy along with this letter.