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 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, Sheriff’s Office County, County Sheriffs of Colorado, and 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 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 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 Office personnel to release any information to the issuing County Sheriff’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 Office in the consideration of my application.
I further agree to release and hold harmless the issuing County Sheriff’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 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.