APPLICANT INFORMATION - NOTE: Name must match the name on DL/ID
LTC License Number
Texas Department of Public Safety
Regulatory Services Division
To upload your supporting documents please visit RSD secured website:
http://www.dps.texas.gov/rsd/contact/ltcatt.aspx
HANDGUN LICENSING
Change of Address/Name Change/Replacement/Modication/Lawful Presence
Driver License
ID Card
DL / ID State
(2-LETTER CODE)
License / ID Number
ADDRESS CHANGE (check one)
Change Mailing Only Change Physical Only Change Both
Residence Address (Cannot be a PO Box) City State
(2-LETTER CODE)
ZIP Code County
Mailing Address (If different from Residence Address) City State
(2-LETTER CODE)
ZIP Code County
I understand all fees submitted to Handgun Licensing are non-refundable and non-transferable.
I verify the information provided is true and correct, and I understand this is an ofcial government record and any false statement made on this document or
any other supplement provided to DPS may result in criminal prosecution.
Applicant Signature Date (MM/DD/YYYY)
(You may copy and paste a scanned .jpg or pdf of your signature)
NAME CHANGE (Include legal documents as supporting documentation for name change: marriage license, divorce decree, etc.)
Previous Last Name First Name Middle Name Sufx
(IF ANY)
New Last Name New First Name (If applicable) Middle Name Sufx (IF ANY)
LICENSE DESIGNATION CHANGE (Modication)
Active Judicial / Prosecuting Attorney must include a statement from the employing agency for
designation change. Veterans must include a copy of DD-214 or any ofcial documentation showing
the applicant is honorably discharged or retired military for designation change. LTC Instructor must
have an active LTC certication in order to add Instructor on an active LTC license.
Active Judicial Ofcer /
Prosecuting Attorney
Add Delete
Instructor
Add
Delete
Veteran
Add
Delete
PAYMENT INFORMATION
Standard / Supervision Ofcer / Juvenile Probation Ofcer / Active or Retired Judicial Ofcer / Other Prosecutor $25.00
Senior Citizen (60+) / Indigent (Individuals who fall below the poverty threshold as set forth by the Federal Poverty Guidelines) / Veteran $12.50
Felony Prosecutor / Active Military / County Jailer / Active Peace Ofcer / TDCJ Correctional Ofcer / Active Texas Military Member /
US Attorney / Asst. US Attorney / Retired Federal Ofcer / Retired Peace Ofcer / Active Railroad Peace Ofcer / Active Special Ranger
of the Texas and Southwestern Cattle Raisers Association / Retired Railroad Peace Ofcer / Retired Special Ranger of the Texas and
Southwestern Cattle Raisers Association
Fee Waived
I have submitted (if applicable) the appropriate fee(s) made payable by personal check, cashier’s check, or money order to “Texas
Department of Public Safety” and submitted a completed (LTC-70) form along with the supporting documentation (if applicable).
Yes
No
Current
Phone Number
Home Cell Office
Current
Email
REPLACEMENT LTC
Check the appropriate box to indicate the reason you are requesting an update or replacement.
Replacement
Lost License
Stolen License
Change of Address
Name Change
Modication
Lawful Presence Modication (must submit unexpired valid documents)
LTC-70 (Rev. 8/19)
Last Name First Name Middle Name Sufx (IF ANY)
Mail to: Regulatory Services Division MSC 0245
Texas Department of Public Safety
P.O. Box 15888
Austin, Texas 78761-5888
FOR DPS USE ONLY
click to sign
signature
click to edit