MARYLAND STATE POLICE
CERTIFIED QUALIFICATION SCORE SHEET
TO ACCOMPANY HANDGUN PERMIT APPLICATION
PURSUANT TO COMAR, SECTION 29.03.02.05 OF THE
ANNOTATED CODE OF MARYLAND
_________________________________________
APPLICANT NAME - PRINTED
Is the applicant designated security personnel (example: armed security guard or private detective)?
Yes: __________
If yes, identify the position or job title: __________________________
If yes, identify the agency or organization employed by: ______________________
No: __________
A.____INITIAL CERTIFICATION. THE APPLICANT LISTED ABOVE HAS RECEIVED A MINIMUM
OF SIXTEEN (16) HOURS OF CLASSROOM TRAINING & QUALIFIED ON THE RANGE WITH A
____________________________REVOLVER/SEMI-AUTOMATIC HANDGUN.
B.____RENEWAL CERTIFICATION. THE APPLICANT LISTED ABOVE HAS RECEIVED A MINIMUM
OF EIGHT (8) HOURS OF CLASSROOM TRAINING & QUALIFIED ON THE RANGE WITH A
____________________________REVOLVER/SEMI-AUTOMATIC HANDGUN.
C. Please check the appropriate type of course fired by applicant:
_____ PRACTICAL POLICE COURSE for Designated Security Personnel
______ BASIC PRACTICAL HANDGUN COURSE for All Other
_______________/______________________=___________________ ________________________________
SCORE POSSIBLEPERCENTAGEDATE & TIME
______________________________________________________
LOCATION OF RANGE
I DO HEREBY DECLARE AND AFFIRM UNDER THE PENALTIES OF PERJURY THAT I HAVE COMPLETED THE MINIMUM CURRICULUM OF INSTRUCTION IN THE TRAINING AND USE OF HANDGUNS AS PRESCRIBED BY THE SUPERINTENDENT OF THE MARYLAND STATE POLICE, PURSUANT TO COMAR, SECTION 29.03.02.05 AND I SO INDICATE BY SIGNING BELOW IN THE DESIGNATED SPACE.
*NOTE: ARMORED CAR DRIVER/GUARDS MUST QUALIFY ANNUALLY [PL 105-287 (HR 624)].
_______________________________________________ |
__________________________________________ |
SIGNATURE OF APPLICANT |
DATE |
I,_________________________________________, AM A QULIFIED HANDGUN INSTRUCTOR PURSUANT
TO THE ANNOTATED CODE OF MARYLAND, PUBLIC SAFETY ARTICLE, TITLE 5. I DO HEREBY DECLARE AND AFFIRM UNDER THE PENALTIES OF PERJURY THAT THE ABOVE LISTED INDIVIDUAL HAS BEEN TRAINED BY ME AND HAS COMPLETED THE MINIMUM CURRICULUM REQUIRED BY THE MARYLAND STATE POLICE, PURSUANT TO COMAR, SECTION 29.03.02.11, AND I SO INDICATE BY SIGNING BELOW IN THE DESIGNATED SPACE.
______________________________________________________
SIGNATURE OF INSTRUCTOR/TITLE
______________________________________________________
AGENCY
29-14 (REVISED 10/2013)