Sample Appeal Letter

Date:

Board of Firearms Permit Examiners

20 Trinity Street, 5th floor

Hartford, CT 06106

Dear Board Members,

I would like to appeal the (denial) or (revocation) of my pistol permit.

My permit was (denied)(revoked) on (date).

Signature:

Print your name:

Address: (street, town, state, zip)

Date of Birth: mm/dd/yyyy

Phone numbers:

Home (xxx) xxx-xxxx

Work (xxx) xxx-xxxx

Cell (xxx) xxx-xxxx

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.