Form Sp-248a - Concealed Handgun Permit Change Of Address Form And Request For Replacement Permit

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SP-248A (7-1-2017)
VIRGINIA CONCEALED HANDGUN PERMIT
CHANGE OF ADDRESS NOTIFICATION AND REQUEST FOR REPLACEMENT PERMIT
Permit Holder Name
Permit Number
(First, Middle, Last)
Issued By
Issue Date
Expiration Date
(Name of Court)
OLD ADDRESS
Street Address or Rural Route
City
State
Zip
County
NEW ADDRESS
Street Address or Rural Route
City
State
Zip
County
I hereby request a replacement Virginia Concealed Handgun Permit.
Permit Holder’s Signature
Date
Pursuant to Section 18.2-308.011 (A) of the Code of Virginia, the clerk of the circuit court that issued a
valid concealed handgun permit shall, upon presentation by the permit holder of the valid permit and
completion of State Police Form SP-248A, issue a replacement permit specifying the permit holder’s new
address.
This form may be downloaded and printed from the State Police website at
This form shall be utilized for change of address purposes only.

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