Heroes Verification

Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Personal Email*
example@gmail.com
Department Email*
example@staccatopd.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Department Approved*
Department Name*
Department Name - Alabama*
Department Name - Alaska*
Department Name - Arizona*
Department Name - Arkansas*
Department Name - California*
Department Name - Colorado*
Department Name - Connecticut*
Department Name - Delaware*
Department Name - District of Columbia*
Department Name - Florida*
Department Name - Georgia*
Department Name - Hawaii*
Department Name - Idaho*
Department Name - Illinois*
Department Name - Indiana*
Department Name - Iowa*
Department Name - Kansas*
Department Name - Kentucky*
Department Name - Louisiana*
Department Name - Maine*
Department Name - Maryland*
Department Name - Massachusetts*
Department Name - Michigan*
Department Name - Minnesota*
Department Name - Mississippi*
Department Name - Missouri*
Department Name - Montana*
Department Name - Nebraska*
Department Name - Nevada*
Department Name - New Hampshire*
Department Name - New Jersey*
Department Name - New Mexico*
Department Name - New York*
Department Name - North Carolina*
Department Name - North Dakota*
Department Name - Ohio*
Department Name - Oklahoma*
Department Name - Oregon*
Department Name - Pennsylvania*
Department Name - Rhode Island*
Department Name - South Carolina*
Department Name - South Dakota*
Department Name - Tennessee*
Department Name - Texas*
Department Name - Utah*
Department Name - Vermont*
Department Name - Virginia*
Department Name - Washington*
Department Name - West Virginia*
Department Name - Wisconsin*
Department Name - Wyoming*
Referral*
Name of Officer Referral
Upload Credentials*

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Please note: Staccato 2011® firearm purchases made through the Blue Line Program, or the Heroes Program may not be resold.
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