Signature of law enforcement agent
If the court has ordered you to turn in, sell, or store your firearms, you may use this form to prove to the court that
you have obeyed its orders. When you deliver your unloaded weapons, ask the law enforcement officer or the
licensed gun dealer to complete item or and item . After the form is signed, file it with the court clerk.
Keep a copy for yourself. For help, read Form CH-800-INFO, How Do I Turn in, Sell, or Store My Firearms?
To Law Enforcement
5
Fill out items and of this form. Keep a
copy and give the original to the person who sold
you the firearms or stored them with you.
Fill out items and of this form. Keep a
copy and give the original to the person who
turned in the firearms.
The firearms listed in were
The firearms listed in were turned in on:
To:
To:
I declare under penalty of perjury under the laws
of the State of California that the information
above is true and correct.
I declare under penalty of perjury under the laws
of the State of California that the information
above is true and correct.
CH-800, Page 1 of 2
Proof of Firearms Turned In, Sold, or Stored
(Civil Harassment Prevention)
Judicial Council of California, www.courts.ca.gov
Revised July 1, 2014, Optional Form
Code of Civil Procedure, § 527.9,
Penal Code § 29830
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4
4 5
CH-800
Proof of Firearms Turned In, Sold,
or Stored
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4 6
6
5
6
6
1
Protected Person
2
Restrained Person
To the Restrained Person:
Your Lawyer (if you have one for this case):
Your Address (If you have a lawyer, give your lawyer’s information.
If you do not have a lawyer and want to keep your home address
private, you may give a different mailing address instead. You do not
have to give telephone, fax, or e-mail.):
a.
b
.
Name and title of law enforcement agent
Name:
Your Name
Name: State Bar No.:
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Court fills in case number when form is filed.
Case Number:
Firm Name:
Address:
City: State: Zip:
Telephone:
Fax:
Date: at:
a.m.
p.m.
Date: at:
a.m. p.m.
Name of law enforcement agency
Address
Name of licensed gun dealer
License number
Telephone
E-Mail Address:
To Licensed Gun Dealer
Address
Signature of gun dealer
sold to me transferred to me for storage on:
