STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
BOF 1022 (Rev. 01/2018)
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Prohibited Persons Relinquishment Form
Pursuant to Penal Code section 29810, any person who is convicted of any offense listed in sections 29800 or 29805
is prohibited from owning, purchasing, receiving, possessing, or having under his or her custody or control, any firearms,
ammunition, and ammunition feeding devices, including but not limited to magazines. Any person subject to section 29800 or
29805, shall relinquish all firearms through a designee within the time periods set forth in subdivision (d) or (e) of Penal Code
section 29810, by surrendering the firearms to the control of a local law enforcement agency, selling the firearms to a licensed
firearms dealer, or transferring the firearms for storage to a firearms dealer pursuant to Penal Code section 29830.
Please note: This form is intended for use in relinquishing firearms only. As a reminder, any person who is convicted of any
offense listed in sections 29800 or 29805 is also prohibited from owning or possessing ammunition, ammunition feeding devices,
including but not limited to magazines, clips, speed loaders, and autoloaders.
The following form allows the defendant to comply with all of the requirements outlined in Penal Code section 29810.
To be completed by Defendant
Sections A, B, C, D, and E must be completed by the defendant.
Complete all personal information. This section is required to establish identity.
If you do not own, possess, or have under your custody or control, any firearms, ammunition, or ammunition feeding
devices, including but not limited to magazines, initial in the box provided in section B, sign, and date where indicated to
complete the form. Submit the completed form to your probation officer unless otherwise approved by the court.
Complete the firearm information (pages 3 and/or 4) and attach the Defendant Supplemental Form (BOF 1023) to report
additional firearms as needed. Provide all information about the firearm(s) to be surrendered. Include the current location
of the firearm and provide all reasonably available information about the location of the firearms to enable the Power of
Attorney (consenting third-party) or Law Enforcement Agency (LEA) Designee to locate the firearms.
Provide initials acknowledging the fine and cohabitant advisory.
If applicable, check "Yes" and provide court documentation allowing approval for shortened or enlarged relinquishment
periods, or alternate relinquishment methods. Otherwise, check "No."
Complete Power of Attorney (Consenting Third Party)/Law Enforcement Designee Assignment information.
Complete and sign the declaration section. This section does not need to be signed and dated if you have
indicated you do not own, possess or have under your custody or control any firearms, ammunition, or ammunition
If applicable, have the Power of Attorney (consenting third-party) or LEA Designee complete pages 5 and 6.
Once the form has been completed by all parties, the signed form must be submitted to your assigned Probation Officer. The
form may be submitted to the probation officer by the defendant or the Power of Attorney Designee.
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