Fillable CCW Emp Ver (County of San Bernardino Information Services Dept.)

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CCW Emp Ver (County of San Bernardino Information Services Dept.)

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BROWSE COUNTY OF SAN BERNARDINO INFORMATION SERVICES DEPT. (CA) FORMS

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SAN BERNARDINO COUNTY SHERIFF’S DEPARTMENT
655 East Third Street • San Bernardino, California 92415-0061 Post Office Box 569 • San Bernardino, California 92402-0569
JOHN McMAHON, SHERIFF-CORONER
Date:
Attn: HR
Dear Employer:
,
Social Security
-
-
has filed for a Concealed
Weapons Permit with the San Bernardino County Sheriff’s Department and states he/she is
employed by you.
On a strictly confidential basis, please furnish our office with any information you may have
regarding this person’s character, honesty, and dependability.
An early reply is requested on the space provided below in order to complete our files on this
applicant. The enclosed envelope is provided for your convenience.
Thank you for your assistance.
Sincerely,
John McMahon, Sheriff
By: Garth Goodell, Captain
1. Date of Hire
2. Job Classification
3. Do you have any reason to question this person’s honesty?
4. Would you re-employ applicant?
5. Ability
Excellent
Good
Fair
6. Cooperation
Excellent
Good
Fair
7. Disposition
Excellent
Good
Fair
8. Reliability
Excellent
Good
Fair
9. CCW Permit Required
Yes
No
10. REMARKS
Report Prepared By:
Date:
Telephone Number:
( )
REV 4/19
Employer Name
Employer Street Address
Employer City, ST, Zip
Applicant Name
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CCW Emp Ver (County of San Bernardino Information Services Dept.)

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Completed 10 October 2020

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