Fillable Legr BOF 119, Law Enforcement Gun Release Application

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Legr BOF 119, Law Enforcement Gun Release Application

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STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
BOF 119 (Rev. 05/2019) PAGE 1 of 4
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Law Enforcement Gun Release Application
Penal Code Section 33850
This form is to be used only by the owner of a firearm which is in the custody or control of a law enforcement
agency or court to redeem the firearm. It only establishes the applicant's eligibility to lawfully possess firearms at
the time the application is processed. It cannot be used to transfer a firearm, or to prove ownership of a firearm.
(Instructions and processing fee information on reverse.)
A. Owner Information
Last Name: First Name: Middle Name:
Alias Last Name (if any):
Alias First Name: Alias Middle Name:
Residence Street Address: City: State: Zip Code:
Mailing Address (if different): City: State: Zip Code:
Date of Birth (mm/dd/yyyy):
Place of Birth (state or country): Sex:
Phone No. (include area code):
U.S.
Citizen?
Yes
No
If no, enter Alien Registration No. or I-94 No.:
Country of Citizenship:
Enter your California driver license (CDL), California ID (CID), Military ID (MIL), or Out-of-State ID (OSID)
number in the ID number box to the right. If using military identification you must send a copy of your
permanent duty station orders stating you are stationed in California. If using an out-of-state driver's license
or identification number you must send a notarized copy of your driver's license or identification card.
ID Type (check one):
CDL
MIL
CID
OSID
ID Number:
B. Firearm(s) Information (To report additional firearm(s) copy and attach additional applications)
Firearm Type:
Handgun Rifle Shotgun
Category: (select from list on page 2) Serial Number:
Make: Model: Caliber: Firearm Origin: Color: Barrel Length:
IN.
CM.
Firearm Type:
Handgun Rifle Shotgun
Category: (select from list on page 2)
Serial Number:
Make: Model: Caliber: Firearm Origin: Color: Barrel Length:
IN.
CM.
Firearm Type:
Handgun Rifle Shotgun
Category: (select from list on page 2) Serial Number:
Make: Model: Caliber: Firearm Origin: Color: Barrel Length:
IN.
CM.
C. Agency Information
Name of Law Enforcement Agency or Court in Possession of the Firearm(s):
Address: City: Zip Code: Case Number:
D. Declaration
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that I am the lawful owner of all firearms
that I seek to have returned. I expressly authorize the Department of Justice to perform firearms eligibility checks of all relevant state and federal databases,
including the Federal Bureau of Investigation's National Instant Criminal Background Check System. I also understand that if I currently possess or own
firearms and the results of this check reveal that I am ineligible either to lawfully possess or purchase firearms, I must relinquish any and all firearms in my
possession.
Signature Date
DOJ USE ONLY
AFS REFLECTS APPLICANT AS OWNER. UNABLE TO VERIFY OWNERSHIP OF FIREARMS VIA AFS. COURT OR LEA MUST CONFIRM.
Date Received: Date Paid: Date Processed:
Processed By:
NTN#:
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
BOF 119 (Rev. 05/2019) PAGE 2 of 4
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Law Enforcement Gun Release Application
Proper Use of the Law Enforcement Release Application
This form is only to be used by the owner of the firearm who is seeking to redeem his/her firearm in the custody or control of a law
enforcement agency or court. It is the responsibility of the court or law enforcement agency with custody or control of the firearm to verify
that the applicant is the lawful owner or possessor of the firearm.
Application Submission Requirements
Individuals seeking the return of a firearm that is in the custody or control of a law enforcement agency or court must submit a complete
application with the appropriate fees to the Department. A firearms eligibility check will be conducted to determine whether the person is
eligible to possess firearms under state and federal law. A notice of results will be sent to the applicant via U.S. Mail. Incomplete
applications will be returned without processing. If reporting more than three firearms, make extra copies of this form to meet your
reporting needs. Once issued, a determination notice is only valid for 30 days. Be advised that any unclaimed firearm may be disposed
of by a law enforcement agency or court 180 days after the owner has been notified that the firearm is available for return.
The following must be submitted with your application and mailed to the Department of Justice, Bureau of Firearms - LER, P.O. Box
820200, Sacramento CA 94203-0200:
■ $20 for the first firearm, and $3.00 for each additional firearm (check or money order made payable to the Department of Justice).
■ If the law enforcement agency or court determines the firearm was reported stolen pursuant to Penal Code section 33855,
subdivision (d), the fees for the stolen firearm(s) will be waived. Applicants must provide documentation from the law
enforcement agency or court with this application to qualify for the waiver of fees.
■ A copy of your California driver license or identification card. (Cal. Code Reg., tit. 11, § 4045.1)
■ If your California driver license or identification card has “FEDERAL LIMITS APPLY” on the front, you shall also submit proof of
lawful presence in the United States, in the form of one of the following documents:
(1) Valid, unexpired U.S. passport or passport card.
(2) Certified copy of U.S. birth certificate.
(3) Certification of Birth Abroad (FS-545), Certification of Report of Birth (DS-1350) or Consular Report of Birth Abroad of a Citizen
of the United States of America (FS-240), issued by the U.S. Department of State.
(4) Valid, unexpired foreign passport with valid U.S. immigrant visa and approved Record of Arrival/Departure (I-94) form.
(5) Certified copy of birth certificate from a U.S. Territory.
(6) Certificate of Naturalization or U.S. Citizenship.
(7) Valid, unexpired Permanent Resident Card. (Cal. Code Reg., tit. 11, § 4045.1)
■ If your name, as it appears on the “FEDERAL LIMITS APPLY” California driver license or identification card, differs from the name
on the document(s) above, you shall also submit one of the following certified documents:
(1) An adoption document that contains your legal name as a result of the adoption.
(2) A name change document that contains your legal name both before and, as a result of, the name change.
(3) A marriage certificate.
(4) A dissolution of marriage document that contains your legal name as a result of the court action.
(5) A certificate, declaration or registration document verifying the formation of a domestic partnership.
(6) A dissolution of domestic partnership document that contains your legal name as a result of the court action. (Cal.
Code Reg., tit. 11, § 4045.1)
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
BOF 119 (Rev. 05/2019) PAGE 3 of 4
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Law Enforcement Gun Release Application
Part A. Owner Information
Enter the information as requested. If you are using a military number for identification, you must submit a copy of your permanent duty
station orders indicating you are stationed in California.
Part B. Firearm Information
For each firearm, you must provide the identification information requested. Please refer to your firearm owner's manual, the firearms
manufacturer's website, or the examples below to assist you in providing the required information:
Firearm Type: Handgun, Rifle, or Shotgun
Category: Bolt Action, Lever Action, Pump Action, Revolver, Semi-Automatic, or Single Shot
Serial Number: Usually located on the frame of a handgun, or the receiver of a long gun. May be all numeric or a combination of
alpha and numeric characters. (e.g., 98765, US54321G)
Make: The manufacturer of the firearm. (e.g., Remington, Winchester, Glock, Smith & Wesson)
Model: The model name of the firearm. (e.g., 870 Express, Model 70, 17C, 29-10)
Caliber: The caliber of the firearm. (e.g., 12 gauge, .308 Winchester, 9 mm, .44 Magnum)
Firearm Origin: The country of origin of the firearm. (e.g., United States, Russia, China, Italy)
Barrel Length: Enter the barrel length as stated either in your owner's manual, manufacturer's website, or measure the barrel length
by closing the action of the firearm and inserting a wooden dowel down the barrel until it stops. Mark the dowel with a
pen at the muzzle. Remove the dowel and measure the distance between the inserted end of the dowel and the pen
mark.
Part C. Agency Information
Enter the name and address of the law enforcement agency or court in possession of the firearm(s).
Part D. Declaration
You must sign and date the declaration on this application. For questions, refer to the Bureau of Firearms website: www.oag.ca.gov/
firearms/
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
BOF 119 (Rev. 05/2019) PAGE 4 of 4
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Law Enforcement Gun Release Application
Privacy Notice
As Required by Civil Code § 1798.17
Collection and Use of Personal Information: The Division of Law Enforcement, Bureau of Firearms in
the Department of Justice collects the information on this application pursuant to Penal Code section
33850. The Bureau of Firearms uses this information to process an application for the release of a
firearm. In addition, any personal information collected by state agencies is subject to the limitations in
the Information Practices Act and state policy. The Department of Justice's general privacy policy is
available at http://oag.ca.gov/privacy-policy.
Providing Personal Information: All personal information on this application is mandatory. Failure to
provide the mandatory personal information will result in your application not being processed.
Access to Your Information: You may review the records maintained by the Division of Law
Enforcement, Bureau of Firearms in the Department of Justice that contain your personal information, as
permitted by the Information Practices Act. See below for contact information.
Possible Disclosure of Personal Information: In order to process an application for the release of a
firearm, we may need to share the information you provide us with any Bureau of Firearms
representative or any other person designated by the Attorney General upon request. The information
you provide may also be disclosed in the following circumstances:
■ With other persons or agencies when necessary to perform their legal duties, and their use of
your information is compatible and complies with state law, such as for investigations, licensing,
certification, or regulatory purposes;
■ To another government agency as required by state or federal law.
Contact Information: For questions about this notice or access to your records, you may contact the
Staff Services Analyst in the Customer Support Center at (916) 227-7527, via email at
firearms.bureau@doj.ca.gov, or by mail at P.O. Box 820200, Sacramento, CA 94203-0200.
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