Fillable Report of Operation of Law or Intra-Familial Firearm (California)

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Report of Operation of Law or Intra-Familial Firearm (California)

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STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
BOF 4544A (Rev. 01/2020) PAGE 1 of 4
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Report of Operation of Law or
Intra-Familial Firearm Transaction
*Is Firearm In Law
Enforcement Custody?
*Category (select from list on page 3)
*Did You Obtain A Serial
Number From The DOJ?
*Firearm Type:
*Frame/Receiver
Only?
*ID Type (check one):
MILCIDCDL
*Firearm Self-Built?
No
Yes
C. Declaration
B. Firearm(s) Information (To report additional firearm(s) copy and attach additional applications)
*Color:
Alias First Name (if any):
Alias Middle Name:
Alias Last 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): *Gender: Height: Weight: *Phone No. (include area code):
*U.S.
Citizen?
Yes
No
If no, enter Alien Registration No. or I-94 No.: *Country of Citizenship:
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 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
Handgun
*Make:
*Model:
*Caliber:
*Barrel Length:
IN.
CM.
Rifle
Shotgun
No
Yes
Yes
No
*Firearm Type:
*Acquired From:
*Date Acquired (mm/dd/yyyy):
Spouse Family Member (Specify Relationship):
Estate Executor
Other
*Color:
*Date Acquired (mm/dd/yyyy):
*Acquired From:
Other
Family Member (Specify Relationship):
Estate Executor
Spouse
*Frame/Receiver
Only?
*Did You Obtain A Serial
Number From The DOJ?
*Firearm Self-Built?
*Make: *Model: *Caliber:
*Barrel Length:
*Serial Number:
Shotgun
Rifle
Handgun
A. Owner Information
California Penal Code sections 27875 or 27920, respectively.
(Instructions on Page 2)
*First Name: Middle Name:
A total processing fee of $19.00 must accompany this report.
All fields marked with an asterisk (*) are mandatory
Enter your California driver license (CDL), California ID (CID), or
Military ID (MIL) 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.
*ID Number: *Firearm Safety
Certificate (FSC) No.:
Suffix:
Suffix:
*Last Name:
Rifle/Shotgun Combo
*Category (select from list on page 3)
Rifle/Shotgun Combo
*Serial Number:
*Firearm Origin:
Yes
No
Yes
No
Yes
No
IN.
CM.
*Firearm Origin:
Yes
No
*Is Firearm In Law
Enforcement Custody?
Yes
No
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
BOF 4544A (Rev. 01/2020) PAGE 2 of 4
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Report of Operation of Law or
Intra-Familial Firearm Transaction
Report of Operation of Law or Intra-Familial Transaction Submission Requirements
The following must be submitted with your report and mailed to:
Department of Justice
Bureau of Firearms - OL & IF
P.O. Box 820200
Sacramento, CA 94203-0200
• $19.00 processing fee (check or money order made payable to the Department of Justice) (Pen. Code, § 28230,
subdiv. (a)(3))
• A copy of your California driver license or identification card. (Cal. Code Regs., tit. 11, § 4045.1)
• If your 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 (issued by a city, county, or state vital statistics office). "Abbreviated" or
"Abstract" certificates are NOT accepted.
(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 Regs., tit. 11, § 4045.1)
• If your name, as it appears on the “FEDERAL LIMITS APPLY” 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 Regs., tit. 11, § 4045.1)
Complete all required information. Incomplete applications submitted without the proper fees and documentation will be
returned without processing.
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
BOF 4544A (Rev. 01/2020) PAGE 3 of 4
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Report of Operation of Law or
Intra-Familial Firearm Transaction
If reporting more than two firearms, attach additional copies of this form as needed. A firearms eligibility check will be
conducted to determine whether you are lawfully eligible to possess firearms. Once approved, you will receive a confirmation
notice of your transaction.
This form may not be used to report ownership of assault weapons defined in Penal Code sections 30510 through 30530. It
is the responsibility of the applicant to determine if the firearm being reported is an assault weapon. A list of assault weapons
is available on the Bureau of Firearms website at www.oag.ca.gov/firearms.
Part A. Owner Information
Enter the information as requested. Only one applicant per report. If you are using military identification, you must send a
copy of your permanent duty station orders stating you are stationed in California. If you are not actively stationed in
California, pursuant to Penal Code sections 28160, subdivision (a)(22), and 16400, a California driver license or identification
card is required in order to have the firearms recorded in your name.
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, Shotgun or Rifle/Shotgun Combo
• Category Bolt Action, Lever Action, Pump Action, Semi-Automatic, Single Shot, Carbine, Over and
Under, Revolver, Derringer, Double Barrel, 3 Barrels, 4 or More Barrels
• 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).
If your firearm is self-built, the Make should be listed as U.S.
• 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). If your
firearm has more than one caliber, please list them all.
• 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.
• Firearm Origin The country of origin of the firearm. (e.g., United States, Russia, China, Italy)
• Date Acquired The date you, the person submitting this report, took possession of the firearm.
• Acquired From Intra-Familial: Enter the name and relationship of the person from whom you obtained
possession of the firearm.
Operation of Law: Enter the condition under which you obtained the firearm (e.g., as an
executer of an estate, as a trustee in a bankruptcy; as a secured creditor)
Part C. Declaration
You must sign and date the declaration on this report.
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
BOF 4544A (Rev. 01/2020) PAGE 4 of 4
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Report of Operation of Law or
Intra-Familial Firearm Transaction
Collection and Use of Personal Information. The Division of Law Enforcement in the Department of
Justice collects the information requested on this report as authorized by Penal Code section 27875
subdivision (a). The Division of Law Enforcement uses this information to record operation of law or
intra-familial firearm transactions. 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 https://oag.ca.gov/privacy-policy.
Providing Personal Information. All the personal information requested in the report must be
provided. If you fail to provide any of the required personal information, the unprocessed report will be
returned to you for completion and resubmission.
Access to Your Information. You may review the records maintained by the Division of Law
Enforcement 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 ensure you are not prohibited from owning a
firearm and to record the transaction, we may need to share the information you provide us with entities
as authorized in Penal Code section 11105. 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 or for
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) 210-2300, via email at
firearms.bureau@doj.ca.gov, or by mail at P.O. Box 820200, Sacramento, CA 94203-0200.
Privacy Notice
As Required by Civil Code, § 1798.17
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Completed 27 June 2021

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