Amador — WV-800

Source: https://amador.courts.ca.gov/system/files/forms-and-filings/wv800.pdf

Proof of Firearms Turned In, Sold, Clerk stamps date here when form is filed. WV-800 or Stored 1 Petitioner (Employer) Name: 2 Employee in Need of Protection Full Name: 3 Respondent (Person From Whom Protection Is Sought) Your Name: Your Lawyer (if you have one for this case): Name: State Bar No.: Fill in court name and street address: Superior Court of California, County of Firm Name: 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.): Address: Court fills in case number when form is filed. City: State: Zip: Case Number: Telephone: Fax: E-Mail Address: 4 To the Respondent: 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 5 or 6 and item 7 . After the form is signed, file it with the court clerk. Keep a copy for yourself. For help, read Form WV-800-INFO, How Do I Turn in, Sell, or Store My Firearms? 5 To Law Enforcement 6 To Licensed Gun Dealer Fill out items 5 and 7 of this form. Keep a Fill out items 6 and 7 of this form. Keep a copy and give the original to the person who copy and give the original to the person who sold turned in the firearms. you the firearms or stored them with you. The firearms listed in 7 were turned in on: The firearms listed in 7 were sold to me transferred to me for storage on: Date: at: a.m. p.m. Date: at: a.m. p.m. To: Name and title of law enforcement agent To: Name of licensed gun dealer Name of law enforcement agency License number Telephone

Address
Address
I declare under penalty of perjury under the laws I declare under penalty of perjury under the laws of the State of California that the information of the State of California that the information above is true and correct. above is true and correct.

Signature of law enforcement agent
Signature of gun dealer

Judicial Council of California, www.courts.ca.gov WV-800, Page 1 of 2Revised July 1, 2014, Optional Form Proof of Firearms Turned In, Sold, or Stored Code of Civil Procedure, § 527.9 (Workplace Violence Prevention)Penal Code § 29830

Case Number:

Firearms 7
Make Model Serial Number
a.
b.
c.
d.
e.
Check here if you turned in, sold, or stored more firearms. Attach a sheet of paper and write “WV-800,
Item 7—Firearms Turned In, Sold, or Stored” for a title. Include make, model, and serial number of each
firearm. You may use Form MC-025, Attachment.

Do you have, own, possess, or control any other firearms besides the firearms listed in 7 ? Yes No 8
If you answered yes, have you turned in, sold, or stored those other firearms? Yes No
If yes, check one of the boxes below:
a. I filed a Proof of Firearms Turned In, Sold, or Stored for those firearms with the court on (date):
b. I am filing the proof for those firearms along with this proof.
c. I have not yet filed the proof for the other firearms. (Explain why not):
Check here if there is not enough space below for your answer. Put your complete answer on the
attached sheet of paper or Form MC-025 and write “Attachment 8c” for a title.

I declare under penalty of perjury under the laws of the State of California that the information above is true and
correct.

Date:

Type or print your name Sign your name

Revised July 1, 2014 Proof of Firearms Turned In, Sold, or Stored WV-800, Page 2 of 2 (Workplace Violence Prevention) For your protection and privacy, please press the Clear This Form button after you have printed the form. Print this form Save this form Clear this form