Amador — DV-800

Source: https://amador.courts.ca.gov/system/files/forms-and-filings/dv800_0.pdf

Proof of Firearms Turned In, Clerk stamps date here when form is filed. DV-800/JV-252 Sold, or Stored 1 Protected Person Name: 2 Restrained Person a. Your Name: Your Lawyer (if you have one for this case): Name: State Bar No.: Firm Name: Fill in court name and street address: b. Your Address (If you have a lawyer, give your lawyer’s information. Superior Court of California, County of 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: City: State: Zip: Court fills in case number when form is filed. Telephone: Fax: Case Number: E-Mail Address:

3 To the Restrained Person: 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 4 or 5 and item 6 . After the form is signed, file it with the court clerk. Keep a copy for yourself. For help, read form DV-800-INFO/JV-252-INFO, How Do I Turn In, Sell, or Store My Firearms?

4 To Law Enforcement 5 To Licensed Gun Dealer Fill out items 4 and 6 of this form. Keep a copy Fill out items 5 and 6 of this form. Keep a and give the original to the person who turned in copy and give the original to the person who sold the firearms. you the firearms or stored them with you. The firearms listed in 6 were The firearms listed in 6 were turned in on: sold to me transferred to me for storage on: Date: at: a.m. p.m. Date: at: a.m. p.m. To: To: Name and title of law enforcement agent 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 licensed gun dealer

Judicial Council of California, www.courts.ca.gov Revised January 1, 2019, Optional Form Proof of Firearms Turned In, Sold, or Stored DV-800/JV-252, Page 1 of 2 Family Code, § 6389 et seq., Cal. Rules of Court, (Domestic Violence Prevention)rules 5.630 and 5.495

Case Number:

6 Firearms 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 “DV-800/ JV-252, Item 6—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.

7 Do you have, own, possess, or control any other firearms besides the firearms listed in 6 ? Yes No 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 7c” 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:

Sign your nameType or print your name

Revised January 1, 2019 Proof of Firearms Turned In, Sold, or Stored DV-800/JV-252, Page 2 of 2 (Domestic Violence Prevention) For your protection and privacy, please press the Clear Print this form Save this form Clear this form