Mendocino — WV-800

Source: http://www.courts.ca.gov/documents/wv800.pdf

WV-800 Receipt for Firearms, Firearm Clerk stamps date here when form is filed. Parts, and Ammunition

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 email.): Address: Court fills in case number when form is filed. City: State: Zip: Case Number: Telephone: Fax: Email Address: 4 To the Respondent: If a judge has ordered you to turn in, sell, or store your firearms (guns), ammunition, and firearm parts—meaning receivers, frames, or any item that may be used as or easily turned into a receiver or frame (see Penal Code section 16531)—use this form to prove to the judge that you have obeyed their orders. Take this form to a law enforcement officer or a licensed gun dealer to complete 5 or 6 . For more information on how to properly turn in your items, read form WV-800-INFO, How Do I Turn In, Sell, or Store My Firearms, Firearm Parts, and Ammunition?

5 To Law Enforcement (Complete the section below. Keep a copy and give the original to the person in 3 .) Name of Law Enforcement Agency: Name of Law Enforcement Agent: Address: Telephone: Email Address:

Items Surrendered
a. Firearms, firearm parts, and ammunition transferred on:
Date: Time: a.m. p.m.
b. List of items (List all the items surrendered by the person in 3 . You may attach a separate form from your
agency (e.g., a property report), use 7 , or both. Check below if you have attached a separate form):
Separate form is attached. (If it does not include all surrendered items, list additional items in 7 .)

I declare under penalty of perjury under the laws of the State of California that the information above is
true and correct.
Signature of law enforcement agent:

Judicial Council of California, courts.ca.gov WV-800, Page 1 of 3Rev. January 1, 2026, Optional Form Receipt for Firearms, Firearm Parts, and Ammunition Code Civ. Proc., §§ 527.8, 527.9; (Workplace Violence Prevention)Pen. Code, § 29830

Case Number:

6 To Licensed Gun Dealer (Complete the section below. Keep a copy and give the original to the person in 3 .) Name of Licensed Gun Dealer: License number: Address: Telephone: Email Address:

Items Stored or Sold
a. Firearms, firearm parts, and ammunition transferred on:
Date: Time: a.m. p.m.

b. List of items (List all the items surrendered by the person in 3 . You may attach a separate form (e.g.,
Department of Justice’s Report of Firearms Acquisition) or you may use 7 . Check below if you have
attached a separate form):
Separate form is attached. (If it does not include all surrendered items, list additional items in 7 .)

I declare under penalty of perjury under the laws of the State of California that the information above is
true and correct.
Signature of licensed gun dealer:

7 List of Items Surrendered

Firearms and firearm parts Serial number, To be
Make Model if there is one Sold Stored destroyed
(1)
(2)
(3)
(4)
(5)
(6)

Ammunition To be
Brand Type Amount Sold Stored destroyed
(1)
(2)
(3)
(4)
(5)
(6)

Check here if there is not enough space above for your answer. Use a separate sheet of paper to list other items.
Write “WV-800, item 7” at the top, and attach it to this form.

Rev. January 1, 2026 Receipt for Firearms, Firearm Parts, and Ammunition WV-800, Page 2 of 3 (Workplace Violence Prevention)

Case Number:

8 To the Restrained Person: Besides the items listed on page 2 or in an attached form, do you have or own any other firearms (guns), firearm parts, or ammunition?

No
Yes (If yes, check one of the boxes below):
a. I filed a Receipt for Firearms, Firearm Parts, and Ammunition (form WV-800) or other proof for those
items with the court on (date):

b. I am filing the proof for those firearms (guns), firearm parts, or ammunition along with this proof.

c. I have not yet filed the proof for the other firearms (guns), firearm parts, or ammunition.
(Explain why not):

Your signature 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

Your Next Steps

After the form is complete, make two additional copies. Take the copies and original to the court clerk to file.

Keep a copy for yourself.

Note that failure to file a receipt with the court is a violation of the court’s order.

Rev. January 1, 2026 Receipt for Firearms, Firearm Parts, and Ammunition WV-800, Page 3 of 3 (Workplace Violence Prevention)

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