LAW ENFORCEMENT RELEASE TO FFL REQUEST
YOUR INFORMATION
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
LAW ENFORCEMENT AGENCY INFORMATION
Law Enforcement Agency
*
City
*
Agency Phone Number
*
Please enter a valid phone number.
Case #
*
Agency Contact Person (if available)
First Name
Last Name
Back
Next
FIREARM | AMMUNITION INFORMATION
# of Handguns
# of Long Guns
Ammunition?
*
Yes
No
Are any of these firearms classified as assault weapons?
*
Yes
No
Back
Next
TERMS & CONDITIONS
We will notify you when your firearm(s) and/or ammunition have been received and logged into our system. At that time, please come into the store promptly to fill out the necessary paperwork. FIREARMS NOT REGISTERED WITHIN 30 DAYS WILL INCUR FIREARM STORAGE FEES OF $1/DAY PER FIREARM.
Signature
*
Submit
Should be Empty: