Fillable Printable Certificate of Eligibility Application - Califonia
Fillable Printable Certificate of Eligibility Application - Califonia
Certificate of Eligibility Application - Califonia
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
CERTIFICATE OF ELIGIBILITY APPLICATION
BOF 4008
(Rev. 09/2010)
PAGE 1 of 3
Application Type
New Permit
Annual Renewal
Provide Applicant Tracking
Identifier (ATI) Number:
Provide Certificate of Eligibility
Number and Expiration Date:
COE # Expiration Date
Applicant Information
Name:
Alias/Maiden Name:
Male: Female:
Date of Birth:
United States Citizen:
Yes No
IF NO:
California DL or ID #:
Home Telephone #
Physical Residential Address City County State Zip
Certification
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. I expressly authorize DOJ to perform firearms
eligibility checks of all relevant state and federal databases. I further understand that if I knowingly furnish a fictitious name or address or knowingly furnish
any incorrect information or omit any information required to be provided on this application, I am guilty of a misdemeanor.
Signature Date
Date Received:
Issue/Denial Date:
_____________________
_____________________
COE #:
NTN #::
____________________
____________________
Initials:
____________________
FOR DOJ USE ONLY
Please complete this application by typing or printing in black ink.
See reverse for instructions and fees.
Last Suffix (e.g., Jr., Sr.) First Middle
Country of Citizenship Alien Registration # or I-94#
Check if new mailing address
Daytime Telephone #
Social Security Number:
Mailing Address, if different City County State Zip
Business Type
(check appropriate box(es))
Importer (I)
Collector (C)
Firearms Dealer (D)
Gun Show Promoter (P)
Employee (E)*
Record dealership
information below
Wholesaler / Distributor (W)
Pawnbroker (N)
Manufacturer (M)
Shooting Range (S)
Prop Master (T)
Store Manager (B)
Gunsmith (G)
Explosive Permit (X)
Other (O)
(Indicate type)
*Name of Dealership: *Dealer CFD Number:
NOTE: One application for per person.
( )
( )
(check appropriate box)
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
BOF 4008
(Rev. 09/2010)
PAGE 2 of 3
Certificate of Eligibility Application
Instructions
New Applicants
Fingerprint Submission Requirements:
You must submit your fingerprint impressions before submitting this application form to the Department of Justice (DOJ). To
submit fingerprint impressions, you must take a completed Request for Live Scan Service form (BCII 8016) to a Live Scan
station. Please refer to www.ag.ca.gov/fingerprints for Live Scan station location information. There, you need to have
your fingerprint impressions submitted to DOJ and FBI. You must pay the Live Scan operator a $54 DOJ fingerprint
processing and BOF eligibility processing fee, a $19 FBI fingerprint processing fee, as well as the Live Scan operator's fee
(Note: the Live Scan operator fee varies by Live Scan site, and the Division of Law Enforcement, Bureau of Firearms does
not regulate or set this price).
The Live Scan operator will provide an Applicant Tracking Identifier (ATI) number on your copy of the Request for Live
Scan Service form (BCII 8016). The ATI number documents your fingerprint submissions. You must enter your ATI
number on the designated space of your Certificate of Eligibility (COE) Application form.
New Application Form Submission Requirements:
Complete the COE Application form. Be sure to include your Live Scan ATI number. Only one application per form. For
more than one application per firearms dealership, each individual must complete a separate application form and submit
fingerprint impresssions via Live Scan to DOJ and FBI. Check the appropriate business type box(es). If your business
type is not listed, check the 'Other' box and indicate the type of business on the line below. If you are applying for a COE
as an employee of a California Firearms Dealer, you must provide the name of the dealership and the dealership's
California Firearms Dealer (CFD) number. You must date and sign the certification.
Mail your completed COE Application to:
DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
FIREARMS LICENSE AND PERMITS SECTION-EFP
P.O. BOX 160367
SACRAMENTO, CA 95816-0367
Renewal Applicants
Fingerprint submissions are not required for annual renewal applications. Complete the COE application, being sure to
include your COE number and expiration date. check the appropriate business type box(es). If your business type is not
listed, check the 'Other' box and indicate the type of business on the line below. If you are applying for a COE as an
employee of a California Firearms Dealer, you must provide the name of the dealership and the dealership's California
Firearms Dealer (CFD) number. You must date and sign the certification.
Mail your completed COE Application along with the $22.00 COE Annual Renewal Fee to the address listed below.
DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
FIREARMS LICENSE AND PERMITS SECTION-EFP
P.O. BOX 160367
SACRAMENTO, CA 95816-0367
It is recommended that you retain a copy of your completed COE Application form and your Request for Live Scan Service
form for your records.
It is recommended that you retain a copy of your completed COE Application form for your records.
If you have any questions, please contact the Firearms License and Permits Section at 916-263-8100.
(California Penal Code Section 12071)
Applicant Submission
ORI (Code assigned by DOJ)
Authorized Applicant Type
Type of License/Certification/Permit OR Working Title (Maximum 30 characters - if assigned by DOJ, use exact title assigned)
Contributing Agency Information:
Agency Authorized to Receive Criminal Record Information Mail Code (five-digit code assigned by DOJ)
Street Address or P.O. Box
City State ZIP Code
Contact Name (mandatory for all school submissions)
Contact Telephone Number
Applicant Information:
Last Name First Name Middle Initial Suffix
Other Name
(AKA or Alias)
Last First Suffix
Date of Birth
Sex
Male
Female
Driver's License Number
Height Weight Eye Color Hair Color
Place of Birth (State or Country)
Social Security Number
Home
Address
Street Address or P.O. Box City State ZIP Code
Billing
Number
(Agency Billing Number)
Misc.
Number
(Other Identification Number)
Your Number:
OCA Number (Agency Identifying Number)
Level of Service:
DOJ FBI
If re-submission, list original ATI number:
(Must provide proof of rejection)
Original ATI Number
Employer (Additional response for agencies specified by statute):
Employer Name
Street Address or P.O. Box
City State ZIP Code
Mail Code (five digit code assigned by DOJ
Telephone Number (optional)
Live Scan Transaction Completed By:
Name of Operator Date
Transmitting Agency LSID ATI Number Amount Collected/Billed
ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
BCII 8016
(orig. 4/01; rev. 6/09)
REQUEST FOR LIVE SCAN SERVICE
CA0349400
Certificate of Eligibility
FIREARMS ELIGIBILITY CERT
Department of Justice, Bureau of Firearms
P.O. Box 160367
02879
Firearms Licensing and Permits Section
(916) 263-8100Sacramento CA 95816-0367
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