Fillable Printable Firearm Ownership Record - California
Fillable Printable Firearm Ownership Record - California
Firearm Ownership Record - California
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
BOF 4542A (Rev. 01/2012)PAGE 1 of 2
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Firearm Ownership Record
Firearm
Type:
Processing fee of $19.00 per firearm must accompany application.
(Instructions on Reverse)
A. Owner Information
Last Name:First Name:Middle Name:
Alias Last Name (if any):
Alias First Name:Alias Middle Name:
Residence Street Address: City:State:Zip Code:
Mailing Address (if different):City:State:Zip Code:
Date of Birth (mm/dd/yyyy):Place of Birth (state or country):Sex:Phone No. (include area code)
U.S.
Citizen?
Yes
No
If no, enter Alien Registration No. or I-94 No.: Country of Citizenship:
Enter your California driver license (CDL), California ID (CID), or
Military ID (MIL) number in the ID number box to the right. If using
military identification you must send a copy of your permanent duty
station orders stating you are stationed in California.
ID Type (check one):
CDLCIDMIL
ID Number:
Handgun Safety
Certificate (HSC) No.:
B. Firearm(s) Information (To report additional firearm(s) copy and attach additional applications)
Firearm
Type:
Long Gun
Handgun
If
Long Gun:
Rifle
Shotgun
If
Handgun:
Semiauto
Revolver
Single-shot
Other:
Serial Number:
Make:Model:Caliber:Firearm Origin:Barrel Length:
IN.
CM.
Color:Date Acquired (mm/dd/yyyy):
Acquired From:
Firearms Dealer
Private Party
Family Member (Specify Relationship):
Gun ShowOther:
Long Gun
Handgun
If
Long Gun:
Rifle
Shotgun
If
Handgun:
Semiauto
Revolver
Single-shot
Other:
Serial Number:
Make:
Model:Caliber:Firearm Origin:Barrel Length:
IN.
CM.
Color:Date Acquired (mm/dd/yyyy):
Acquired From:
Firearms Dealer
Private Party
Family Member (Specify Relationship):
Gun ShowOther:
Long Gun
Handgun
If
Long Gun:
Rifle
Shotgun
If
Handgun:
Semiauto
Revolver
Single-shot
Other:
Serial Number:
Firearm
Type:
Make:Model:Caliber:Firearm Origin:Barrel Length:
IN.
CM.
Color:Date Acquired (mm/dd/yyyy):
Acquired From:
Firearms Dealer
Private Party
Family Member (Specify Relationship):
Gun ShowOther:
C. Declaration
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. I expressly authorize the Department of
Justice to perform firearms eligibility checks of all relevant state and federal databases, including the Federal Bureau of Investigation's National Instant
Criminal Background Check System. I also understand that if I currently possess or own firearms and the results of this check reveal that I am ineligible
either to lawfully possess or purchase firearms, I must relinquish any and all firearms in my possession.
SignatureDate
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
BOF 4542A (Rev. 01/2012)PAGE 2 of 2
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Firearm Ownership Record
Firearm Ownership Record Submission Requirements
Individuals must submit this application with a fee (check or money order made payable to the Department of Justice) in the
amount of$19.00 per firearm (i.e. 3 firearms x $19.00 = $57.00) to:
Department of Justice
Bureau of Firearms - FOR
P.O. Box 820200
Sacramento, CA 94203-0200
Complete all required information. Incomplete applications or applications submitted without the proper fees will be returned
without processing. If reporting more than three firearms, make and attach additional copies of this form to meet your
reporting needs. A firearms eligibility check will be conducted to determine whether you are lawfully eligible to possess
firearms. Once approved, you will receive a confirmation notice of your Firearms Ownership Record.
This form may not be used to report ownership of assault weapons defined in Penal Code sections 30510 through 30530. It
is the responsibility of the applicant to determine if the firearm being reported is an assault weapon. A list of assault weapons
is available on the Bureau of Firearms website at www.ag.ca.gov/firearms.
Part A. Owner Information
Enter the information as requested. Only one applicant per form. If you are using a military number for identification, you
must submit a copy of your permanent duty station orders indicating you are stationed in California.
Part B. Firearm Information
For each firearm, you must provide the identification information requested. Please refer to your firearm owner information or
the sample chart below to assist you in providing the required information:
• Serial Number Usually located on the frame of a handgun, and on the receiver of a long gun. May be all
numeric or a combination of alpha and numeric characters.
• Make The manufacturer of the firearm (e.g., Beretta, Ruger, Glock, Smith and Wesson).
• Model The model name of the firearm (e.g., 3032 Tomcat, KP95, 17C, 22A, Mini 14).
• Caliber The caliber of the firearm (e.g., .38, .45, .308, 9 mm).
• Firearm Origin The country of origin of the firearm (e.g., United States, Russia, China, Italy).
• Barrel Length Enter the barrel length as stated in your owner information, or measure the barrel length by
closing the action of the handgun and inserting a wooden dowel down the barrel until it
stops. Mark the dowel with a pen at the muzzle. Remove the dowel and measure the
distance between the inserted end of the dowel and the pen mark.
Part C. Declaration
You must sign and date the declaration on this application.
