HomeMy WebLinkAbout091223-03.1 Handout-Safe Handling Demonstration Afidavit STATE OF CALIFORNIA DEPARTMENT OF JUSTICE
BOF 039(Rev.01/2015) PAGE 1 of 1
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS "
Safe Handling Demonstration
Affidavit
On
Date(mm/dd/yyyy) Printed Name of Firearm Purchaser/Recipient
performed the safe handling demonstration as required in California Penal Code sections 26850, 26853,
26856, 26859, or 26860, as applicable, with the firearm (or one of the same make and model)
referenced on Dealer's Record of Sale (DROS) Number
DROS Number
under the supervision of
Printed Name of DOJ Certified Instructor DOJ Certified Instructor Number
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
DOJ Certified Instructor Signature Date
Firearm Purchaser/Recipient Signature Date
Dealer/Employee Signature Date
Printed Name of Dealer/Employee