The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

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Here is the text we could read:

EA-800

Receipt for Firearms and Firearm
Parts

Clerk stamps date here when form is filed.

1 Protected Person

Name:

2 Restrained Person

a. Your Name:

Your Lawyer (if you have one for this case):
Name:

State Bar No.:

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.)

Fill in court name and street address:

Superior Court of California, County of

Address:

City:

Telephone:
Email Address:

State:

Fax:

Zip:

Court fills in case number when form is filed.

Case Number:

To the Restrained Person:
If a judge has ordered you to turn in, sell, or store your firearms (guns) 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 item or . For more information on how to properly turn in your items, read
form EA-800-INFO, How Do I Turn In, Sell, or Store My Firearms and Firearm Parts?

(Complete the section below. Keep a copy and give the original to the person in .)2

To Law Enforcement

Name of Law Enforcement Agency:

Name of Law Enforcement Agent:
Address:

Telephone:

Email Address:

Items Surrendered
a. Firearms and firearm parts transferred on:

Date:

Time:

a.m.

p.m.

b. List of items (List all the items surrendered by the person in . You may attach a separate form from your
agency (e.g., a property report), use item , 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 item .)

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,
Rev. January 1, 2023, Optional Form
Code of Civil Procedure, § 527.9; Penal Code,
§ 29830; Welfare and Institutions Code, § 15657.03

Receipt for Firearms and Firearm Parts
(Elder or Dependent Adult Abuse Prevention)

EA-800, Page 1 of 3

Case Number:

To Licensed Gun Dealer

(Complete the section below. Keep a copy and give the original to the person in .)2

Name of Licensed Gun Dealer:

License number:

Address:
Telephone:

Email Address:

Items Stored or Sold
a. Firearms and firearm parts transferred on:

Date:

Time:

a.m.

p.m.

b. List of items (List all the items surrendered by the person in . You may attach a separate form (e.g.,

Department of Justice’s Report of Firearms Acquisition) or you may use item . 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 item .)

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

List of Items Surrendered

Firearms and firearm parts

Make

Model

Serial Number,
if there is one

Sold

Stored

To be
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 “EA-800, item 6” at the top, and attach it to this form.

Rev. January 1, 2023

Receipt for Firearms and Firearm Parts
(Elder or Dependent Adult Abuse Prevention)

EA-800, Page 2 of 3

Case Number:

7 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) or firearm
parts?

Yes (If yes, check one of the boxes below):

I filed a Receipt for Firearms and Firearm Parts (form EA-800) or other proof for those items with the
court on (date):

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

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

I declare under penalty of perjury under the laws of the State of California that the information above is true and
correct.

Type or print your name

Sign your name

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

Your signature

Date:

Your Next Steps

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, 2023

Receipt for Firearms and Firearm Parts
(Elder or Dependent Adult Abuse Prevention)

EA-800, Page 3 of 3

Proof of Firearms Turned In, Sold, or Stored

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 3
Fields(s): 83
Average fields per page: 27
Reading Level: Grade 6
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

e_page_county_court_info_ft was EA-800[0].Page1[0].P1Caption[0].county[0].CourtInfo_ft[0] (0.56 conf)
e_page_p_case_number was EA-800[0].Page1[0].P1Caption[0].casenumber[0].CaseNumber_ft[0] (0.43 conf)
page_list_item_protected_full_name was EA-800[0].Page1[0].List1[0].Item1[0].ProtectedFullName_ft[0] (0.38 conf)
e_page_list_respondent_full_name was EA-800[0].Page1[0].List2[0].Li2A[0].RespondentFullName_ft[0] (0.37 conf)
e_page_list_respondent_lawyer_name was EA-800[0].Page1[0].List2[0].Li2A[0].RespondentLawyerName_ft[0] (0.37 conf)
e_page_list_li_respondent_lawyer_bar was EA-800[0].Page1[0].List2[0].Li2A[0].RespondentLawyerBar_no[0] (0.37 conf)
e_page_list_respondent_lawyer_firm was EA-800[0].Page1[0].List2[0].Li2A[0].RespondentLawyerFirm_ft[0] (0.39 conf)
e_page_list_li_street_ft was EA-800[0].Page1[0].List2[0].Li2B[0].RespondentStreet_ft[0] (0.37 conf)
e_page_list_li_b_city was EA-800[0].Page1[0].List2[0].Li2B[0].RespondentCity_ft[0] (0.33 conf)
e_page_list_li_b_state was EA-800[0].Page1[0].List2[0].Li2B[0].RespondentState_ft[0] (0.34 conf)
e_page_list_li_b_respondent_zip_ft was EA-800[0].Page1[0].List2[0].Li2B[0].RespondentZip_ft[0] (0.35 conf)
e_page_list_li_respondent_phone was EA-800[0].Page1[0].List2[0].Li2B[0].RespondentPhone_ft[0] (0.35 conf)
e_page_list_li_respondent_ft was EA-800[0].Page1[0].List2[0].Li2B[0].RespondentFax_ft[0] (0.39 conf)
e_page_list_b_restrained_mail was EA-800[0].Page1[0].List2[0].Li2B[0].RestrainedE-Mail_ft[0] (0.41 conf)
e_page_list_agency was EA-800[0].Page1[0].List4[0].Agency[0] (0.38 conf)
e_page_list_agent was EA-800[0].Page1[0].List4[0].Agent[0] (0.38 conf)
e_page_list_address was EA-800[0].Page1[0].List4[0].Address[0] (0.38 conf)
e_page_list_telephone was EA-800[0].Page1[0].List4[0].Telephone[0] (0.38 conf)
e_page_list_email was EA-800[0].Page1[0].List4[0].Email[0] (0.38 conf)
e_page_list_li_sold_date_dt__1 was EA-800[0].Page1[0].List4[0].Li4A[0].SoldDate_dt[0] (0.39 conf)
e_page_list_li_sold_time_dt__1 was EA-800[0].Page1[0].List4[0].Li4A[0].SoldTime_dt[0] (0.37 conf)
e_page_list_li_time__1 was EA-800[0].Page1[0].List4[0].Li4A[0].time[0] (0.38 conf)
e_page_list_li_time__2 was EA-800[0].Page1[0].List4[0].Li4A[0].time[1] (0.38 conf)
e_page_list_check_box_right__1 was EA-800[0].Page1[0].List4[0].Li4B[0].CheckBoxRightCaption[0] (0.41 conf)
e_page_p_case_number_ft__1 was EA-800[0].Page2[0].P2Caption[0].CaseNumber_ft[0] (0.43 conf)
e_page_list_licensed_g was EA-800[0].Page2[0].List5[0].LicensedGD[0] (0.43 conf)
e_page_list_license_number was EA-800[0].Page2[0].List5[0].LicenseNumber[0] (0.37 conf)
e_page_list_address_g was EA-800[0].Page2[0].List5[0].AddressGD[0] (0.36 conf)
e_page_list_telephone_g was EA-800[0].Page2[0].List5[0].TelephoneGD[0] (0.42 conf)
e_page_list_email_g was EA-800[0].Page2[0].List5[0].EmailGD[0] (0.42 conf)
e_page_list_li_sold_date_dt__2 was EA-800[0].Page2[0].List5[0].Li5A[0].SoldDate_dt[0] (0.39 conf)
e_page_list_li_sold_time_dt__2 was EA-800[0].Page2[0].List5[0].Li5A[0].SoldTime_dt[0] (0.37 conf)
e_page_list_li_time__3 was EA-800[0].Page2[0].List5[0].Li5A[0].time5[0] (0.38 conf)
e_page_list_li_time__4 was EA-800[0].Page2[0].List5[0].Li5A[0].time5[1] (0.38 conf)
e_page_list_check_box_right__2 was EA-800[0].Page2[0].List5[0].Li5B[0].CheckBoxRightCaption[0] (0.41 conf)
page_list_item_check_box_right was EA-800[0].Page2[0].List6[0].Item6[0].CheckBoxRightCaption[0] (0.41 conf)
page_list_item_firearms_field__1 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms1[0].TextField[0] (0.37 conf)
page_list_item_firearms_field__2 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms1[0].TextField[1] (0.37 conf)
page_list_item_firearms_field__3 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms1[0].TextField[2] (0.37 conf)
page_list_item_firearms_choice__1 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms1[0].Choice[0] (0.34 conf)
page_list_item_firearms_choice__2 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms1[0].Choice[1] (0.34 conf)
page_list_item_firearms_choice__3 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms1[0].Choice[2] (0.34 conf)
page_list_item_firearms_field__4 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms2[0].TextField[0] (0.37 conf)
page_list_item_firearms_field__5 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms2[0].TextField[1] (0.37 conf)
page_list_item_firearms_field__6 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms2[0].TextField[2] (0.37 conf)
page_list_item_firearms_choice__4 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms2[0].Choice[0] (0.34 conf)
page_list_item_firearms_choice__5 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms2[0].Choice[1] (0.34 conf)
page_list_item_firearms_choice__6 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms2[0].Choice[2] (0.34 conf)
page_list_item_firearms_field__7 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms3[0].TextField[0] (0.37 conf)
page_list_item_firearms_field__8 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms3[0].TextField[1] (0.37 conf)
page_list_item_firearms_field__9 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms3[0].TextField[2] (0.37 conf)
page_list_item_firearms_choice__7 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms3[0].Choice[0] (0.34 conf)
page_list_item_firearms_choice__8 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms3[0].Choice[1] (0.34 conf)
page_list_item_firearms_choice__9 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms3[0].Choice[2] (0.34 conf)
page_list_item_firearms_field__10 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms4[0].TextField[0] (0.37 conf)
page_list_item_firearms_field__11 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms4[0].TextField[1] (0.37 conf)
page_list_item_firearms_field__12 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms4[0].TextField[2] (0.37 conf)
page_list_item_firearms_choice__10 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms4[0].Choice[0] (0.34 conf)
page_list_item_firearms_choice__11 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms4[0].Choice[1] (0.34 conf)
page_list_item_firearms_choice__12 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms4[0].Choice[2] (0.34 conf)
page_list_item_firearms_field__13 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms5[0].TextField[0] (0.37 conf)
page_list_item_firearms_field__14 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms5[0].TextField[1] (0.37 conf)
page_list_item_firearms_field__15 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms5[0].TextField[2] (0.37 conf)
page_list_item_firearms_choice__13 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms5[0].Choice[0] (0.34 conf)
page_list_item_firearms_choice__14 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms5[0].Choice[1] (0.34 conf)
page_list_item_firearms_choice__15 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms5[0].Choice[2] (0.34 conf)
page_list_item_firearms_field__16 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms6[0].TextField[0] (0.37 conf)
page_list_item_firearms_field__17 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms6[0].TextField[1] (0.37 conf)
page_list_item_firearms_field__18 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms6[0].TextField[2] (0.37 conf)
page_list_item_firearms_choice__16 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms6[0].Choice[0] (0.34 conf)
page_list_item_firearms_choice__17 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms6[0].Choice[1] (0.34 conf)
page_list_item_firearms_choice__18 was EA-800[0].Page2[0].List6[0].Item6[0].Firearms[0].Firearms6[0].Choice[2] (0.34 conf)
e_page_list_item_proof_f_cb was EA-800[0].Page2[0].List6[0].Item6[0].ProofWhyNotOF_cb[0] (0.37 conf)
e_page_p_case_number_ft__2 was EA-800[0].Page3[0].P3Caption[0].CaseNumber_ft[0] (0.43 conf)
e_page_list_answer__1 was EA-800[0].Page3[0].List7[0].answer[0] (0.40 conf)
e_page_list_answer__2 was EA-800[0].Page3[0].List7[0].answer[1] (0.40 conf)
e_page_list_li_date_dt was EA-800[0].Page3[0].List7[0].Li7A[0].TurnedInDate_dt[0] (0.37 conf)
e_page_list_li_filing was EA-800[0].Page3[0].List7[0].Li7A[0].filing[0] (0.38 conf)
e_page_list_li_b_filing was EA-800[0].Page3[0].List7[0].Li7B[0].filing[0] (0.38 conf)
e_page_list_li_c_filing was EA-800[0].Page3[0].List7[0].Li7C[0].filing[0] (0.38 conf)
e_page_list_li_c_excuse_ft was EA-800[0].Page3[0].List7[0].Li7C[0].Excuse_ft[0] (0.36 conf)
e_page_signature_sig_date was EA-800[0].Page3[0].signature[0].SigDate[0] (0.35 conf)
e_page_signature_name_tf was EA-800[0].Page3[0].signature[0].YourName_tf[0] (0.42 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

e_page_county_court_info_ft
e_page_p_case_number
page_list_item_protected_full_name
e_page_list_respondent_full_name
e_page_list_respondent_lawyer_name
e_page_list_li_respondent_lawyer_bar
e_page_list_respondent_lawyer_firm
e_page_list_li_street_ft
e_page_list_li_b_city
e_page_list_li_b_state
e_page_list_li_b_respondent_zip_ft
e_page_list_li_respondent_phone
e_page_list_li_respondent_ft
e_page_list_b_restrained_mail
e_page_list_agency
e_page_list_agent
e_page_list_address
e_page_list_telephone
e_page_list_email
e_page_list_li_sold_date_dt__1
e_page_list_li_sold_time_dt__1
e_page_list_li_time__1
e_page_list_li_time__2
e_page_list_check_box_right__1
e_page_p_case_number_ft__1
e_page_list_licensed_g
e_page_list_license_number
e_page_list_address_g
e_page_list_telephone_g
e_page_list_email_g
e_page_list_li_sold_date_dt__2
e_page_list_li_sold_time_dt__2
e_page_list_li_time__3
e_page_list_li_time__4
e_page_list_check_box_right__2
page_list_item_check_box_right
page_list_item_firearms_field__1
page_list_item_firearms_field__2
page_list_item_firearms_field__3
page_list_item_firearms_choice__1
page_list_item_firearms_choice__2
page_list_item_firearms_choice__3
page_list_item_firearms_field__4
page_list_item_firearms_field__5
page_list_item_firearms_field__6
page_list_item_firearms_choice__4
page_list_item_firearms_choice__5
page_list_item_firearms_choice__6
page_list_item_firearms_field__7
page_list_item_firearms_field__8
page_list_item_firearms_field__9
page_list_item_firearms_choice__7
page_list_item_firearms_choice__8
page_list_item_firearms_choice__9
page_list_item_firearms_field__10
page_list_item_firearms_field__11
page_list_item_firearms_field__12
page_list_item_firearms_choice__10
page_list_item_firearms_choice__11
page_list_item_firearms_choice__12
page_list_item_firearms_field__13
page_list_item_firearms_field__14
page_list_item_firearms_field__15
page_list_item_firearms_choice__13
page_list_item_firearms_choice__14
page_list_item_firearms_choice__15
page_list_item_firearms_field__16
page_list_item_firearms_field__17
page_list_item_firearms_field__18
page_list_item_firearms_choice__16
page_list_item_firearms_choice__17
page_list_item_firearms_choice__18
e_page_list_item_proof_f_cb
e_page_p_case_number_ft__2
e_page_list_answer__1
e_page_list_answer__2
e_page_list_li_date_dt
e_page_list_li_filing
e_page_list_li_b_filing
e_page_list_li_c_filing
e_page_list_li_c_excuse_ft
e_page_signature_sig_date
e_page_signature_name_tf

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Proof of Firearms Turned In, Sold, or Stored

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02