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Here is the text we could read:

WV-800

Receipt for Firearms and Firearm
Parts

Clerk stamps date here when form is filed.

Petitioner (Employer)
Name:

2 Employee in Need of Protection

Full Name:

Your Name:

3 Respondent (Person From Whom Protection Is Sought)

State Bar No.:

Your Lawyer (if you have one for this case):
Name:
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.):
Address:
City:
Telephone:
Email Address:

State:
Fax:

Zip:

Fill in court name and street address:

Superior Court of California, County of

Court fills in case number when form is filed.

Case Number:

4 To the Respondent:

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 SV-800-INFO, How Do I Turn In, Sell, or Store My Firearms and Firearm Parts?

To Law Enforcement

(Complete the section below. Keep a copy and give the original to the person in .)3

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, §§ 527.8 and 527.9;
Penal Code § 29830

Receipt for Firearms and Firearm Parts
(Workplace Violence Prevention)

WV-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 .)3

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 “WV-800, item 7” at the top, and attach it to this form.

Rev. January 1, 2023

Receipt for Firearms and Firearm Parts
(Workplace Violence Prevention)

WV-800, Page 2 of 3

Case Number:

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 WV-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
(Workplace Violence Prevention)

WV-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): 84
Average fields per page: 28
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.

w_v_page_p_court_info_ft was WV-800[0].Page1[0].P1Caption[0].Court[0].CourtInfo_ft[0] (0.50 conf)
w_v_page_p_case_number was WV-800[0].Page1[0].P1Caption[0].CaseNumber[0].CaseNumber_ft[0] (0.40 conf)
v_page_list_protected_full_name was WV-800[0].Page1[0].List1[0].ProtectedFullName_ft[0] (0.37 conf)
v_page_list_student_name_ft was WV-800[0].Page1[0].List2[0].StudentName_ft[0] (0.38 conf)
w_v_page_list_name_ft was WV-800[0].Page1[0].List3[0].RespondentName_ft[0] (0.28 conf)
v_page_list_lawyer_name_ft was WV-800[0].Page1[0].List3[0].RestrainedLawyerName_ft[0] (0.37 conf)
v_page_list_restrained_lawyer_bar was WV-800[0].Page1[0].List3[0].RestrainedLawyerBar_no[0] (0.34 conf)
v_page_list_restrained_lawyer_firm was WV-800[0].Page1[0].List3[0].RestrainedLawyerFirm_ft[0] (0.39 conf)
v_page_list_restrained_street_ft was WV-800[0].Page1[0].List3[0].RestrainedStreet_ft[0] (0.31 conf)
v_page_list_restrained_city_ft was WV-800[0].Page1[0].List3[0].RestrainedCity_ft[0] (0.34 conf)
w_v_page_list_state_ft was WV-800[0].Page1[0].List3[0].RestrainedState_ft[0] (0.38 conf)
w_v_page_list_restrained_zip_ft was WV-800[0].Page1[0].List3[0].RestrainedZip_ft[0] (0.33 conf)
w_v_page_list_phone_ft was WV-800[0].Page1[0].List3[0].RestrainedPhone_ft[0] (0.33 conf)
w_v_page_list_restrained_ft was WV-800[0].Page1[0].List3[0].RestrainedFax_ft[0] (0.39 conf)
v_page_list_e_mail_ft was WV-800[0].Page1[0].List3[0].RestrainedE-Mail_ft[0] (0.41 conf)
w_v_page_list_text_field__1 was WV-800[0].Page1[0].List5[0].TextField[0] (0.35 conf)
w_v_page_list_text_field__2 was WV-800[0].Page1[0].List5[0].TextField[1] (0.35 conf)
w_v_page_list_text_field__3 was WV-800[0].Page1[0].List5[0].TextField[2] (0.35 conf)
w_v_page_list_text_field__4 was WV-800[0].Page1[0].List5[0].TextField[3] (0.35 conf)
w_v_page_list_text_field__5 was WV-800[0].Page1[0].List5[0].TextField[4] (0.35 conf)
w_v_page_list_sold_date_dt__1 was WV-800[0].Page1[0].List5[0].Li5A[0].SoldDate_dt[0] (0.33 conf)
w_v_page_list_sold_time_dt__1 was WV-800[0].Page1[0].List5[0].Li5A[0].SoldTime_dt[0] (0.30 conf)
w_v_page_list_li_timea__1 was WV-800[0].Page1[0].List5[0].Li5A[0].timea[0] (0.29 conf)
w_v_page_list_li_timea__2 was WV-800[0].Page1[0].List5[0].Li5A[0].timea[1] (0.29 conf)
v_b_check_box_right_caption__1 was WV-800[0].Page1[0].List5[0].Li5B[0].CheckBoxRightCaption[0] (0.36 conf)
w_v_page_p_gp_number__1 was WV-800[0].Page2[0].P2Caption[0].P2Header_gp[0].CaseNumber_ft[0] (0.35 conf)
w_v_page_list_licensedgd was WV-800[0].Page2[0].List6[0].licensedgd[0] (0.26 conf)
w_v_page_list_lisencenumber was WV-800[0].Page2[0].List6[0].lisencenumber[0] (0.26 conf)
w_v_page_list_address was WV-800[0].Page2[0].List6[0].address[0] (0.26 conf)
w_v_page_list_telephone was WV-800[0].Page2[0].List6[0].telephone[0] (0.26 conf)
w_v_page_list_email was WV-800[0].Page2[0].List6[0].email[0] (0.26 conf)
w_v_page_list_sold_date_dt__2 was WV-800[0].Page2[0].List6[0].Li6a[0].SoldDate_dt[0] (0.33 conf)
w_v_page_list_sold_time_dt__2 was WV-800[0].Page2[0].List6[0].Li6a[0].SoldTime_dt[0] (0.30 conf)
w_v_page_list_li_timeb__1 was WV-800[0].Page2[0].List6[0].Li6a[0].timeb[0] (0.29 conf)
w_v_page_list_li_timeb__2 was WV-800[0].Page2[0].List6[0].Li6a[0].timeb[1] (0.29 conf)
v_b_check_box_right_caption__2 was WV-800[0].Page2[0].List6[0].Li6b[0].CheckBoxRightCaption[0] (0.36 conf)
page_list_item_check_box_right was WV-800[0].Page2[0].List7[0].Item7[0].CheckBoxRightCaption[0] (0.36 conf)
w_page_list_item_firearms_field__1 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item1[0].TextField[0] (0.38 conf)
w_page_list_item_firearms_field__2 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item1[0].TextField[1] (0.38 conf)
w_page_list_item_firearms_field__3 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item1[0].TextField[2] (0.38 conf)
w_page_list_item_firearms_choice__1 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item1[0].Choice[0] (0.34 conf)
w_page_list_item_firearms_choice__2 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item1[0].Choice[1] (0.34 conf)
w_page_list_item_firearms_choice__3 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item1[0].Choice[2] (0.34 conf)
w_page_list_item_firearms_field__4 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item2[0].TextField[0] (0.38 conf)
w_page_list_item_firearms_field__5 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item2[0].TextField[1] (0.38 conf)
w_page_list_item_firearms_field__6 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item2[0].TextField[2] (0.38 conf)
w_page_list_item_firearms_choice__4 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item2[0].Choice[0] (0.34 conf)
w_page_list_item_firearms_choice__5 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item2[0].Choice[1] (0.34 conf)
w_page_list_item_firearms_choice__6 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item2[0].Choice[2] (0.34 conf)
w_page_list_item_firearms_field__7 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item3[0].TextField[0] (0.38 conf)
w_page_list_item_firearms_field__8 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item3[0].TextField[1] (0.38 conf)
w_page_list_item_firearms_field__9 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item3[0].TextField[2] (0.38 conf)
w_page_list_item_firearms_choice__7 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item3[0].Choice[0] (0.34 conf)
w_page_list_item_firearms_choice__8 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item3[0].Choice[1] (0.34 conf)
w_page_list_item_firearms_choice__9 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item3[0].Choice[2] (0.34 conf)
w_page_list_item_firearms_field__10 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item4[0].TextField[0] (0.38 conf)
w_page_list_item_firearms_field__11 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item4[0].TextField[1] (0.38 conf)
w_page_list_item_firearms_field__12 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item4[0].TextField[2] (0.38 conf)
w_page_list_item_firearms_choice__10 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item4[0].Choice[0] (0.34 conf)
w_page_list_item_firearms_choice__11 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item4[0].Choice[1] (0.34 conf)
w_page_list_item_firearms_choice__12 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item4[0].Choice[2] (0.34 conf)
w_page_list_item_firearms_field__13 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item5[0].TextField[0] (0.38 conf)
w_page_list_item_firearms_field__14 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item5[0].TextField[1] (0.38 conf)
w_page_list_item_firearms_field__15 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item5[0].TextField[2] (0.38 conf)
w_page_list_item_firearms_choice__13 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item5[0].Choice[0] (0.34 conf)
w_page_list_item_firearms_choice__14 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item5[0].Choice[1] (0.34 conf)
w_page_list_item_firearms_choice__15 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item5[0].Choice[2] (0.34 conf)
w_page_list_item_firearms_field__16 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item6[0].TextField[0] (0.38 conf)
w_page_list_item_firearms_field__17 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item6[0].TextField[1] (0.38 conf)
w_page_list_item_firearms_field__18 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item6[0].TextField[2] (0.38 conf)
w_page_list_item_firearms_choice__16 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item6[0].Choice[0] (0.34 conf)
w_page_list_item_firearms_choice__17 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item6[0].Choice[1] (0.34 conf)
w_page_list_item_firearms_choice__18 was WV-800[0].Page2[0].List7[0].Item7[0].Firearms[0].Item6[0].Choice[2] (0.34 conf)
w_v_page_list_item_proof_f was WV-800[0].Page2[0].List7[0].Item7[0].ProofWhyNotOF_cb[0] (0.32 conf)
w_v_page_p_gp_number__2 was WV-800[0].Page3[0].P3Caption[0].P2Header_gp[0].CaseNumber_ft[0] (0.35 conf)
w_v_page_list_turned_date_dt was WV-800[0].Page3[0].List7[0].Li7a[0].TurnedInDate_dt[0] (0.34 conf)
w_v_page_list_li_filing was WV-800[0].Page3[0].List7[0].Li7a[0].filing[0] (0.29 conf)
w_v_page_list_item_answer__1 was WV-800[0].Page3[0].List7[0].Item7[0].answer[0] (0.29 conf)
w_v_page_list_item_answer__2 was WV-800[0].Page3[0].List7[0].Item7[0].answer[1] (0.29 conf)
w_v_page_list_li_b_filing was WV-800[0].Page3[0].List7[0].Li7b[0].filing[0] (0.29 conf)
w_v_page_list_li_c_filing was WV-800[0].Page3[0].List7[0].Li7c[0].filing[0] (0.29 conf)
w_v_page_list_li_c_area_excuse_ft was WV-800[0].Page3[0].List7[0].Li7c[0].#area[0].Excuse_ft[0] (0.33 conf)
w_v_page_sign_sig_date was WV-800[0].Page3[0].Sign[0].SigDate[0] (0.31 conf)
w_v_page_sign_name_tf was WV-800[0].Page3[0].Sign[0].YourName_tf[0] (0.34 conf)

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

Suggested Screen 0:

w_v_page_p_court_info_ft
w_v_page_p_case_number
v_page_list_protected_full_name
v_page_list_student_name_ft
w_v_page_list_name_ft
v_page_list_lawyer_name_ft
v_page_list_restrained_lawyer_bar
v_page_list_restrained_lawyer_firm
v_page_list_restrained_street_ft
v_page_list_restrained_city_ft
w_v_page_list_state_ft
w_v_page_list_restrained_zip_ft
w_v_page_list_phone_ft
w_v_page_list_restrained_ft
v_page_list_e_mail_ft
w_v_page_list_text_field__1
w_v_page_list_text_field__2
w_v_page_list_text_field__3
w_v_page_list_text_field__4
w_v_page_list_text_field__5
w_v_page_list_sold_date_dt__1
w_v_page_list_sold_time_dt__1
w_v_page_list_li_timea__1
w_v_page_list_li_timea__2
v_b_check_box_right_caption__1
w_v_page_p_gp_number__1
w_v_page_list_licensedgd
w_v_page_list_lisencenumber
w_v_page_list_address
w_v_page_list_telephone
w_v_page_list_email
w_v_page_list_sold_date_dt__2
w_v_page_list_sold_time_dt__2
w_v_page_list_li_timeb__1
w_v_page_list_li_timeb__2
v_b_check_box_right_caption__2
page_list_item_check_box_right
w_page_list_item_firearms_field__1
w_page_list_item_firearms_field__2
w_page_list_item_firearms_field__3
w_page_list_item_firearms_choice__1
w_page_list_item_firearms_choice__2
w_page_list_item_firearms_choice__3
w_page_list_item_firearms_field__4
w_page_list_item_firearms_field__5
w_page_list_item_firearms_field__6
w_page_list_item_firearms_choice__4
w_page_list_item_firearms_choice__5
w_page_list_item_firearms_choice__6
w_page_list_item_firearms_field__7
w_page_list_item_firearms_field__8
w_page_list_item_firearms_field__9
w_page_list_item_firearms_choice__7
w_page_list_item_firearms_choice__8
w_page_list_item_firearms_choice__9
w_page_list_item_firearms_field__10
w_page_list_item_firearms_field__11
w_page_list_item_firearms_field__12
w_page_list_item_firearms_choice__10
w_page_list_item_firearms_choice__11
w_page_list_item_firearms_choice__12
w_page_list_item_firearms_field__13
w_page_list_item_firearms_field__14
w_page_list_item_firearms_field__15
w_page_list_item_firearms_choice__13
w_page_list_item_firearms_choice__14
w_page_list_item_firearms_choice__15
w_page_list_item_firearms_field__16
w_page_list_item_firearms_field__17
w_page_list_item_firearms_field__18
w_page_list_item_firearms_choice__16
w_page_list_item_firearms_choice__17
w_page_list_item_firearms_choice__18
w_v_page_list_item_proof_f
w_v_page_p_gp_number__2
w_v_page_list_turned_date_dt
w_v_page_list_li_filing
w_v_page_list_item_answer__1
w_v_page_list_item_answer__2
w_v_page_list_li_b_filing
w_v_page_list_li_c_filing
w_v_page_list_li_c_area_excuse_ft
w_v_page_sign_sig_date
w_v_page_sign_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

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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