Form Cv-803 - Order To Surrender Firearms And Notice Of Firearm Surrender Hearing Page 2
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2Order to Surrender Firearms and Notice of Firearm Surrender Hearing
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Case No.
6. Your known firearm(s) is/are described as and the serial number(s) of said firearm(s) are listed as follows:
Firearm
Quantity
Make/Model
Serial Number
[If you need room for additional firearms, attach additional sheet to this form]
Additional surrender instructions:
7. Once the stay is complete, the injunction immediately goes into full effect.
Note: Once the injunction is in effect, federal law provides penalties for, and you may be prohibited
from possessing, transporting, shipping, receiving, or purchasing a firearm, including, but not limited
to, a rifle, shotgun, pistol, revolver, or ammunition, pursuant to 18 U.S.C. Section 922(g)(8). Under
Wisconsin law, it is a Class G Felony, punishable by a fine not to exceed $25,000 or imprisonment
not to exceed 10 years, or both, to possess a firearm while subject to an injunction, pursuant to
§941.29(2), Wis. Stats.
8. You may possess or transport a firearm(s) only for the purpose of complying with a surrender order.
Possessing or transporting a firearm(s) for any other reason may result in criminal penalties.
BY THE COURT:
If you require reasonable accommodations due to a
disability to participate in the court process, please
Circuit Court Judge/Circuit Court Commissioner
call
at least 10 working
days prior to the scheduled court date. Please note
that the court does not provide transportation.
Title (Print or Type Name if not eSigned)
DISTRIBUTION:
1. Court
2. Petitioner
Date
3. Respondent
4. Law Enforcement
5. Other:
CV-803, 09/14 Order to Surrender Firearms and Notice of Firearm Surrender Hearing
§813.1285(1g), Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.
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