What can you do to help the process?
You can provide law enforcement with
information that you know about the
person, his or her mental health condi-
tion, any threats or acts of violence that
were made, any other facts that raise a
concern for safety, and any firearms and
ammunition in the person’s possession.
Name: ___________________________________
Address:
___________________________________________
___________________________________________
Mental health concerns:
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
Threats or acts of violence:
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
Other safety concerns:
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
Law enforcement will need a
description of the type of firearm(s) in
the possession of the person you are
concerned about and the number of
each type. Examples: 2 handguns, 1
pistol, 3 rifles, and 2 shotguns. The
pictures below are just examples and
may not look exactly like the firearm(s)
in your case. Please pick the one(s) that
most closely resemble the firearms you
are describing.
Law enforcement will need a
description of the type of ammunition
in the possession of the person you
are concerned about and the number
of each type. Examples: about 200
bullets, 4 boxes of bullets, 20 shotgun
shells, and 3 clips/magazines. The
pictures below are just examples and
may not look exactly like the ammuni-
tion in your case. Please pick the one(s)
that most closely resemble those you
are describing.