Form BOF 10-07 Application for Centralized List of Exempted Federal Firearms Licencees (Cleffl) and Exemption Declaration - California

Form BOF10-07 or the "Application For Centralized List Of Exempted Federal Firearms Licencees (cleffl) And Exemption Declaration" is a form issued by the California Department of Justice.

Download a PDF version of the Form BOF10-07 down below or find it on the California Department of Justice Forms website.

ADVERTISEMENT
STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
BOF 10-07 (Rev. 01/2017)
PAGE 1 of 3
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Application for Centralized List of
Exempted Federal Firearms Licensees (CLEFFL)
and Exemption Declaration
Business Name as it appears on Federal Firearms License (FFL)
FFL Number
FFL Expiration Date
Business Physical Address
City
County
State
Zip Code
Business Mailing Address (if different)
City
County
State
Zip Code
Business E-mail Address
Telephone Number
Fax Number
Hours of Operation
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
to
to
to
to
to
to
to
Local Law Enforcement Agency (police or sheriff's department)
1. Complete Name of Exempted Federal Firearms Licensee (must be listed on FFL)
COE Number
COE Expiration Date
2. Complete Name of Exempted Federal Firearms Licensee (must be listed on FFL)
COE Number
COE Expiration Date
3. Complete Name of Exempted Federal Firearms Licensee (must be listed on FFL)
COE Number
COE Expiration Date
Note: To list more than three licensees, please complete and attach an additional application
FFL Type (e.g., 01, 07, 08, etc.)
Purpose of FFL (e.g., gunsmith, manufacturer, importer, wholesaler, etc.)
Penal Code section 26500 Exemption Declaration (Pen. Code § 28450)
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Signature of Licensee identified above
Date
Signature of Licensee identified above
Date
Signature of Licensee identified above
Date
Any person furnishing a fictitious name, knowingly furnishing any incorrect information, or knowingly
omitting any information on this declaration is guilty of a misdemeanor pursuant to Penal Code section 28455.
STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
BOF 10-07 (Rev. 01/2017)
PAGE 1 of 3
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Application for Centralized List of
Exempted Federal Firearms Licensees (CLEFFL)
and Exemption Declaration
Business Name as it appears on Federal Firearms License (FFL)
FFL Number
FFL Expiration Date
Business Physical Address
City
County
State
Zip Code
Business Mailing Address (if different)
City
County
State
Zip Code
Business E-mail Address
Telephone Number
Fax Number
Hours of Operation
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
to
to
to
to
to
to
to
Local Law Enforcement Agency (police or sheriff's department)
1. Complete Name of Exempted Federal Firearms Licensee (must be listed on FFL)
COE Number
COE Expiration Date
2. Complete Name of Exempted Federal Firearms Licensee (must be listed on FFL)
COE Number
COE Expiration Date
3. Complete Name of Exempted Federal Firearms Licensee (must be listed on FFL)
COE Number
COE Expiration Date
Note: To list more than three licensees, please complete and attach an additional application
FFL Type (e.g., 01, 07, 08, etc.)
Purpose of FFL (e.g., gunsmith, manufacturer, importer, wholesaler, etc.)
Penal Code section 26500 Exemption Declaration (Pen. Code § 28450)
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Signature of Licensee identified above
Date
Signature of Licensee identified above
Date
Signature of Licensee identified above
Date
Any person furnishing a fictitious name, knowingly furnishing any incorrect information, or knowingly
omitting any information on this declaration is guilty of a misdemeanor pursuant to Penal Code section 28455.
STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
BOF 10-07 (Rev. 01/2017)
PAGE 2 of 3
Application for Centralized List of
Exempted Federal Firearms Licensees (CLEFFL)
and Exemption Declaration
INSTRUCTIONS
Application Requirements
Applications for the Centralized List of Exempted Federal Firearms Licensees (CLEFFL) must be typed or printed in ink.
Incomplete applications will not be processed and will be returned with all required fees. Applications must be accompanied
with copies of the applicant's valid Federal Firearms License (FFL) issued by the Bureau of Alcohol, Tobacco, Firearms and
Explosives (ATF), and a valid Certificate of Eligibility (COE) issued by the Department of Justice, Bureau of Firearms. If you
have any questions, please contact the Bureau of Firearms Centralized List Unit at (916) 227-2665.
• Provide the business name as it appears on the FFL, FFL number and expiration date, physical address and
mailing address, if different. Please also provide the business email address, telephone and fax numbers.
• Provide the business hours of operation for each day of the week listed, using hh:mm AM/PM
format.
• Provide the name of the police or sheriff's department that is responsible for law enforcement protection over your
business.
• Provide any additional name(s) of Exempted Federal Firearms Licensee(s) listed on the FFL, along with their
corresponding COE numbers and expiration dates. To list more than three licensees, complete and attach an
additional application.
• Provide the FFL type and purpose.
• The licensee(s) must sign and date the Penal Code section 26500 Exemption Declaration and perjury statement
affirming the information provided is true and correct.
• Make check or money order payable to the Department of Justice for $115.00. Attach the check
or money order to the lower right margin of the form.
• Mail the completed application, remittance and required documentation to the below address:
Department of Justice
Bureau of Firearms - Centralized List Unit
P.O. Box 160487
Sacramento, CA 95816-0487
STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
BOF 10-07 (Rev. 01/2017)
PAGE 3 of 3
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Application for Centralized List of
Exempted Federal Firearms Licensees (CLEFFL)
and Exemption Declaration
Privacy Notice
As Required by Civil Code § 1798.17
Collection and Use of Personal Information: The Division of Law Enforcement, Bureau of Firearms in
the Department of Justice collects the information on this application pursuant to Penal Code section
28450.
The Bureau of Firearms uses this information to add a person to the Centralized List, who
identifies themselves as a dealer, importer, or manufacturer of firearms in
California.
In addition, any
personal information collected by state agencies is subject to the limitations in the Information Practices
Act and state policy. The Department of Justice's general privacy policy is available at http://oag.ca.gov/
privacy-policy.
Providing Personal Information: All personal information on this application is mandatory. Failure to
provide the mandatory personal information will result in your application not being processed.
Access to Your Information: You may review the records maintained by the Division of Law
Enforcement, Bureau of Firearms in the Department of Justice that contain your personal information, as
permitted by the Information Practices Act. See below for contact information.
Possible Disclosure of Personal Information: In order to add a person to the Centralized List, who
identifies themselves as a dealer, importer, or manufacturer of firearms in California, we may need to
share the information you provide us with any Bureau of Firearms representative or any other person
designated by the Attorney General upon request. The information you provide may also be disclosed in
the following circumstances:
■ With other persons or agencies when necessary to perform their legal duties, and their use of
your information is compatible and complies with state law, such as for investigations,
licensing, certification, or regulatory purposes;
■ To another government agency as required by state or federal law.
Contact Information: For questions about this notice or access to your records, you may contact the
Staff Services Analyst in the Customer Support Center at (916) 227-7527, via email at
firearms.bureau@doj.ca.gov, or by mail at P.O. Box 160487, Sacramento, CA 95816-0487.
ADVERTISEMENT
Page of 3