Form BOF1021 "Application for Ammunition Vendor License (Non-firearms Dealer)" - California

What Is Form BOF1021?

This is a legal form that was released by the California Department of Justice - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2018;
  • The latest edition provided by the California Department of Justice;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form BOF1021 by clicking the link below or browse more documents and templates provided by the California Department of Justice.

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Download Form BOF1021 "Application for Ammunition Vendor License (Non-firearms Dealer)" - California

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STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
BOF 1021 (Orig. 01/2018)
PAGE 1 of 5
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Application for
Ammunition Vendor License (Non-Firearms Dealer)
Part A - Ammunition Vendor or Business Entity Information
Ammunition Vendor or Business Entity Name
Street Address
City
County
State
Zip Code
Mailing Address (if different)
City
County
State
Zip Code
Business Email Address
Telephone Number
Fax Number
Hours of Operation
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
to
to
to
to
to
to
to
,
,
,
,
,
,
Local Ammunition Vendor Licensing Authority (issuer of local business license)
Local Law Enforcement Agency (police or sheriff's department)
Please indicate the type of business ownership:
Individual Owner/Sole Proprietor
Limited Partnership
Corporate Ownership
Limited Liability Company
General Partnership
Limited Liability Partnership
OPTIONAL: Please provide the name, title, address, phone number, and email address of the applicant's agent for service of
process in the State of California.
Name
Title
Street Address
City
County
State
Zip Code
Email Address
Telephone Number
Fax Number
OPTIONAL: Please provide the name, title, address, phone number, and email address of the person to contact for
clarification of information provided in this application package:
Name
Title
Street Address
City
County
State
Zip Code
Email Address
Telephone Number
Fax Number
STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
BOF 1021 (Orig. 01/2018)
PAGE 1 of 5
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Application for
Ammunition Vendor License (Non-Firearms Dealer)
Part A - Ammunition Vendor or Business Entity Information
Ammunition Vendor or Business Entity Name
Street Address
City
County
State
Zip Code
Mailing Address (if different)
City
County
State
Zip Code
Business Email Address
Telephone Number
Fax Number
Hours of Operation
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
to
to
to
to
to
to
to
,
,
,
,
,
,
Local Ammunition Vendor Licensing Authority (issuer of local business license)
Local Law Enforcement Agency (police or sheriff's department)
Please indicate the type of business ownership:
Individual Owner/Sole Proprietor
Limited Partnership
Corporate Ownership
Limited Liability Company
General Partnership
Limited Liability Partnership
OPTIONAL: Please provide the name, title, address, phone number, and email address of the applicant's agent for service of
process in the State of California.
Name
Title
Street Address
City
County
State
Zip Code
Email Address
Telephone Number
Fax Number
OPTIONAL: Please provide the name, title, address, phone number, and email address of the person to contact for
clarification of information provided in this application package:
Name
Title
Street Address
City
County
State
Zip Code
Email Address
Telephone Number
Fax Number
STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
BOF 1021 (Orig. 01/2018)
PAGE 2 of 5
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Application for
Ammunition Vendor License (Non-Firearms Dealer)
Part B - Ammunition Vendor Licensee Information
Licensee Name/Responsible Party (as it appears on California driver license or identification card)
Certificate of Eligibility (COE) Number
COE Expiration Date
Federal Firearms License (FFL) Number (If applicable)
FFL Expiration Date
Local Business License (LBL) Number
LBL Expiration Date
Other Local License (OLL) Number
OLL Expiration Date
California Board of Equalization Seller's Permit Number
Part C - Additional Ammunition Vendor Licensee(s)
Please complete this section if there is more than one licensee/responsible party with a COE and LBL for the Ammunition Vendor
listed above.
Licensee Name/Responsible Party (as it appears on California driver license or identification card)
COE Number
COE Expiration Date
Licensee Name/Responsible Party (as it appears on California driver license or identification card)
COE Number
COE Expiration Date
Licensee Name/Responsible Party (as it appears on California driver license or identification card)
COE Number
COE Expiration Date
STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
BOF 1021 (Orig. 01/2018)
PAGE 3 of 5
CALIFORNIA DEPARTMENT OF JUSTICE
BUREAU OF FIREARMS
Application for
Ammunition Vendor License (Non-Firearms Dealer)
Part D - Employee Certificate of Eligibility Information
Please complete this section for every employee with a COE who who will be handling, selling, delivering, or have under his/her
custody or control any ammunition.
Employee Name (as it appears on California driver license or identification card)
COE Number
COE Expiration Date
Employee Name (as it appears on California driver license or identification card)
COE Number
COE Expiration Date
Employee Name (as it appears on California driver license or identification card)
COE Number
COE Expiration Date
Part E - Certification
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Printed Name of Licensee/Responsible Party listed in Part B
Signature
Date
Printed Name of Licensee/Responsible Party listed in Part C
Signature
Date
Printed Name of Licensee/Responsible Party listed in Part C
Signature
Date
Printed Name of Licensee/Responsible Party listed in Part C
Signature
Date
Part F - Fees
Ammunition Vendor License Annual Fee:
$198
Please make a check or money order payable to the Department of Justice. Mail check and completed application to the
below address:
Department of Justice
Bureau of Firearms - Ammunition Vendor Licensing Unit
P.O. Box 160487
Sacramento, CA 95816-0487
STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
BOF 1021 (Orig. 01/2018)
PAGE 4 of 5
Application for
Ammunition Vendor License (Non-Firearms Dealer)
INSTRUCTIONS
Application Requirements
Applications for an ammunition vendor license 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 by copies of the Federal Firearms License (FFL) (if applicable), Local
Business License (LBL), the Board of Equalization's Seller's Permit for each individual identified as a licensee in conjunction with the
business, and a listing of all employees with a certificate of eligibility (COE). If you have any questions, please contact the Bureau of
Firearms at (916) 227-2665.
Part A - Ammunition Vendor or Business Entity Information
• Provide the ammunition vendor or business entity name, telephone number, fax number, physical location, mailing address, and
business email address. The physical location information is frequently different when a post office box or a rural route number
is used as the mailing address.
• Provide type of business ownership.
• Name, title, address, phone number, and email address of the applicant's agent for service of process in the State of California.
Please reference weblink http://www.sos.ca.gov/business-programs/business-entities/service-process/ for more information
regarding service of process.
• Name, title, address, phone number, and emaill address of the person to contact for clarification of information provided in this
application package.
• Provide the ammunition vendor's hours of operation for each day of the week listed, using hh:mm AM/PM format.
• Provide the local ammunition vendor licensing authority's name, along with the name of the police or sheriff's
department that is responsible for law enforcement protection in your community. The local licensing authority is the local
department or bureau that issues the local business license in your jurisdiction.
Part B - Ammunition Vendor Licensee Information
• Provide the licensee name/responsible party as it appears on his/her California driver license or identification card, along with
their corresponding (COE), (FFL) (if applicable), and (LBL), numbers and expiration dates. The Board of Equalization Seller's
Permit number must also be provided.
Part C - Additional Ammunition Vendor Licensees
• Each additional licensee/responsible party who is listed on the FFL (if applicable), LBL, and Board of Equalization Seller's
Permit, and who desires to be identified as a responsible party for this business must also provide his/her name as it appears on
their California driver license or identification card along with their corresponding COE number and expiration date. Part C may
be copied to accommodate as many additional licensees as necessary.
Part D - Employee Certificate of Eligibility Information
• For each agent or employee who has access to ammunition for this business, the licensee must provide the agent's or
employee's name as it appears on their California driver license or identification card along with their corresponding COE
number and expiration date. Part D may be copied to accommodate as many additional employees as necessary.
Part E - Signatures
• The licensee(s) must sign and date the certification statement affirming the information provided is true and correct. Part E may
be copied to accommodate as many additional signatures as necessary.
Part F - Fees
• The ammunition vendor license fee is $198.
• Make check or money order payable to the Department of Justice for the appropriate remittance. 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 - Ammunition Vendor Licensing Unit
P.O. Box 160487
Sacramento, CA 95816-0487
Allow 30 business days for processing initial applications.
STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
BOF 1021 (Orig. 01/2018)
PAGE 5 of 5
Privacy Notice
As Required by Civil Code § 1798.17
Collection and Use of Personal Information: The Division of Law Enforcement in the Department of
Justice collects the information requested on this form as authorized by Penal Code section 30385. The
Division of Law Enforcement uses this information to establish grounds for the issuance of the license or
permit indicated on this application. 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 the personal information requested in the form must be provided.
If you fail to provide any of the required personal information, the unprocessed report will be returned to
you for completion and resubmission.
Access to Your Information: You may review the records maintained by the Division of Law
Enforcement 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 ensure you are not prohibited and establish
grounds for the issuance of the license or permit indicated on this application, we may need to share the
information you give us with entities as authorized in Penal Code section 11105. The information you
provide may also be disclosed in the following circumstances:
■ With other persons or agencies where necessary to perform their legal duties, and their use of
your information is compatible and complies with state law, such as for investigations or for
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.
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