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Order To Sheriff For Firearms Record Check Response To Sheriff CV-434 - Wisconsin
| Order To Sheriff For Firearms Record Check Response To Sheriff Form. This is a Wisconsin form and can be used in Civil Circuit Court Statewide . |
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FORM SUMMARY Name of Form: Form Number: Statutory Reference: Order to Sheriff for Firearms Record Check/Response of Sheriff CV-434 §§813.12(4m)(b), 813.122(5m)(b), and 813.125(4m)(d), 18 USC §921, 922 To require the local sheriff to conduct a record check to determine whether the person who is seeking return of firearms is otherwise prohibited from possessing a firearm and to provide a response form for the sheriff. Court official initiating the record check (top) Local Sheriff (bottom) Original to court, copy to sheriff A copy of the petition should be attached when sent to the sheriff Modification, last update 1/97. Added a file/date stamp to upper right corner. Added a statement on the bottom indicating that the form shall not be modified. The following is retained from the former form summary: This form can be used in any appropriate injunction proceeding, including domestic abuse (civil or family court), child abuse (civil or juvenile court), or harassment (civil or juvenile court). The caption is made specifically "generic" to allow such usage. About this form: This form is the product of the Wisconsin Records Management Committee, a committee of the Director of State Court's Office and a mandate of the Wisconsin Judicial Conference. If you have additional information that does not change the meaning of the form, attach it on a separate page. The form itself shall not be altered. Purpose of Form: Who Completes It: Distribution of Form: Accompanying Forms: New Form/Modification: Modifications: Comments: Date: May 31, 2000 Page 1 2001 © American LegalNet, Inc. For Official Use STATE OF WISCONSIN, CIRCUIT COURT, In the matter of the possesion of firearms by: COUNTY Order to Sheriff for Firearms Record Check/ Response of Sheriff Case No. (Name of person subject to firearm restriction) Date of Birth The above named person has petitioned the court to return firearms which were ordered surrendered in an injunction dated . A copy of the petition is attached. IT IS ORDERED THAT: The sheriff of this county complete the bottom portion of this order within 5 business days of receipt indicating whether or not this person: · has been convicted of a felony in a state or federal court; · has been convicted of a misdemeanor crime of domestic violence; · is prohibited by an order of any federal or state court from possessing a firearm, other than the order in this case; or · is for any other reason known to the sheriff to be prohibited from possession of a firearm. BY THE COURT: Signature of Circuit Court Judge/Family Court Commissioner Name Printed or Typed Date RESPONSE OF SHERIFF As ordered, I conducted the following records check: An NCIC records check, as of (date): . A CIB records check, as of (date): . A firearms restriction records check, as of (date): . This records check indicated that this person: has not has been convicted of a felony in a state or federal court. has not has been convicted of a misdemeanor crime of domestic violence. is not is prohibited by an order of a federal or state court from possessing a firearm other than the order in this case. is not is prohibited from possession of a firearm for other reasons known to me. (Attach further information for any affirmative answer.) Signature Distribution: 1. Original to Court 2. Copy to Sheriff Title Date CV-434, 05/00 Order to Sheriff for Firearms Record Check/ Response of Sheriff §§813.12(4m)(b), 813.122(5m)(b), 813.125(4m)(d), Wisconsin Statutes, 18USC §921.922. This form shall not be modified. It may be supplemented with additional material. Page 1 of 1 2001 © American LegalNet, Inc.
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