Policy Text
Name
(Please Print)
Signature Date
Manufacturer
ModelSerial
Approved Disapproved DateThe firearm, magazines, holster, and magazine holders have been inspected and fit the
specifications outlined in General Orderd 4.3.7 and 4.3.8. The requesting Officer has passed a
safe handling exercise and range qualification per General Order 4.3.10. Caliber
Barrel Length
Magazine CapacityLast NameUniversity of California San Francisco Police Department
Personally Owned Firearm Approval
Request a nd Registration
Firearm IdentificationRequesting Officer
Per General Order 4.3.8, I am requesting permission to carry a personally owned firearm.
On Duty Uniform Patrol On Duty Back-Up First Name
(Check all that apply)
Copies to: Professional Standards, Firearms Training Unit Chain of CommandOn Duty Plain Clothes/Admin Off Duty Concealed Carry
Signature
Chief of PoliceAuthorization
Rangemaster
Firearms Instructor
Professional Standards