Question Title

* 1. Firearms Certificate Number

Question Title

* 2. Employee Name

Question Title

* 3. Employee Last 4 of Social Security Number

Question Title

* 4. Employee Date of Birth

Date

Question Title

* 5. Employee Agency

Question Title

* 6. Employment End Date

Date

Question Title

* 7. Employment End Type

Question Title

* 8. Your name and position

Question Title

* 9. Your email

T