Firearms Certificate Ended Notification Reporting Link

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* 1. Firearms Certificate Number

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* 2. Employee Name

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* 3. Employee Last 4 of Social Security Number

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* 4. Employee Date of Birth

Date / Time

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* 5. Employee Agency

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* 6. Employment End Date

Date / Time

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* 7. Employment End Type

Termination

Quit

Other (please specify)

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* 8. Your name and position

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* 9. Your email