PhoneThis field is for validation purposes and should be left unchanged.DATE* MM slash DD slash YYYY NAME* First Last PID#* PERTAINING TO THIS WEAPON: Qualification Type*HandgunRifleShotgunClean*YesNoFunctioning*YesNoOptic*YesNoOptic Make and ModelFIREARM INFORMATIONBrand*MODEL*SERIAL NUMBER*CALIBER*9 MM 404522312 GAUGEOTHERCALIBER OTHEREMPLOYEE SIGNATURE (include date signed)*FIREARMS INSTUCTOR SIGNATURE (include date signed)*
