CALIFORNIA DEPARTMENT OF JUSTICE HANDGUN …ag.ca.gov/firearms/forms/pdf/hscof.pdf · CALIFORNIA...
Transcript of CALIFORNIA DEPARTMENT OF JUSTICE HANDGUN …ag.ca.gov/firearms/forms/pdf/hscof.pdf · CALIFORNIA...
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BOF 038 (Rev. 04/2012) PAGE 1 of 1
CALIFORNIA DEPARTMENT OF JUSTICE HANDGUN SAFETY CERTIFICATE PROGRAM
SUPPLY ORDER FORM
Note: Orders on priced items must be accompanied by a check or money order made payable to Department of Justice.
ITEM PRICE QUANTITY TOTAL COST
HSC Certificate Set of 10* $150.00 per set (sets only)
HSC Study Guide (English Language) $ .50 each
Child/Safety Warning Tags no charge no charge
HSC English and Spanish Language DVD no charge no charge
HSC Written Test Set* (English Language) no charge no charge
HSC Written Test Set* (Spanish Language) no charge no charge
Certified Instructor Manual no charge no charge
*Item may be ordered only by DOJ Certified Instructor TOTAL =
Department of Justice Certified Instructor InformationCertified Instructor Last Name Certified Instructor First Name Certified Instructor Middle Name
Certified Instructor Number Daytime Telephone Number Email Address
Physical Address City State Zip Code
Shipping Address (if different) City State Zip Code
Signature Date
Please mail to to the following address:
California Department of Justice Bureau of Firearms, HSC
P.O. Box 160367 SACRAMENTO, CA 95816-0367
DOJ Use Only
Date Received: _______________________
Date Processed: ________________________