Court of Washington
For
No.
Plaintiff
Notice of Ineligibility to Possess
vs. Firearm
(NTIPF)
Defendant.
To the Above-Named Defendant:
You are hereby advised that you have been convicted of one or more of the following crimes
committed by one family household member against another.
Fourth Degree Assault Coercion Stalking Reckless Endangerment in the Second Degree
Criminal Trespass in the First Degree Violation of a Protection Order or No-Contact Order
You must immediately surrender any firearm or other dangerous weapon and any concealed pistol
license. You may not possess, own or have under your control a firearm, and under federal law any
firearm or ammunition, other dangerous weapon, or a concealed pistol license until your right has been
restored by the court of record that ordered the prohibition on possession of a firearm or the superior
court where you live, and by a federal court if required. Violation is a felony.
This document has been read to the defendant.
Dated:
Defendant’s Signature Judge/Commissioner/Pro Tem
Defendant’s Last Name First Name Middle Name
List any aliases
Residential Street Address
City State Zip
Date of Birth (month/date/year) Driver’s License/ID Number
Race ____________ Sex _________ Weight __________ Height ________ Eyes _________ Hair
_________
Court NCIC # ___________________________________
Submit to: Dept. of Licensing, Business & Professions Firearms Unit, PO Box 9649, Olympia, WA 98507-
9649
Notice of Ineligibility to Possess Firearm (NTIPF) - Page 1 of 1
CrRLJ 07.0800 - (08/2011) RCW 9.41.040, .800
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