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Order To Surrender Weapon Form. This is a Washington form and can be use in Antiharassment Statewide.
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Tags: Order To Surrender Weapon, UH-04.0400, Washington Statewide, Antiharassment
COURT OF WASHINGTON
FOR
NO.
Petitioner
vs.
Respondent
ORDER TO SURRENDER
WEAPON (HARASSMENT) (ORWPN)
(Clerk's Action Required)
THIS MATTER CAME ON regularly before the court on a Petition for Surrender of Weapon. Based
upon the petition, testimony, and the case record, the court finds:
By clear and convincing evidence that
Petitioner
Respondent has used, displayed, or threatened to
use a firearm or other dangerous weapon in a felony, or previously committed any offense making him or her
ineligible to possess a firearm under RCW 9.41.040, AND IT IS THEREFORE ORDERED that said party:
Surrender any firearm or other dangerous weapon to
the sheriff of _______________________________________________County.
chief of police of city of _____________________________________.
that party's counsel.
other __________________________________________________________________________;
Surrender any concealed pistol license issued under RCW 9.41.070; and
Is prohibited from obtaining or possessing a firearm or other dangerous weapon or concealed pistol license.
ORD TO SURRENDER WEAPON (HARASSMENT) (ORWPN) - Page 1 of 2
WPF UH-04.0400 (9/2000) - RCW 9.41.800
2001 © American LegalNet, Inc.
By a preponderance of the evidence that
Petitioner
Respondent has used, displayed, or threatened
to use a firearm or other dangerous weapon in a felony, or previously committed any offense making him or
her ineligible to possess a pistol under RCW 9.41.040,
OR
That possession of a firearm or other dangerous weapon by the nonmoving party presents a serious and
imminent threat to public health or safety, or to the health or safety of any individual,
AND IT IS THEREFORE ORDERED that said party:
Surrender any firearm or other dangerous weapon to
the sheriff of ____________________________________________ County.
chief of police of city of __________________________________.
that party's counsel.
other_________________________________________________________________________
Surrender any concealed pistol license issued under RCW 9.41.070.
Is prohibited from obtaining or possessing a firearm or other dangerous weapon or concealed pistol license.
This order expires on
.
(date)
The clerk of the court shall forward a copy of this order on or before the next judicial day to:
________________________________ County Sheriff's Office or ____________________________ Police
Department where petitioner lives which shall enter this order in any computer-based criminal intelligence
system available in this state used by law enforcement to list outstanding warrants.
________________________________ County Sheriff's Office or ____________________________ Police
Department where respondent lives which shall personally serve the respondent with a copy of this order, the
Temporary Order, and the Petition, and shall promptly complete and return to this court proof of service.
DATED
at
a.m./p.m.
JUDGE/COMMISSIONER
Presented by:
Moving Party
I acknowledge receipt of a copy of this Order.
Date
Receiving Party
Date
ORD TO SURRENDER WEAPON (HARASSMENT) (ORWPN) - Page 2 of 2
WPF UH-04.0400 (9/2000) - RCW 9.41.800
2001 © American LegalNet, Inc.