Transcription of Chicago Police Department Gun Registration …
1 Chicago Police DepartmentGun Registration Program - Room 10273510 S Michigan AvenueChicago, illinois 60653 AFFIDAVIT OF EMPLOYMENT FOR PEACE OFFICERSThe purpose of this affidavit is to certify law enforcement Probationary Police Officers must submit affidavits with all duty-related firearms. Enclose the completed affidavit withthe completed Firearms Registration application ( ). Police Officers may complete and print this form online at the Department Directives must be received by the Chicago Police Department within ten days of the date on the must be registered as per Department for filling out form (if filling out form thru the online Department Directives System). signature of approving agency form and supporting documentation to the: Chicago Police DepartmentGun Registration Program3510 S. Michigan Avenue - Room 1027 Chicago illinois , 60653 AFFIDAVIT OF EMPLOYMENTDATE:This is to certify that (Name)Social Security NumberIs a peace officer employed byORI handgun described below is authorized as a duty related weapon by this agency and was acquired by the above namedpeace officer in compliance with all applicable state and federal laws and regulations governing the purchase, transfer andownership (REV.)
2 10/13)For Office Use OnlyMAKE:MODEL:SERIAL NO:TYPE:CALIBER:RevolverSemi-Automatic PistolOther (Specify)SIGNATURE OF APPLICANTDATE:PHONE NO:SIGNATURE & TITLE - AGENCY REPRESENTATIVE
