1. REQUESTEE DETAILS
- FULL NAME: Alistair Moore
PHONE NUMBER: Redacted
2. MISSING FIREARM DETAILS
- Which firearm(s) are you currently reporting as missing?:
- Pistol .50
- Lost
- If Yes
- Serial Number(s): 1770769311508
- Details of Purchase: Add Estimate Dates of Purchase or Location of Purchase Here.
- Woke up in hospital and no longer had it.
- Yes
3. EXCESS REPORT PAYMENT
- Firearms license holders are subject to a $2,000 fee when submitting a missing firearm report. The fee increases to $5,000 when submitting a missing shotgun report.
Proof of Payment► Show Spoiler
4. DECLARATION
- By signing and submitting this form you agree that the information provided is accurate and truthful. If the information provided is deemed to be false or inaccurate, you will be subject to receiving the criminal charges of GF07 - Fraud and GM12 - Giving False Information to a Police Officer. Your firearms license may also be revoked.
DATE: 14/JULY/26
SIGNATURE: A Moore
