Certification of Qualifying State Relief (ATF E-Form 3210.12)

Download Certification of Qualifying State Relief (ATF E-Form 3210.12) (787.21 KB)
This form is to be used by a State to certify to the U.S. Department of Justice, Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) that it has established a qualifying mental health relief from firearms disabilities program that satisfies certain minimum criteria under the NICS Improvement Amendments Act of 2007.
Document Number: 
ATF F 3210.12 (E-Form)