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WS 101

Receipt for Surrender Firearms, Other Dangerous Weapons and Concealed Pistol License

Washington · Washington State Courts · Effective January 1, 2023

This form is a receipt used to record that a person has given up firearms, other dangerous weapons, and a concealed pistol license. It requires listing details for every item surrendered.

Open the official PDFfrom Washington State Courts

Where this fits in a case

General & info

Information / general use — not tied to one step of a case

This form is used when a defendant or restrained person must surrender weapons and licenses as part of a court order, such as an Extreme Risk Protection Order.

Prepared by the court or clerk.

Common questions

Who fills out this form?
The law enforcement official who receives the items fills out this receipt. The person who surrendered the items is the defendant or restrained person.
What must happen after this form is filled out?
The defendant or restrained person must file a copy of this receipt and a Proof of Surrender form with the court.
Does the law enforcement agency have to file this?
Yes, the law enforcement official must file the original receipt with the court within 24 hours after service of the order, or within 72 hours after service of a temporary or full Extreme Risk Protection Order.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2023.

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