Rule text
[Extreme Risk Firearm Protection Order Act, NMSA 1978, Sections 40-17-1 to -13]
STATE OF NEW MEXICO COUNTY OF ________________________ __________________ JUDICIAL DISTRICT
IN THE MATTER OF AN EXTREME RISK FIREARM PROTECTION ORDER FOR _______________________________ (Respondent) _______________________________ (Respondent's full date of birth)
No. _________________________
EXTREME RISK FIREARM PROTECTION ORDER (ERFPO) FIREARM RELINQUISHMENT RECEIPT FORM
1. Respondent's Information - Person Subject to an Extreme Risk Firearm Protection Order (ERFPO)
Name: ________________________________________________________________
Mailing Address: ________________________________________________________
City: _______________________________ State: ___________ Zip: _____________
Email:_________________________________________________________________
RESPONDENT: The Court has ordered you to LAW ENFORCEMENT: The Court has ordered immediately relinquish all firearms in your Respondent in the above listed ERFPO to possession, custody, or control. You must immediately relinquish all firearms in their deliver your unloaded firearms to either a law possession, custody, or control. If firearms have enforcement officer, who will complete section been relinquished to law enforcement, complete 2, or to a federal firearms licensee, who will sections 2 and 4 of this form. Once completed, complete section 3. You must immediately file you must immediately file this form with the this completed form with the Court to prove that Court to confirm the respondent's compliance you have obeyed the Court's order. with the Court's order. 2. To Be Completed by Law Enforcement 3. To Be Completed by Firearms Dealer make sure to sign on page 2 make sure to sign on page 2 Fill out sections 2 and 4 of this form. You must Fill out sections 3 and 4 of this form. Keep a immediately file this form with the Court to confirm copy of this form and give the original to the the respondent's compliance with the Court's person who turned in the firearm(s). relinquishment order. The firearm(s) listed in section 4 were: The firearm(s) listed in section 4 were turned in on: □ sold to me □ transferred to me for storage on: __________________ at __________ □ am □ pm _________________ at _________ □ am □ pm date time date time Name of Law Enforcement Agency: To:____________________________________ _______________________________________ Name of Federal Firearms Licensee (FFL) - Please Print Please Print Licensee number: ________________________
4. List of Firearms
Initials - Person MAKE MODEL SERIAL NUMBER Accepting Firearms 1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
□ Check this box if more than ten (10) firearms were turned in, sold, or stored. Attach another sheet to this form that lists the make, model, serial number and the initials of the person accepting firearms.
I declare under penalty of perjury under the laws of the State of New Mexico that I took possession of a total of ______________ (number) firearm(s) belonging to the respondent subject to the ERFPO.
____________________________________ _______________________________________ Name - Please Print Signature of Law Enforcement or FFL Location where respondent may later retrieve firearms upon the expiration or termination of the ERFPO:
Street address: _________________________________________________________
City: ____________________________ State: _____________ Zip: _______________
[Adopted by Supreme Court Order No. S-1-RCR-2024-00097, effective for all cases filed on or after December 31, 2025.]