SAPS 522(b)

SOUTH AFRICAN POLICE SERVICE

Forfeiture of firearm item(s)

 SAPS 522(b)

INSTRUCTIONS: FORFEITURE OF FIREARM ITEM(S)

GENERAL INSTRUCTIONS

• A forfeiture of firearm item(s) form must be completed in black 8. Postal code

ink that cannot be erased.
• The forfeiture form must be stamped with the official date stamp The postal code of the licence, permit or authorization holder’s
of the police station where it is received. residential address must be recorded in paragraph B 8.
• The police station where the firearm item is kept must complete
Section A to D. 9. Postal address
• A person is guilty of an offence in terms of the Firearms Control
Act, 2000 (Act No 60 of 2000), if he/she provides information The postal address of the holder of the licence, permit or
which he/she knows is false on this forfeiture form. authorization must be recorded in paragraph B 9.

SECTION A: FOR OFFICIAL USE BY THE POLICE STATION 10. Postal code
WHERE FIREARM ITEM IS KEPT
The postal code of the licence, permit or authorization holder’s
1. Province postal address must be recorded in paragraph B 10.

The name of the province where the police station is situated 11. Telephone number
(for example, Gauteng) must be recorded in paragraph A 1.
11.1 Home: The holder of the licence, permit or authorization’s home
2. Area telephone number, including the dialling code, (for example,
(012) 667 1923) must be recorded in paragraph B 11.1.
The name of the area where the police station is situated (for
example, Pretoria) must be recorded in paragraph A 2. 11.2 Work: The holder of the licence, permit or authorization’s work
telephone number, including the dialling code, (for example,
3. Police station (011) 577 5913) must be recorded in paragraph B 11.2.

The name of the police station where the forfeiture of firearm 11.3 Cellphone number
item(s) form was received (for example, Brooklyn) must be
recorded in paragraph A 3. The cellphone number (if applicable) of the holder of the licence,
permit or authorization must be recorded in paragraph B 11.3.
4. Component code
12. Fax
The component code of the police station where the forfeiture
of firearm item(s) form was received (for example, 47) must be The fax number, including the area dialling code, of the holder of
recorded in paragraph A 4. the licence, permit or authorization must be recorded in
paragraph B 12.
5. Property (SAPS 13) register reference number
13. E-mail address
The annual serial number in the property register allocated to
the firearm item(s) (for example,135/2002) must be recorded in The e-mail address (if applicable) of the holder of the licence,
paragraph A 5. permit or authorization must be recorded in paragraph B 13.

SECTION B: PARTICULARS OF HOLDER OF THE LICENCE, 14. JURISTIC PERSON’S DETAILS

PERMIT OR AUTHORIZATION
15. OTHER BODIES
1. NATURAL PERSON’S DETAILS
16. Registered company name
2. SA ID/Passport
The registered company name of the holder of the licence,
The type of identification of the holder of the licence, permit or permit or authorization must be recorded in paragraph B 16.
authorization must be indicated with an X in paragraph B 2.
17. Trading as name
3. Identity number of natural person
The trading as name of the holder of the licence, permit or
The identity number of the holder of the licence, permit or authorization must be recorded in paragraph B 17.
authorization must be recorded in paragraph B 3.
18. FAR number
4. Passport number of natural person
The registration number of the holder of the licence, permit or
The passport number of the holder of the licence, permit or authorization must be recorded in paragraph B 18.
authorization must be recorded in paragraph B 4.
19. Postal address
5. Surname
The postal address of the holder of the licence, permit or
The surname of the holder of the licence, permit or authorization authorization must be recorded in paragraph B 19.
must be recorded in paragraph B 5.
20. Postal code
6. Initials
The postal code of the licence, permit or authorization holder’s
The initials of the holder of the licence, permit or authorization postal address must be recorded in paragraph B 20.
must be recorded in paragraph B 6.
21. Business address
7. Residential address
The physical address where of the holder of the licence, permit
The physical address where the holder of the licence, permit or
or authorization conducts business must be recorded in
authorization resides must be recorded in paragraph B 7.
paragraph B 21.

I
 SAPS 522(b)

22. Postal code

4. Make
The postal code of the licence, permit or authorization holder’s
business address must be recorded in paragraph B 22. The make of the firearm must be recorded in paragraph C 4.

23. Business telephone number 5. Model

23.1 Work: The licence, permit or authorization holder’s work The model of the firearm must be recorded in paragraph C 5.
telephone number, including the dialling code, (for example,
(011) 577 5913) must be recorded in paragraph B 23.1. 6. Barrel serial number

23.2 Fax The barrel serial number of the firearm must be recorded in
paragraph C 6.
The licence, permit or authorization holder’s fax number,
including the dialling code, (for example, (012) 667 1923) must 6.1 Make
be recorded in paragraph B 23.2 .
The make of the barrel must be recorded in paragraph C 6.1.
24. E-mail address
7. Frame serial number
The e-mail address (if applicable) of the holder of the licence,
permit or authorization must be recorded in paragraph B 24. The frame serial number of the firearm must be recorded in
paragraph C 7.
25. RESPONSIBLE PERSON’S DETAILS
7.1 Make
26. Responsible person (Name and surname)
The make of the frame must be recorded in paragraph C 7.1.
The responsible person’s name and surname must be
recorded in paragraph B 26. 8. Receiver serial number

27. Type of identification (Indicate with an X) The receiver serial number of the firearm must be recorded in
SA ID/Passport number paragraph C 8.

The responsible person’s type of identification must be indicated 8.1 Make

with an X in paragraph B 27.
The make of the receiver must be recorded in paragraph C 8.1.
28. Identity number of responsible person
9. DETAILS OF PARTS
The identity number of the responsible person must be recorded
in paragraph B 28. 10. Description of part
29. Passport number of responsible person A description of the part of the firearm must be recorded in
paragraph C 10.
The passport number of the responsible person must be
recorded in paragraph B 29. 11. Associated firearm make
30. Cellphone number
The make of the firearm associated with the forfeited part must
be recorded in paragraph C 11.
The cellphone number (if applicable) of the responsible person
must be recorded in paragraph B 30.
12. Associated firearm model
31. Physical address
The model of the firearm associated with the forfeited part must
be recorded in paragraph C 12.
The physical address where the responsible person resides
must be recorded in paragraph B 31.
13. DETAILS OF AMMUNITION
32. Postal code
14. Calibre
The postal code of the responsible person’s physical address
must be recorded in paragraph B 32. The calibre of the ammunition must be recorded in paragraph
C 14.
33. Postal address
15. Quantity
The postal address of the responsible person must be recorded
in paragraph B 33. The quantity of the ammunition must be recorded in paragraph
C 15.
34. Postal code
16. Reason(s) for forfeiture
The postal code of the responsible person’s postal address
must be recorded in paragraph B 34. The reason(s) for forfeiture must be recorded in paragraph C 16.

SECTION C: PARTICULARS OF FIREARM ITEM(S) FORFEITED 17. Disposal instruction

1. DETAILS OF FIREARM The disposal instruction must be recorded in paragraph C 17.

2. Type 18. Forfeiture date

The type of the firearm must be recorded in paragraph C 2. The date on which the item was forfeited must be
recorded in paragraph C 18.
3. Calibre

The calibre of the firearm must be recorded in paragraph C 3.

II
 SAPS 522(b)

SECTION D: FOR OFFICIAL USE BY THE POLICE STATION

1. Name of police official in block letters

The initials and surname (in block letters) of the police official
who receives the forfeiture of firearm item form must be
recorded in paragraph D 1.

2. Date

The date on which the police official receives the forfeiture of

firearm item form must be recorded in paragraph D 2.

3. Rank of police official in block letters

The rank (in block letters) of the police official who receives the
forfeiture of firearm item form must be recorded in paragraph
D 3.

4. Place

The city/town where the police official receives the forfeiture

firearm item must be recorded in paragraph D 4.

5. Signature of police official

The signature of the police official who receives the forfeiture of

firearm item form must be recorded in paragraph D 5.

6 Persal number of the police official

The SAPS Persal number of police official who receives the

forfeiture of firearm item form must be recorded in paragraph
D 6.

III