Printed Name/Agency: Printed Name/Agency: Reason: Reason: Firearm Certification by (FUSWAT)/ Explosive Materia Certification by (SART): Al.!: 'Fracc Form Compte ed; 0 NCIC: 0 Printed Name: Signature: Date: Case ID: - 151 IR it Bareode: G Cis This form Is Incomplete without reference to the PO-1