ime Time Signature: Signature: Printed Name/Agency: Printed Name/Agency. Reason: ---...__,______ Reason: Firearm Certification by (PUSWAT) t Explosive Material Certification by (SABT): Printed Name: Signature: Date: ATF Trace Form Completed:1D NCIC: K Case ID: 15021- r. J Barcodc: 6S7 61QC This form is incom