NICS Index Mental Submission Check List Background ‘ 2 formation, type oF print legibly: Bo Caguney mist be Agency ti Moron ion, type oF priat Lepibty: Gmmired Fela Kane bs -3 per ror —b1e -9 Per FRx categorise your entey onday cue OF the following: involuntarily Cond tted for Prentnent ide the name of the in approximate date of coun tmen: utlon, court, or lawful authortey ana ene y Hames Adjudicated as a Mental Please footive entation from the court, bears, the reason below for the adjuiica rovide doc checknes ne noneal who ie £ who Ae of Lack of mont DLE oF co others age his own afi ai or found not ges? be ~4 per Far E-nai2. form and supporting docurentation to: Ena datamnaitecctbicgos Questions please call (848) 265-6726 20-cy-206(FBI)-325