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Get the free Massachusetts CORI Request Form

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Este formulario es utilizado para solicitar información de antecedentes criminales (CORI) para empleados y voluntarios que trabajarán con niños en CAPE COD SEA CAMPS.
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How to fill out massachusetts cori request form

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How to fill out Massachusetts CORI Request Form

01
Obtain the Massachusetts CORI Request Form from the appropriate source, such as the Massachusetts Executive Office of Public Safety and Security website.
02
Fill in the personal identification information, including your full name, date of birth, and social security number.
03
Provide your current address and any previous addresses you have lived at in the last 5 years.
04
Indicate the purpose of the request by selecting the appropriate reason for your CORI check.
05
Sign and date the form to certify that the information provided is accurate.
06
Submit the completed form to the appropriate agency or organization as instructed.

Who needs Massachusetts CORI Request Form?

01
Individuals seeking employment that requires a background check.
02
Volunteers for organizations that work with vulnerable populations, such as children or the elderly.
03
Professionals needing licensure in certain fields that require a criminal history review.
04
Any person who needs to verify their own criminal history for personal reasons.
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While a CORI and background check might involve partly the same subject matter, a person's criminal history, that's about where the similarities stop. The CORI focuses solely on criminal records in Massachusetts.
This type of criminal record check contains only Massachusetts information and is not fingerprint supported. Please note that it may take up to ten (10) business days to receive the results of a CORI request.
Download and print out the Personal CORI Request Form from the Department of Criminal Justice Information Services (DCJIS) website. Or call DCJIS at 617-660-4600 (for TTY, call 617-660-4606) to get the form by mail. It is important to write neatly. DCJIS may send back forms that are hard to read.
A name-based criminal record check (CORI) returns information on available Massachusetts arraignments. This type of criminal record check is done by submitting the name and date of birth for a person.
CRIMINAL OFFENDER RECORD INFORMATION (CORI) TO BE USED BY ORGANIZATIONS CONDUCTING CORI CHECKS FOR EMPLOYMENT, VOLUNTEER, SUBCONTRACTOR, LICENSING, AND HOUSING PURPOSES.
Fees NameFeeUnit Personal CORI request $25 per request Open access CORI request $50 per request Affidavit of indigency $0 per request

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The Massachusetts CORI Request Form is a document used to request an individual's Criminal Offender Record Information (CORI) from the Massachusetts Department of Criminal Justice Information Services (DCJIS).
Individuals, employers, and organizations that need to conduct background checks on potential employees or individuals involved in certain activities, such as volunteer work, are required to file the Massachusetts CORI Request Form.
To fill out the Massachusetts CORI Request Form, individuals need to provide their personal information, including name, address, date of birth, and social security number. The form must also be signed and dated.
The purpose of the Massachusetts CORI Request Form is to obtain a record of any criminal history for an individual, which can be used for employment screening, volunteer applications, and other background check purposes.
The Massachusetts CORI Request Form must include the individual's full name, date of birth, address, and any other required identifiers such as the social security number. It may also require a signature authorizing the release of the CORI information.
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