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Get the free CORI REQUEST FORM

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This form is used by the Board of License Commissioners in Springfield to conduct criminal history checks for license applicants.
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How to fill out cori request form

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How to fill out CORI REQUEST FORM

01
Obtain a CORI REQUEST FORM from the appropriate agency or website.
02
Fill out your personal information in the designated fields, including your name, date of birth, and social security number.
03
Indicate the purpose for which you are requesting the CORI information.
04
Provide any necessary identification documents as required.
05
Review the completed form for accuracy and completeness.
06
Sign and date the form at the designated place.
07
Submit the form according to the instructions provided, either by mail or in person.

Who needs CORI REQUEST FORM?

01
Individuals applying for jobs that require a background check.
02
Employers who need to verify the criminal history of potential employees.
03
Organizations working with vulnerable populations that require background screenings.
04
Landlords conducting background checks on prospective tenants.
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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 CORI form must be accompanied by a copy of one of the following: Driver's License. Passport. Alien Registration Card. Employment Authorization Card. US Military Identification Card.
Fees NameFeeUnit Personal CORI request $25 per request Open access CORI request $50 per request Affidavit of indigency $0 per request
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.
The CORI report you get lists all your cases. Your report includes cases that were dismissed or cases where you were found not guilty. The CORI report many employers get lists your open cases and cases that ended in a conviction. Convictions are cases where you were found guilty.

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The CORI REQUEST FORM is a document used to request a Criminal Offender Record Information (CORI) check in Massachusetts. It provides individuals and organizations with access to an individual's criminal history for specific purposes, such as employment or licensing.
Employers, volunteer organizations, and certain licensing agencies are required to file the CORI REQUEST FORM when they wish to conduct background checks on potential employees or volunteers, especially in positions that involve working with vulnerable populations.
To fill out the CORI REQUEST FORM, one must provide personal information about the individual being checked, including their name, date of birth, and address. Additionally, the requestor's information must be included. It's important to follow the specific instructions provided on the form and ensure all required fields are completed.
The purpose of the CORI REQUEST FORM is to obtain an individual's criminal history record to inform decisions related to employment or licensure, ensuring that individuals who may pose a risk to public safety are appropriately evaluated before being allowed to take on certain responsibilities.
The CORI REQUEST FORM must report the individual's full name, date of birth, gender, social security number (if applicable), and current address. It may also require the requestor's information and the purpose of the request.
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