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This document is a CORI authorization form required for applicants prior to entering a program, allowing the Massachusetts Department of Public Health to request criminal record information.
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How to fill out authorization to request criminal
How to fill out Authorization to Request Criminal Offender Record Information
01
Obtain the Authorization to Request Criminal Offender Record Information form from the appropriate agency.
02
Fill in your personal details including your full name, date of birth, and any other requested identification information.
03
Provide your current address, ensuring it is accurate and up-to-date.
04
Specify the purpose for requesting the criminal record information.
05
Sign and date the form to certify that the information is correct and that you authorize the request.
06
Submit the completed form to the designated agency or organization responsible for processing criminal records.
Who needs Authorization to Request Criminal Offender Record Information?
01
Individuals applying for jobs that require background checks.
02
Agencies conducting background checks for employment or volunteer positions.
03
Schools that need background checks for staff or volunteers working with children.
04
Licensing boards for professionals needing to verify criminal history as part of the licensing process.
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People Also Ask about
How can I get a copy of my criminal record in Massachusetts?
Get the CORI request form and fill it out. 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.
What does non-conviction mean in Massachusetts?
Records of a misdemeanor case resolved by a finding of not guilty, a finding of no probable cause, a nolle prosequi, or a dismissal can be sealed by the commissioner of probation after five years. ALM CL ch. 276,§ 100A. No conviction obtained.
How do I request a criminal record in Massachusetts?
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.
How many years does a CORI check go back in Massachusetts?
Felony convictions are included in CORI reports only for ten years after final disposition (including termination of any period of incarceration). Misdemeanor convictions will be reported only for five years after final disposition (again, including termination of any period of incarceration).
What is a CORI check in Massachusetts?
A name-based criminal record check (CORI) returns information on available Massachusetts arraignments.
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What is Authorization to Request Criminal Offender Record Information?
Authorization to Request Criminal Offender Record Information is a formal document that grants permission to an entity to access an individual's criminal history records, typically for purposes like employment, licensing, or other background checks.
Who is required to file Authorization to Request Criminal Offender Record Information?
Individuals or organizations that intend to perform background checks on potential employees or applicants, especially in sensitive positions such as those involving vulnerable populations, are required to file this authorization.
How to fill out Authorization to Request Criminal Offender Record Information?
To fill out the authorization, one typically needs to provide personal details including full name, date of birth, social security number, and current address. Additionally, a signature is required to indicate consent.
What is the purpose of Authorization to Request Criminal Offender Record Information?
The purpose of the authorization is to ensure that individuals are informed and give consent for their criminal records to be accessed, ensuring compliance with legal regulations and privacy rights.
What information must be reported on Authorization to Request Criminal Offender Record Information?
Information that must be reported typically includes the applicant's full name, alternative names, date of birth, social security number, and the specific reason for the request, along with the signature of the individual providing consent.
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