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CERTIFY THAT UNDER THE SPIRIT AND INTENT OF THE LAWS OF MARYLAND I UNDERSTAND THAT DATA RETURNED TO ME CAN ONLY BE USED AS REQUESTED AND THAT I AM NOT AUTHORIZED FOR FURTHER DISSEMINATION. SIGNATURE Date TITLE MAIL Email or FAX COMPLETED FORM TO CJIS AUTHORIZATION ADMINISTRATOR POST OFFICE BOX 32708 PIKESVILLE MARYLAND 21282-2708 Dlcjiscustomerservice7dpscs maryland. II. REASON FOR REQUEST ADULT DEPENDENT CARE For Maryland Adult Dependent Program Only ATTORNEY/CLIENT CHILD CARE Licensed...
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