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Form #3055B (09/2022) Photocopy Locally as Needed YORK STATE DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISIONS ITE VISIT REPORT Assigned Supervisor___ Date of Site Visit ___ Requesting Organization
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Obtain the NYS Department of Corrections form
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Who needs nys department of corrections?

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Individuals who have been sentenced to serve time in a New York State correctional facility
02
Correctional staff who need to process and maintain records of inmates
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The New York State Department of Corrections is responsible for the confinement and rehabilitation of individuals who have been convicted of crimes in the state of New York.
Employers in New York State are required to file nys department of corrections for their employees who have been convicted of crimes.
To fill out nys department of corrections, employers must provide information about the employee's conviction, sentence, and any other relevant details.
The purpose of nys department of corrections is to provide information to employers about their employees' criminal history and to ensure public safety.
Information that must be reported on nys department of corrections includes the employee's name, date of birth, social security number, the nature of the crime, and the date of conviction.
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