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THE COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF PUBLIC SAFETY AND SECURITY Department of Criminal Justice Information Services 200 Arlington Street, Suite 2200, Chelsea, MA 02150 TEL: 6176604640
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Obtain the Massachusetts CORI Acknowledgement Form from the appropriate agency or organization.
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Read the instructions carefully before filling out the form.
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Fill in your personal information accurately, including your full name, date of birth, and address.
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Who needs massachusetts cori acknowledgement form?

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Individuals who are required to undergo a Criminal Offender Record Information (CORI) check in Massachusetts.
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Employers, volunteer organizations, and licensing agencies may request individuals to fill out the Massachusetts CORI Acknowledgement Form.
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The Massachusetts CORI acknowledgement form is a document that individuals must complete to acknowledge their understanding of the criminal offender record information (CORI) laws in Massachusetts and how their criminal history can be used in the context of employment or other purposes.
Employers and certain organizations that conduct background checks on potential employees or volunteers are required to file the Massachusetts CORI acknowledgement form for those individuals.
To fill out the Massachusetts CORI acknowledgement form, individuals should provide their personal information, including name, address, and date of birth, and then sign the form to confirm their acknowledgment of the CORI policies.
The purpose of the Massachusetts CORI acknowledgement form is to ensure that individuals are aware of and consent to the use of their criminal records in background checks for employment or other legal purposes.
The information that must be reported on the Massachusetts CORI acknowledgement form includes the individual's full name, address, date of birth, and a signature confirming their acknowledgment of the CORI process.
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