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E/ZIP 7. Telephone: of Pages 4. Agency Code: 8. Email Address: Form Instructions: This form must be typed or printed in ink and be signed by the Chief Law Enforcement Officer. It is used to delete or modify existing registry information. To add new personnel, please use the Police Registry Entry Form / Certification of Initial Employment (DCJS 2214-A). Mail completed forms to: NYS Division of Criminal Justice Services Office of Public Safety Records Unit Alfred E. Smith State Office Bu.
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