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District: Program: Season: MAH Number: CHAPTER 6, 172H CORI REQUEST FORM Massachusetts Hockey, Inc. is requesting all the available criminal offender record information (CORI) on the following individual.

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How to fill out the Cori Form online

Filling out the Cori (Criminal Offender Record Information) Form is an essential step for organizations working with individuals under 18 years of age. This guide will help you navigate the process of completing the form online with clarity and ease.

Follow the steps to successfully complete the Cori Form.

  1. Click the ‘Get Form’ button to access the Cori Form and open it in your preferred online editor.
  2. Begin by filling in the district, program, and season at the top of the form. These fields help identify the context of the information request.
  3. In the volunteer information section, input the individual's last name, first name, middle name, maiden name or alias (if applicable), and date of birth. This information is crucial for accurate identification.
  4. Provide the place of birth and social security number. The social security number is requested to verify identity, though its provision is not mandatory.
  5. Fill in the current address, and if applicable, the former address. This helps to trace the individual’s history.
  6. Record the volunteer's sex, height, weight, and eye color. Accurate physical descriptions can assist in the identification process.
  7. If the volunteer has a driver's license, enter the driver's license number and state of issuance.
  8. Indicate how the above information was verified by checking the appropriate box for the selected form of government-issued photographic identification.
  9. Complete the requested by section, including your name and signature if you are an authorized employee to submit the request.
  10. After filling in all sections, ensure that all information is accurate and save your changes. You can then download, print, or share the completed form as needed.

Start completing your Cori Form online today to ensure your organization is in compliance.

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Contact support

Download 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.

Individuals with a valid Massachusetts drivers license or I.D. can register online to use the iCORI system to receive their personal CORI.

CORI: the term “CORI” is an abbreviation for Criminal Offender Record Information.

Most results are returned within a few minutes or a few days, however, processing can take up to 10 business days.

There is a fee of $25 for your CORI. After you have the request form notarized, mail it ing to the instructions along with a check or money order for the $25 fee and a stamped envelope addressed to yourself.

If you have a valid Massachusetts I.D. or driver's license, you may submit your CORI request online at Mass.gov/CJIS. This form is only to be used to request your own personal CORI information.

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