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Old Colony Council, Boy Scouts of America 2438 Washington St., Canton MA 02021 Tel: (781) 828-8360 * Fax: (781) 828-0543 Old Colony Council BSA 172H Agency Code: CSQNT CHAPTER 6, 172H CORI REQUEST.

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Follow the steps to complete the Old Colony Council form online.

  1. Press the ‘Get Form’ button to obtain the form and access it in your document editor.
  2. Begin by filling out the applicant information section. Enter the last name, first name, and middle name of the individual for whom the request is being made.
  3. If applicable, provide the maiden name or any alias used by the individual. Next, fill in the place of birth and date of birth.
  4. Include the individual's social security number. While the ID Theft Index PIN is requested, it is not mandatory to complete this field.
  5. Provide the mother’s maiden name and list the current and any former addresses for the individual.
  6. If the individual has a driver's license, enter the state driver’s license number along with the state of issue.
  7. Verify the provided information by reviewing an acceptable form of government-issued photographic identification and document it in the specified field.
  8. Finally, ensure that the form is signed by the authorized employee who is completing the CORI request.
  9. Once all sections are completed, you can save changes, download the document, print it for records, or share it as required.

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UT TC-69 2021 VA VA-NVRA-1 2020 AU B374 2018 CA FTB 565 2020

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