Get (cori) Acknowledgement Form - Mass.gov - Mass

This guide provides clear and detailed instructions on how to complete the (cori) Acknowledgement Form required for criminal record checks in Massachusetts. Whether you are a license applicant or a current licensee, this step-by-step approach will help you fill out the form accurately and effectively.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to access the (cori) Acknowledgement Form and open it for editing.
2. Begin by filling out your personal information in the designated fields. You must provide your last name, first name, middle name, and any suffix. Also include your maiden name or any other names you have been known by, your date of birth, and place of birth.
3. Enter the last six digits of your social security number, sex, height, and eye color in their respective fields.
4. Provide your driver's license or ID number along with the state of issue. This ensures proper verification of your identity.
5. List your current and any former addresses. Make sure to include the number, name, city/town, state, and zip code for each address.
6. In Section A, if you are verifying your identity with a DPL employee, ensure they complete the verification by signing and printing their name.
7. In Section B, if you choose to be verified by a notary public, they must fill out the details, including the date and their signature after confirming your identity.
8. Finally, sign and date the acknowledgment indicating your consent for a CORI check, and ensure you provide the name of the board of registration and the type of license for which you are applying or hold.
9. Once all sections are filled out, review the form for accuracy. Proceed to save your changes, and if required, download, print, or share the completed form as needed.

Complete the (cori) Acknowledgement Form online today to ensure a smooth licensing process.