Get Ma Attestation For Certificate Of Clearance 2016-2025

Completing the MA attestation for Certificate of Clearance can seem daunting, but with clear and organized steps, you can efficiently fill out the form online. This guide will help you navigate the various components of the application to ensure you provide the necessary information accurately.

Follow the steps to complete your application online.

1. Click ‘Get Form’ button to download the document and open it in your preferred editor.
2. Indicate whether you are filling out a new application or a renewal by checking the appropriate box.
3. Fill in the date on which you are completing the form.
4. Prepare a non-refundable check for $50 made out to the Commonwealth of Massachusetts and ensure you have a legible copy of a government-issued identification that includes the employee’s photograph and signature.
5. In Part I, provide the employee's full name and Social Security number. Ensure that this information is accurate and clearly written.
6. Enter the employee's home address, including street, city or town, state, and zip code. Check for any errors.
7. Include the employee's daytime telephone number and email address for communication purposes.
8. Fill in the employer's name and their telephone number, along with the employer’s address in the same detailed manner.
9. Describe the employee's job title and outline their responsibilities clearly.
10. Provide the employee's date of birth and place of birth accurately to avoid delays.
11. Supply the mother's full maiden name and her place of birth.
12. List the father's full true name and his place of birth.
13. Detail all employers the applicant has had in the past three years. If necessary, attach a separate list.
14. List any professional licenses held by the employee. You may also attach a separate list if needed.
15. Sign the authorization for release of RMV photo information to allow access to the necessary database.
16. If applicable, check the optional box if English is not the primary language and provide your primary language.
17. Provide the signature and license number of the S-license holder, including the expiration date of the license.
18. Have the employee sign the application, attesting to the accuracy of the provided information.
19. In Part II, answer whether a criminal background check was conducted within the last 30 days.
20. If applicable, provide the date of the criminal record report and details regarding any disputes that arose from the check.
21. Indicate the findings of the criminal background check regarding any misdemeanors or felonies, attaching additional explanations if needed.
22. Sign the S-license holder's name, include the license number, and note the date of completion.
23. Review all sections for completeness, save your changes, and then download or print the completed form.

Begin filling out your application online today to get your Certificate of Clearance.