- All applicants for licensure must complete and sign this request for a Criminal Offender Record Information (CORI) check and DCF Central Registry and Registry of Alleged Perpetrators check (Background Record Check).
- Any person in a licensed program who participates in the hiring decision and/or who will receive, review or discuss the results of criminal background investigations or DCF Background Record Check information of potential employees or volunteers in your program must complete and sign this form.
- This form is part of the application process for providers/assistants who wish to provide child care or to act as an assistant in a Family Child Care program. In addition, each household member age 15 and over and each individual age 15 and older regularly on the premises of a family child care applicant's or provider's home must complete this form.
People also viewed...
You recently viewed...
Personalization is OFF. Your personal browsing history at Mass.gov is not visible because your personalization is turned off. To view your history, turn your personalization on.
Learn more on our .
*Recommendations are based on site visitor traffic patterns and are not endorsements of that content.