CORI Forms

To be used by organizations using consumer reporting agencies to conduct CORI checks for employment, volunteer, subcontractor, licensing, and housing purposes.

To be used by organizations using consumer reporting agencies to conduct CORI checks for employment, volunteer, subcontractor, licensing, and housing purposes. This is an abbreviated version.

This language may be included in an organization’s application for the purpose of obtaining authorization for a CORI for the purpose of screening applicants for the rental or lease of housing.

This language may be included in an organization’s application for the purpose of obtaining authorization for a CORI for the purpose of screening applicants for the rental or lease of housing. This is an abbreviated version.

To be used by organizations conducting CORI checks for employment or licensing purposes.

To be used by organizations conducting CORI checks for employment or licensing purposes. This is an abbreviated version.

Organizations who believe they may qualify for a fee waiver must complete and submit this form.

Use this form to request a copy of your own CORI.

If you believe you may qualify for a waiver of the CORI request fee complete this form and submit with your completed Personal Request Form

An advocate and/or designated representative may submit this form for the purpose of requesting CORI on behalf of a client.

This form may be submitted by parents or legal guardians of minor children (aged 17 and under) that seek to screen prospective child care providers.

This form may be submitted by an elderly or disabled person who seeks to screen a prospective home health aide.

An attorney may submit this form for the purpose of requesting CORI on behalf of a client.

This form is only to be used to request CORI under the Open Access provisions of M.G.L. c. 6, §172.

This form may be submitted by anyone seeking to obtain CORI information on a deceased individual. Request must include proof of death.