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CORI Forms and Information

Access forms and other important information related to requesting a name-based record check (CORI).
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Acknowledgement forms

CORI Acknowledgement Form for CRAs (English, PDF 230.32 KB)
CORI Acknowledgement Language for CRAs (English, PDF 113.67 KB)
CORI Acknowledgement Form for Employment and Licensing (English, PDF 228.24 KB)
CORI Acknowledgement Language for Employment and Licensing (English, PDF 127.73 KB)
CORI Acknowledgement Form for Housing (English, PDF 225.88 KB)
CORI Acknowledgement Language for Housing (English, PDF 108.61 KB)
Information on the process of correcting a criminal record (English, PDF 504.64 KB)

Fee waivers

CORI Fee Waiver Request Form (English, PDF 109.18 KB)

Policy

CORI Model Policy (English, PDF 118.21 KB)

Request forms

Adult Personal CORI Request Form (English, PDF 214.63 KB)
Advocate or Designated Representative Request Form (English, PDF 212.67 KB)
Child Care Provider Request Form (English, PDF 190.82 KB)
Deceased Request Form (English, PDF 153.3 KB)
Home Health Aide Request Form (English, PDF 215.75 KB)
Open Access Request Form (English, PDF 147.62 KB)
Attorney Request Form (English, PDF 196.99 KB)

Additional documents

Affidavit of Indigency (English, PDF 643.08 KB)
Guide for Updated DCJIS Regulations (English, DOCX 15.97 KB)
iCORI Cloud Storage Guidelines (English, PDF 139.44 KB)

Contact

Phone

(617) 660-4760

Address

200 Arlington St.
Suite 2200
Chelsea, MA 02150
Directions 

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