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(cori) acknowledgement form - Mass - mass 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling in your personal information. Enter your last name, first name, middle name, and suffix as required fields.
- Provide your maiden name or any other names you have been known by, along with your date of birth and place of birth.
- Complete the section for the last six digits of your Social Security Number, sex, height, eye color, and driver's license or ID number along with the state of issue.
- List your current and former addresses accurately. Ensure all details are correct to avoid processing delays.
- In Section A or B, ensure that a DPL employee or notary public verifies your identity. This step is crucial for the acceptance of the form.
- Finally, sign and date the form at the designated areas to provide consent for the CORI check.
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Related links
Acknowledgement Form To be used by organizations using consumer reporting agencies to conduct CORI checks for employment, volunteer, subcontractor, licensing,
(CORI) Acknowledgement Form To be used by organizations using consumer reporting agencies to conduct CORI checks for employment, volunteer, subcontractor,