WELCOME TO COTTONWOOD - Missouri Department of Mental 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out your personal information in the designated fields. Ensure that all required fields marked with an asterisk (*) are completed, including your first name, last name, street address, and date of birth.
3. Proceed to the 'Authorization for Release of Information' section. Here, you will need to provide your signature and date to authorize the release of your criminal record information.
4. Next, complete the 'Application for Record Review' section. Fill in identifying data such as employee name, gender, race, and social security number. Be thorough and accurate in this section.
5. If applicable, answer questions regarding any criminal history or public assistance benefits received. Make sure to check the appropriate boxes and provide additional details if necessary.
6. Finally, review all entered information for accuracy before submitting. Use our platform's features to save or print a copy for your records.

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