№ files_lp_3_process_9_33661
Official state administrative form establishing consent and identity verification requirements for conducting Criminal Offender Record Information checks on health professions license applicants and licensees in Massachusetts.
Jurisdiction: Commonwealth of Massachusetts
Issuing Authority: Executive Office of Health and Human Services, Department of Public Health
Responsible Office: Bureau of Health Professions Licensure
Legal Basis: M.G.L. c.6, §172
Document Type: Official acknowledgement and consent form
Purpose: Authorization to conduct a Criminal Offender Record Information (CORI) check
Applicable To: License applicants and current licensees
Validity Period: One year from the date of signature
Verification Requirements: Government-issued photo identification and notarization
Geographic Scope: Massachusetts, United States
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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