How to verify Cori~7.doc

DOC document 44 KB Posted

Attached to
Adaptive Housing Services 22 - MRC HOUSING ADAP 22
Solicitation number
BD-22-1071-AO-CON01-71835
Issued by
Massachusetts

About this file

This document provides instructions for completing and verifying a CORI (Criminal Offender Record Information) form for the Massachusetts Rehabilitation Commission (MRC). The form must be verified in person at an MRC office by a staff member who will review the applicant's government-issued photo ID and sign off on the form. The completed, verified CORI form should then be returned to the Contracts Department of the MRC.

The related state and local contract opportunity is for MRC's Adaptive Housing Services 22 program, which seeks responses to procure accessibility modifications to the principal residences of eligible individuals with severe disabilities. The contract will be awarded by the Commonwealth of Massachusetts and the term is not specified.

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Text version

CHARLES D. BAKER

GOVERNOR

MARYLOU SUDDERS

SECRETARY

TONI WOLF

COMMISSIONER

(617) 204-3600 1 (800) 245-6543

Voice/TDD (617) 204-3665

FAX (617) 727-1354

March 29, 2019 Please complete & return the attached Cori Form. Before this form can be submitted to the Cori Board it must be verified by a member of the M.R.C. staff. To have your form verified you should contact your closest or most convenient M.RC office & set up a time to go in. Please bring a government-issued photo ID (driver’s license, passport, etc.) A member of the M.R.C. staff needs to look at you, look at your photo & sign off on the bottom of the form that the photo is you. They need to make a copy of your ID & attach it to the form. Please send original back to me at:

The Massachusetts Rehabilitation

600 Washington St, First Floor

Boston, MA 02111

Attn: Karyn Weizel/Contracts Dept.

Thank you in advance for your cooperation.

Karyn Weizel

Grants Management Specialist II

The Commonwealth of Massachusetts

Executive Office of Health and Human Services

Massachusetts Rehabilitation Commission

600 Washington St., First Floor

Boston, MA 02111

File details come from the government source that posted it. Updated .