CORI Request

Download the CORI Request Form now, or complete the online form below.

The Springfield Police Department has been certified by The Massachusetts Criminal History Systems Board for access to conviction and pending criminal case data. As an applicant/employee for the position of:

Name

First Middle Last

Maiden Name or Alias

Date of Birth

Place of Birth

Social Security #

State Driver's License Number

Hair Color

Eye Color

Weight

Height

Address

Street Address Address Line 2 City State ZIP Code

Requested By

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