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365 Day Form Cjis

365 Day Form Cjis

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SECURITY NUMBER_______-_______-________DATE OF BIRTH___/____/_____ (This information is required under Article 27, § 742-755, Maryland Annotated Code and under COMAR 12.15.01 in order verify and preserve security of the record) THE REFERENCE NUMBER FROM YOUR MOST RECENT CHILD CARE APPLICATION FOR A FINGERPRINT SUPPORTED CRIMINAL HISTORY RECORD CHECK (the check must have occurred within the past 365 days). ____________________________________________________ (12 DIGIT NUMBER) I hereby give my...
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