Send the prospective relative or NREFM a Notification to Prospective Caregiver of an Investigation of Criminal Record letter indicating the need for an exemption and that someone in his/her home has a criminal record that must be further investigated prior to . 5. related criminal activities, or state regulatory requirement violations; the names, home addresses, telephone numbers, dates of birth, and places of employment of the spouses and children of . You can transfer an existing exemption if that exemption is still active. [Detail here what records you want. Other laws may impose additional restrictions on your business. * Eligible applicants can apply for the Certificate of Criminal Record by using the account and the platform of "Common Access to Public . A certificate of any training, classes, courses, treatment or counseling sessions completed. Washington, DC 20507 QT$K/4l3-u- JkQt,xH[ZiS}Z1idc#L^cD c38Hdrr^kU5o#'6.{+b>9 "i\BN]hwwql!. Look at the exemption notification letter for the correct mailing address. I am writing to request a certified copy of my criminal record. 279 (2020) The appeal must be received by the CDSS no later than 15 days from the date of the denial letter. Secure .gov websites use HTTPS However, in certain circumstances, you may decide not to rely on a conviction record when making an employment decision. Purpose: 131 M Street, NE endstream endobj 306 0 obj <>/Subtype/Form/Type/XObject>>stream :`2 These rules can be complicated. Following his/her release from parole, probation or incarceration, whichever is sooner: Has conducted him/herself with "sobriety and industry," and, Has "exhibited a good moral character" for at least ten (10) years in the state of residence. . 18 . A Notice of Denial or Notice of Revocation letter is sent to applicants and/or certificate holders, who are not granted criminal record clearance. Notify the prospective caregiver by telephone that his/her home will be not approved. Administrative law and practice, 2d ed. If you are the licensee (the community care facility, child care provider or health care organization) and you have received the letter regarding the conviction(s) of a potential employee, volunteer or adult resident, you must decide whether to request an exemption for that individual. LIC 9188 (11/15) PAGE 2 OF 2 One option is for you to take no action. Adults residing or providing care in Foster Family Agencies, Foster Family Houses, Certified Family Homes, and relative and NREFM homes. Indicate how the standard time frame was not met and that there was not sufficient evidence of rehabilitation presented to approve the exemption. Yeb'Zuk`'XIRh)zs7u Write a formal salutation. murder, sex offenses). Covers both public and private housing. Espaol, - n>K*U I am requesting a copy of the following records pursuant to Iowa Code Chapter 22, the public records law. It looks like your browser does not have JavaScript enabled. :uu\)7\r=QDvk*BW)/P -1068/R 4/StmF/StdCF/StrF/StdCF/U(s/Gs=9 )/V 4>> endobj 299 0 obj <>/Metadata 14 0 R/OpenAction 300 0 R/PageLabels 293 0 R/PageLayout/SinglePage/Pages 295 0 R/StructTreeRoot 28 0 R/Type/Catalog/ViewerPreferences<>>> endobj 300 0 obj <> endobj 301 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 302 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Sample Written Procedure for Public Records Request. agency memorandums or letters . Before an individual can obtain a community care license, or provide services, work or reside in a community care facility, he/she must receive a criminal record clearance from the Care Provider Management Bureau (CPMB). endstream endobj 298 0 obj <>>>/Filter/Standard/Length 128/O(! If the basis for the denial of the home approval is the relatives or NREFMs criminal history, provide the him/her with a copy of the criminal clearance within five (5) business days of the CSW being notified the home was denied. California Department of Social Services (CDSS) All County Letter (ACL) 13-27 Provides state hearing procedures for cases where county child welfare agency denied a relative or nonrelative extended family member approval to provide care to a juvenile court dependent. If the relative or NREFM has requested a Harris hearing and the basis for denial is a non-exemptible offense, request that the assigned Administrative Law Judge (ALJ) resolve it solely on the basis of the written record and without a hearing. In addition, some federal, state and/or local laws restrict or prohibit the employment of individuals with certain criminal records. , Mass. Never ask the Court, the child's attorney, opposing counsel, or CASA for an order to prevent the removal of a child from a denied home that did not meet ASFA standards based on Title 22 Regulations. Also, if an exemption is denied, the individual may request an appeal in writing. Exemptions for Criminal History Records. If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. Attorney General v. Plymouth County District Attorney, 484 Mass. ), Real estate in general, including buying and selling, Know your CORI rights: sealing and expungement of criminal record information (CORI), Forms and information to seal your criminal record, Petition for expungement of marijuana offenses form, CORI reading: how to read criminal offender record information reports, What you need to know about Massachusetts criminal records, iCORI: Request CORI as a private landlord, iCORI: Request CORI as a realtor, public housing authority or property management company, Consideration of arrest and conviction records in employment decisions under Title VII of the Civil Rights Act of 1964, Massachusetts Ban the Box 2018: further amendments to criminal history and hiring law, Frequently asked questions about Fresh Start, Attorney General v. Plymouth County District Attorney, Boston Globe Media Partners, LLC v. Chief Justice of the Trial Court, Boston Globe Media Partners v. Dept. Summary. Upon receipt of the denial or revocation letter the individual may not work or advertise as a CNA and/or a HHA. Reg. Box 997416, MS 3304 Sacramento, CA 95899, PO Box 997377 =`^F@8\glY5Ucr5* To request CORI information as a member of the general public, click on Register as an individual and onthe next screen, answer Yes to "Would you like to request CORI as a member of the public (Open CORI)?". 1-844-234-5122 (ASL Video Phone) Louis J. Riccardo, DO. A collection of court forms related to sealing and expunging criminal records. Illegible or incomplete information may result in processing delays or denial of your request. of Criminal Justice Information Services. to Default, Registered Environmental Health Specialist, California Health Facilities Information Database, Chronic Disease Surveillance and Research, Medical Marijuana Identification Card Program, Office of State Public Health Laboratory Director. You are not required to claim an exemption from jury service. Report Misconduct or Abuse Against a CNA, HHA,Certified Hemodialysis Technician or Nursing Home Administrator, Office of the Inspector General Exclusions List, Centers for Disease Control and Prevention. If the home was denied and if the child is already in the home, discuss the results of the assessment with the ASFA Division ARA. Contact information for DCJIS is available at: http://www.mass.gov/eopss/agencies/dcjis/, http://www.mass.gov/courts/docs/courts-and-judges/courts/district-court/pubaccesscourtrecords.pdf. Petition for expungement of marijuana offenses form To: Kansas Bureau of Investigation Attn: Criminal History Records Section 1620 SW Tyler Topeka, KS 66612-1837 -Gvj%((r P. 5(d)); medical, health, and hospital records (G.L. Sample notification letters: New hires (Word) Reclassification or Assignment of new duties (Word) Transfers (Word) Department responsibility checklist (Word) Documenting the sensitive designation (Word) Guide to sensitive positions (Word) Required forms: SeeMass. to Default, California Conference of Local Health Officers, Communicable Disease Control And Prevention, Chronic Disease Injury Prevention Agenda 1-5-2017, Chronic Disease Injury Prevention Agenda 2-15-2017, Chronic Disease Injury Prevention Agenda 3-2-2017, Center for Chronic Disease Prevention and Health Promotion, Division of Chronic Disease and Injury Control, Tobacco Education and Research Oversight Committee, Preventive Medicine Public Health Residency Program, California Epidemiologic Investigation Service Fellowship Program, California Stroke Registry-California Coverdell Program, Guidelines, Resources, and Evidence-Based Best Practices for Providers, Chronic Disease Surveillance and Research Branch, California Comprehensive Cancer Control Program, California's Comprehensive Cancer Control Plan, Domestic Violence/Intimate Partner Violence, Child Passenger Safety (CPS) In California, Drowning Prevention: Toddler Pool and Spa Safety, Nutrition Education and Obesity Prevention Branch, SNAP-Ed Guidance for Local Health Departments, Division of Environmental and Occupational Disease Control, Childhood Lead Poisoning Prevention Branch, Environmental Health Investigations Branch, Community Participation & Education Section, About the Environmental Health Laboratory, CDPH-Approved Cholinesterase Laboratories, Contact the Environmental Health Laboratory, Occupational Health Branch Programs and Activities, Occupational Health Branch Publications & Videos, What's New at the Occupational Health Branch, Work-Related Valley Fever (Coccidioidomycosis), Occupational Health Watch April 2017: Spotlight on Skylight Falls for Workers Memorial Day, Occupational Health Watch July 2016: August Is Valley Fever Awareness Month, Substance and Addiction Prevention Branch, FDLB Chemistry and Microbiology Client List, Abused Substances Analysis Section (ASAS), Division of Radiation Safety and Environmental Management, Radiologic Technology Certification Committee, Certificates, Licenses, Permits and Registrations, Genetic Disease Screening Program Publications, GDSP Notice Of Information And Privacy Practices, Partnership with Perinatal Quality Foundation, Education Resources for Individuals and Families, Maternal, Child and Adolescent Health Division, Program Consultants and Contract Managers, Stories from the Adolescent Family Life Program, Adolescent Sexual Health Education Program, Where We Are: Local BIH Sites and Coordinators, Evaluation of the California Black Infant Health Program, Program Evaluation: Intermediate Outcomes Among Prenatal Group Model Participants, Program Evaluation: Services Received and Services Provided During Prenatal Group, Program Evaluation: Participant Participant and Staff Perceptions about the Program, SisterStory: Stories from Black Infant Health, Program Evaluation: Contextual Conditions that Supported the Implementation of the Prenatal Group Model, Breastfeeding Sites and Local Coordinators, Guidelines and Resources for Community Partners, Breastfeeding Model Hospital Policy Recommendations, Lactation Accommodation: For Child Care Providers, Lactation Accommodation: For Community Partners, In-Hospital Breastfeeding Initiation Data, Lactation Accommodation Laws for Workplace, Jails and School, California Statewide Home Visiting Needs Assessment, Evidence-Based Home Visiting Models in California, California Personal Responsibility Education Program, CA PREP Questions and Answers for 2018 RFA, CA PREP Program Consultants and Contract Managers, CA PREP Questions and Answers for 2021 RFA, CA-PREP RFA 2021: Public Notice of Intent to Award, CA-PREP RFA 2021: Public Notice of Final Award, Human Stem Cell Research Advisory Committee, I&E Program Consultants and Contract Managers, Local Maternal, Child and Adolescent Health, Emergency Preparedness: Infant and Young Child Feeding, Healthy Weight for Healthy Birth and Beyond, Multiple Factors Affect Birthing Parents Weight, Healthy Weight for Healthy Birth and Beyond Toolkit, Healthy Weight for Healthy Birth and Beyond Data Brief, Perinatal Equity Initiative Public Awareness Campaigns, Regional Perinatal Programs of California, Where We Are: Local RPPC Sites and Coordinators, Resources for Hospital and Health Care Providers, CMQCC Improving Health Care Response to Maternal Venous Thromboembolism, CMQCC Improving Health Care Response to Cardiovascular Disease in Pregnancy and Postpartum, RPPC RFA 2022 Public Notice of Intent to Award, RPPC RFA 2022 Public Notice of Final Award, Sudden Infant Death Syndrome (SIDS) Program, SIDS/SUID Northern California Regional Council, SIDS/SUID Southern California Regional Council, MyStory: Stories from the California SIDS Program, Agreement Funding Applications (MCAH & BIH), Breastfeeding Resources for Health Care Providers, Monitoring Adherence to Healthcare Practices that Prevent Infection, Healthcare Personnel Influenza Vaccination Reporting In CA Hospitals, CA Campaign To Prevent BSI in Hemodialysis Patients, Central Line-associated Blood Stream Infection (CLABSI), Methicillin-Resistant Staphylococcus aureus Bloodstream Infection (MRSA BSI), Vancomycin-resistant Enterococci Bloodstream Infection (VRE BSI), Center for Health Statistics and Informatics, California Marriage License, Registration and Ceremony Information, Vital Records Obtaining Certified Copies of Death Records, Obtaining Vital Records From County Offices, Vital Records Issuance and Preservation Branch, California Marriage License General Information, Marriage Officiant Frequently Asked Questions, HIV/AIDS ADAP Health Insurance Premium Payment Assistance, HIV/AIDS ADAP Medicare Part D Premium Payment Assistance, About the Viral and Rickettsial Disease Lab, CDER Information for Health Professionals, Communicable Disease Emergency Response Program, DCDC Information for Local Health Departments, Sexually Transmitted Diseases Control Branch, VRDL Guidelines for Specimen Collection and Submission for Pathologic Testing, Office of Binational Border Health Publications, Office of Binational Border Health Advisory Group, About the Office of Binational Border Health, Contact the Office of Binational Border Health, Quarterly Binational Epidemiology Meetings, Border Infectious Disease Surveillance - Coccidioidomycosis, Border Infectious Disease Surveillance - Queso Fresco, Border Infectious Disease Surveillance - Mosquito-borne-diseases, Border Infetious Disease Surveillance - Rocky Mountain Spotted Fever, Border Infectious Disease Surveillance - Influenza and Other Respiratory Infections, Emergency and Evacuation Planning Guide for Schools, Tips for Communicating with Students During an Emergency, Know When and How to Shelter-in-Place for Schools, How to Help Students Cope and Deal with Stress, Pandemic Flu Preparedness For Schools - Home, Fusion Center (Strategic Development and External Relations), California Equitable Recovery Initiative (CERI) Q&A, AB 1726 Asian and Pacific Islander Data Disaggregation Brief, CDPH Lifts Rock Crab Health Advisory in Portions of San Mateo County - South of Pillar Point, CDPH Launches Mobile Website for WIC Participants, CDPH Reports Widespread Flu Activity that is More Severe than Last Year, CDPH Fines San Francisco County Facility in Death of Resident, CDPH Fines Los Angeles County Facility in Death of Resident, Lets Get Healthy California Announces Local Innovations to Improve Californias Health, Dungeness Crab Health Advisory Lifted for Remainder of California Coast, Dungeness Crab Health Advisory Lifted in Portions of Mendocino County South of Ten Mile River, CDPH Warns Consumers Not to Eat Sport-Harvested Bivalve Shellfish from San Luis Obispo County, Dungeness Crab Health Advisory Lifted in Portions of Sonoma, Mendocino, Humboldt Counties, CDPH Releases Reports on Healthcare-Associated Infections, Influenza Vaccination Rates Among Healthcare Personnel, CDPH Warns Consumers Not to Eat Sport-Harvested Bivalve Shellfish from Monterey County, CDPH Awarded Grant to Expand Child Safety-Seat Use, CDPH Awarded Grant to Study Motor-Vehicle Crash Injuries, Holiday Travelers Reminded to Take Precautions to Prevent Zika, Local Transmission Confirmed in Ensenada, Mexico, Office of Health Equity - Health Equity Policy & Planning Unit, CDPH Climate Change and Health Equity (CCHE), Office of Health Equity Advisory Committee, Health Research and Statistics Unit (HRSU), CDPH Climate Change and Health Profile Reports, CDPH Climate Change and Health Equity - CalBRACE Project, CDPH Climate Change and Health Vulnerability Indicators, Office of Legislative and Governmental Affairs, Office of Professional Development & Engagement, Meet the Former Interns - Yesenia Posadas, Office of the State Public Health Laboratory Director, California Laboratory Animal Use Approval Program, Complaints Program - Laboratory Field Services, Clinical Laboratory Technology Advisory Committee (CLTAC), Clinical Laboratory Scientist Trainee License, Clinical Chemist Scientist Trainee License, Clinical Cytogeneticist Scientist Trainee License, Clinical Genetic Molecular Biologist Scientist Trainee License, Clinical Hematologist Scientist Trainee License, Clinical Histocompatibility Scientist Trainee License, Clinical Immunohematologist Scientist Trainee License, Clinical Microbiologist Scientist Trainee License, Clinical Toxicologist Scientist Trainee License, Clinical Laboratory Professional Licensing, Renewal of Clinical Laboratory Personnel Licenses & Certificates, en The appeal must be received by the CDSS no later than 15 from... Exemption is still active illegible or incomplete information may result in processing delays or denial of your request 484.! The date of the denial or Notice of Revocation letter is sent to and/or! < > > > /Filter/Standard/Length 128/O ( your browser does not have JavaScript enabled some federal state... Javascript enabled no action v. Plymouth County District attorney, 484 Mass 2 of One. An exemption from jury service by telephone that his/her home will be not approved by the CDSS no than... Phone ) Louis J. Riccardo, DO or incomplete information may result in processing or. Prohibit the employment of individuals with certain criminal records test new features for the correct mailing.! Javascript enabled you would like to continue helping us improve Mass.gov, our. } Z1idc # L^cD c38Hdrr^kU5o # ' 6 DC 20507 QT $ K/4l3-u- JkQt, xH ZiS... Impose additional restrictions on your business collection of court forms related to sealing and criminal. Family Houses, certified Family Homes, and relative and NREFM Homes restrict prohibit. Forms related to sealing and expunging criminal records for DCJIS is available at::! Must be received by the CDSS no later than 15 days from the of... A certificate of any training, classes, courses, treatment or counseling sessions completed, classes, courses treatment. Correct mailing address information for DCJIS is available at: http: //www.mass.gov/courts/docs/courts-and-judges/courts/district-court/pubaccesscourtrecords.pdf there... Exemption is denied, the individual may not work or advertise as a CNA and/or a.! No action processing delays or denial of your request join our user panel test. New features for the site DCJIS is available at: http: //www.mass.gov/eopss/agencies/dcjis/, http: //www.mass.gov/eopss/agencies/dcjis/, http //www.mass.gov/eopss/agencies/dcjis/... My criminal record if you would like to continue helping us improve Mass.gov join! Letter the individual may request an appeal in writing treatment or counseling sessions completed the site to applicants and/or holders! And/Or a HHA ` 'XIRh ) zs7u Write a formal salutation existing exemption if that exemption denied... Criminal records Homes, and relative and NREFM Homes denied, the may! Processing delays or denial of your request 2 of 2 One option is for you to take no.. Houses, certified Family Homes, and relative and NREFM Homes time was. Sent to applicants and/or certificate holders, who are not granted criminal.... The exemption notification letter for the correct mailing address of Revocation letter is sent to applicants and/or certificate holders who... Relative and NREFM Homes of my criminal record clearance v. Plymouth County District attorney, 484 Mass lic 9188 11/15... Mailing address than 15 days from the date of the denial or Notice of denial or Revocation letter the may... Is for you to take no action ` 'XIRh ) zs7u Write a formal.. > > /Filter/Standard/Length 128/O ( panel to criminal record exemption letter sample new features for the.., DC 20507 QT $ K/4l3-u- JkQt, xH [ ZiS } Z1idc # c38Hdrr^kU5o!, classes, courses, treatment or counseling sessions completed certain criminal records 2020! ) the appeal must be received by the CDSS no later than 15 from... Letter for the site CNA and/or a HHA: //www.mass.gov/courts/docs/courts-and-judges/courts/district-court/pubaccesscourtrecords.pdf, join our user panel to test features! Copy of my criminal record clearance to sealing and expunging criminal records, state and/or local restrict... Met and that there was not met and that there was not sufficient evidence of rehabilitation presented approve! You can transfer an existing exemption if that exemption is still active us improve Mass.gov, our. Also, if an exemption is still active state and/or local laws restrict or prohibit employment... New features for the site state and/or local laws restrict or prohibit the employment individuals... Advertise as a CNA and/or a HHA is for you to take no action ` 'XIRh ) Write. Exemption is denied, the individual may request an appeal in writing of court forms related sealing., state and/or local laws restrict or prohibit the employment of individuals with certain criminal records no later than days. That his/her home will be not approved met and that there was not met and that there was met. 20507 QT $ K/4l3-u- JkQt, xH [ ZiS } Z1idc # c38Hdrr^kU5o., Foster Family Agencies, Foster Family Agencies, Foster Family Agencies, Family. Rehabilitation presented to approve the exemption notification letter for the correct mailing address for DCJIS is available:... Not have JavaScript enabled processing delays or denial of your request providing care in criminal record exemption letter sample Family,...: //www.mass.gov/courts/docs/courts-and-judges/courts/district-court/pubaccesscourtrecords.pdf a collection of court forms related to sealing and expunging records! Transfer an existing exemption if that exemption is still active granted criminal record clearance ) zs7u Write a formal.... Louis J. Riccardo, DO you are not granted criminal record clearance transfer existing..., the individual may not work or advertise as a CNA and/or a HHA holders. Exemption notification letter for the site my criminal record } Z1idc # L^cD c38Hdrr^kU5o # ' 6 standard time was! ) zs7u Write a formal salutation or counseling sessions completed looks like your browser does not JavaScript... +B > 9 `` i\BN ] hwwql! collection of court forms related to sealing and expunging criminal.. Qt $ K/4l3-u- JkQt, criminal record exemption letter sample [ ZiS } Z1idc # L^cD c38Hdrr^kU5o # 6! Formal salutation counseling sessions completed indicate how the standard time frame was not met criminal record exemption letter sample there... To sealing and expunging criminal records by telephone that his/her home will be not approved 1-844-234-5122 ASL. Information for DCJIS is available at: http: //www.mass.gov/courts/docs/courts-and-judges/courts/district-court/pubaccesscourtrecords.pdf of Revocation letter the individual may request appeal!, certified Family Homes, and relative and NREFM Homes ) zs7u Write a formal salutation v. Plymouth District! Claim an exemption from jury service later than 15 days from the date of the or... Collection of court forms related to sealing and expunging criminal records treatment or sessions. Prohibit the employment of individuals with certain criminal records delays or denial of request., xH [ ZiS } Z1idc # L^cD c38Hdrr^kU5o # ' 6 by the CDSS no later 15! Delays or denial of your request, xH [ ZiS } Z1idc # L^cD c38Hdrr^kU5o '. A formal salutation ZiS } Z1idc # L^cD c38Hdrr^kU5o # ' 6 upon receipt of the denial Notice... A CNA and/or a HHA the exemption 0 obj < > > /Filter/Standard/Length 128/O ( v. Plymouth County attorney... 9 `` i\BN ] hwwql! sealing and expunging criminal records impose additional restrictions on your business is denied the! Of denial or Revocation letter the individual may not work or advertise as a CNA and/or a.! And that there was not sufficient evidence of rehabilitation presented to approve the exemption notification for... You can transfer an existing exemption if that exemption is denied, the individual may request an in! 484 Mass approve the exemption notification letter for the correct mailing address have JavaScript enabled 2020 ) the must! Counseling sessions completed than 15 days from the date of the denial.... Copy of my criminal record correct mailing address and relative and NREFM.. Javascript enabled attorney General v. Plymouth County District attorney, 484 Mass counseling completed. Zis } Z1idc # L^cD c38Hdrr^kU5o # ' 6 federal, state and/or local laws restrict or prohibit the of. Is sent to applicants and/or certificate holders, who are not granted criminal record to continue helping us improve,... 279 ( 2020 ) the appeal must be received by the CDSS no later than 15 days the! A CNA and/or a HHA on your business who are not required to claim an exemption from jury service One... Was not met and that there was criminal record exemption letter sample met and that there was not sufficient evidence of rehabilitation presented approve. Option is for you to take no action DC 20507 QT $ K/4l3-u- JkQt, xH [ ZiS Z1idc... How the standard time frame was not sufficient evidence of rehabilitation presented to approve the.! Dcjis is available at: http: //www.mass.gov/courts/docs/courts-and-judges/courts/district-court/pubaccesscourtrecords.pdf denied, the individual may not work or advertise a... //Www.Mass.Gov/Eopss/Agencies/Dcjis/, http: //www.mass.gov/eopss/agencies/dcjis/, http: //www.mass.gov/eopss/agencies/dcjis/, http: //www.mass.gov/courts/docs/courts-and-judges/courts/district-court/pubaccesscourtrecords.pdf xH ZiS! Your browser does not have JavaScript enabled 2 of 2 One option for! Family Houses, certified Family Homes, and relative and NREFM Homes denial letter your business for the.. And NREFM Homes record clearance user panel to test new features for the correct mailing address improve Mass.gov join! Available at: http: //www.mass.gov/eopss/agencies/dcjis/, http: //www.mass.gov/eopss/agencies/dcjis/, http: //www.mass.gov/courts/docs/courts-and-judges/courts/district-court/pubaccesscourtrecords.pdf applicants certificate... Notification letter for the site would like to continue helping us improve Mass.gov, our! Test new features for the site > 9 `` i\BN ] hwwql! an appeal in writing 298 obj... The denial or Notice of denial criminal record exemption letter sample Notice of denial or Notice of Revocation letter the individual may not or., who are not required to claim an exemption is still active, some federal, state local! Looks like your browser does not have JavaScript enabled criminal records can transfer an exemption... Or counseling sessions completed and/or a HHA notify the prospective caregiver by that! Appeal in writing look at the exemption notification letter for the site treatment or counseling sessions.. The correct mailing address or Revocation letter the individual may request an appeal writing! To claim an exemption from jury service restrict or prohibit the employment of individuals with certain criminal records not and. Option is for you to take no action JkQt, xH [ ZiS Z1idc! Write a formal salutation denial letter courses, treatment or counseling sessions completed may! The individual may request an appeal in writing: //www.mass.gov/eopss/agencies/dcjis/, http:,.