Fillable Commonwealth of Massachusetts CJIS Security Awareness Test - Non SAFIS-R User Form

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Commonwealth of Massachusetts CJIS Security Awareness Test - Non SAFIS-R User Form

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BROWSE COMMONWEALTH OF MASSACHUSETTS (MA) FORMS

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THE COMMONWEALTH OF MASSACHUSETTS EXECUTIVE
OFFICE OF PUBLIC SAFETY AND SECURITY
Department of Criminal Justice Information Services 200 Arlington
Street, Suite 2200, Chelsea, MA 02150
TEL: 617-660-4790 | TTY: 617-660-4606 | FAX: 617-660-5973
MASS.GOV/CJIS
CJIS Security Awareness Test - Non SAFIS-R User
Any individual who has access to, or who views any information obtained from, the SAFIS-R
application, including any printed results, must take the CJIS Security Awareness Test (SAT).
In order to take the CJIS SAT, an individual must obtain an account from the DCJIS. An account
may only be obtained by submitting this form. Please complete the fields below for each individual
in your organization who has access to, or who views criminal record check results from, SAFIS-R.
Once this form is completed, please scan it and e-mail it to safis@state.ma.us.
First Name
Last Name
Name of School or District
Phone Number
Email Address
Date
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Commonwealth of Massachusetts CJIS Security Awareness Test - Non SAFIS-R User Form

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Completed 12 May 2020

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