Fillable Commonwealth of Massachusetts SAFIS Form 004 - Disposition Update Request

Fill Online, Printable, Fillable, Blank Commonwealth of Massachusetts SAFIS Form 004 - Disposition Update Request Form

Use Fill to complete blank online COMMONWEALTH OF MASSACHUSETTS (MA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Commonwealth of Massachusetts SAFIS Form 004 - Disposition Update Request

On average this form takes 9 minutes to complete

The Commonwealth of Massachusetts SAFIS Form 004 - Disposition Update Request form is 4 pages long and contains:

  • 1 signature
  • 0 check-boxes
  • 31 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Commonwealth of Massachusetts

BROWSE COMMONWEALTH OF MASSACHUSETTS (MA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
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: 617-660-4640 | TTY: 617-660-4606 | FAX: 617-660-4613
MASS.GOV/CJIS
STATEWIDEAPPLICANTFINGERPRINTIDENTIFICATIONSERVICES
(SAFIS)

SAFIS‐FORM‐004
HOW TO CHANGE, CORRECT, OR UPDATE YOUR NATIONAL CRIMINAL
HISTORY RECORD RESPONSE
The Federal Bureau of Investigation (FBI) Identification Division maintains fingerprint-
supported national criminal history record information (CHRI) and also provides access
to CHRI maintained by the states. Organizations authorized to submit CHRI checks
pursuant to state and federal laws are required to provide individuals with information on
how to change, correct, or update their criminal records in accordance with 28 CFR
16.34.
If, after reviewing your CHRI, you believe it contains incomplete or incorrect information,
you may submit a request to the law enforcement agency which submitted the
information to correct or update your CHRI. The information provided in this document
outlines the steps that you must follow to change, correct, or update your CHRI.
ARRESTS SUBMITTED BY MASSACHUSETTS LAW ENFORCEMENT AGENCIES
INCOMPLETE INFORMATION
If you believe an arrest listed on your CHRI submitted by a Massachusetts law
enforcement agency is incomplete (i.e. the disposition is missing), you must first request
a certified copy of the docket sheet associated with the arrest. You can obtain a
certified copy of the docket sheet by going to the clerk’s office at the court where you
were arraigned on the charges.
For a listing of courts and contact information, please go to:
http://www.mass.gov/courts/court-info/courthouses/
If you are not sure which court heard your case, you may request a copy of your
Massachusetts Criminal Offender Record Information (CORI) from the Department of
Criminal Justice Information Services’ (DCJIS) iCORI system. The CORI will contain
information regarding the docket number and phone number for the court that heard the
case.
For information on how to register for an individual iCORI account to request your
own CORI online:
http://www.mass.gov/eopss/crime-prev-personal-sfty/bkgd-check/cori/icori-
training-documents.html
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: 617-660-4640 | TTY: 617-660-4606 | FAX: 617-660-4613
MASS.GOV/CJIS
STATEWIDEAPPLICANTFINGERPRINTIDENTIFICATIONSERVICES
(SAFIS)

SAFIS‐FORM‐004
Alternatively, you may submit a personal CORI request by mail to the DCJIS by
completing the form available at:
http://www.mass.gov/eopss/crime-prev-personal-sfty/bkgd-check/cori/cori-forms-
and-applications.html
IMPORTANT: It is possible for Massachusetts arrest information to not appear in
a CORI response. If this occurs, please contact the DCJIS at 617.660.4640.
After obtaining a certified copy of the docket sheet, in order to update an incomplete
CHRI arrest, you must complete and submit the Massachusetts State Police (MSP)
Disposition Update Request form (see attached) to:
ATTN: DISPO UPDATE
Massachusetts State Police
State Identification Section
59 Horse Pond Road
Sudbury, MA 01776
Please be sure to include the docket sheet with the completed Massachusetts State
Police Disposition Update Request form.
INCORRECT INFORMATION
If you believe your CHRI contains a Massachusetts arrest that is incorrect (i.e. does not
belong to you or the offense is incorrect), you will need to contact the police department
that submitted the arrest information to the State or to the FBI to request a review of the
arrest report or a fingerprint comparison to the fingerprints on file for the arrest. The
police department that submitted the information will be listed on the CHRI. Please be
sure to call the police department and schedule an appointment for this type of review.
If after reviewing your information, the police department finds the CHRI submission
should be corrected, the police department will submit a request on your behalf to the
Massachusetts State Police State Identification Section (MSP SIS). The MSP SIS will
correct the information in the SIS database and forward the corrected information to the
FBI.
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: 617-660-4640 | TTY: 617-660-4606 | FAX: 617-660-4613
MASS.GOV/CJIS
STATEWIDEAPPLICANTFINGERPRINTIDENTIFICATIONSERVICES
(SAFIS)

SAFIS‐FORM‐004
ARRESTS SUBMITTED BY OUT-OF-STATE LAW ENFORCEMENT AGENCIES
Requests to change, correct, or update arrest information submitted to the FBI by an
out-of-state law enforcement agency must be made to the agency that submitted the
information to the FBI. You may also contact the repository in the state that submitted
the arrest data for more information on how to change, correct, or update a record in
that state.
A listing of state criminal history repository contact information is available at:
http://www.fbi.gov/about-us/cjis/identity-history-summary-checks/state-
identification-bureau-listing
FBI INFORMATION ON HOW TO CHALLENGE A CRIMINAL HISTORY
The FBI has published information on its website on how to correct a criminal history
record.
This information is available at:
http://www.fbi.gov/about-us/cjis/criminal-history-summary-checks/challenge-of-a-
criminal-history-summary
THE COMM
ONWEALTH OF MASSACHUSETTS
DEPARTMENT OF STATE POLICE
State Identification Section
59 Horse Pond Road, Sudbury, MA 01776
TEL: 508-358-3170 | FAX: 508-358-3192
MASS.GOV/MSP
SISDISPOUP
DATE2_2014
DISPOSITIONUPDATEREQUEST
REQUESTORINFORMATION
FullName:_________________________________________________________________________________________
FirstName MiddleName LastName
__________________________ _________________________ ______________________________________
DateofBirth SocialSecurityNumber PhoneNumber
ReasonforRequest: _________________________________________________________________________________
__________________________________________________________________________________________________
Requestor’sSignature:______________________________________________ RequestDate: ___________________
OFFENSEINFORMATION
ArrestingDepartment: OBTN:
StateIDNumber: FBINumber:
DISPOSITIONINFORMATIONTOBEUPDATED
DateofArrest Charges DispositiontoBeAdded
SISIDTech:
DateCompleted:
SISComments:
Sendthiscov
ersheetwithcertifiedcourtrecordsanddocumentation.
click to sign
signature
click to edit
dd mmm yyyy
dd mmm yyyy
dd mmm yyyy
dd mmm yyyy
dd mmm yyyy
dd mmm yyyy
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Commonwealth of Massachusetts SAFIS Form 004 - Disposition Update Request

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 23 May 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document