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Is this a request for your own application or licensing record?(Required)

Please read the following:

  • Please do not send license verification requests through the public records form. See the appropriate Board License Verification page for instructions. 
  • For application, licensing, or other board related questions or issues, please contact the appropriate board directly.
  • To check a license, please visit the DOL's Check a license page.
Name(Required)

Request Information

What area are you submitting a public records request for?

Please be advised that requests made for your own information under G.L. c. 66A and the Fair Information Practices Act, 940 CMR 11, require further authorization. Upon receipt of your request, the Division will respond with the required authorization form and verify your identity. Without a completed form, including verification of your identity, we are unable to release unredacted records.
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    I agree that the information that I have provided is accurate to the best of my knowledge. I adopt the signature below as my electronic signature.
    Name in lieu of Signature(Required)