This is a legal form that was released by the New Hampshire Department of Safety - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the Form CCLU1-A?
A: Form CCLU1-A is the New Hampshire Health and Human Services Criminal History Record Information Authorization.
Q: What is the purpose of Form CCLU1-A?
A: The purpose of Form CCLU1-A is to authorize the New Hampshire Health and Human Services to conduct a criminal history record information check on an individual.
Q: Who needs to complete Form CCLU1-A?
A: Anyone who is applying for a position or volunteering with the New Hampshire Health and Human Services may need to complete Form CCLU1-A.
Q: What information is required on Form CCLU1-A?
A: Form CCLU1-A requires information such as the individual's name, date of birth, social security number, and a signature.
Form Details:
Download a fillable version of Form CCLU1-A by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Safety.