Form CCLU1-A New Hampshire Health and Human Services Criminal History Record Information Authorization - New Hampshire

Form CCLU1-A New Hampshire Health and Human Services Criminal History Record Information Authorization - New Hampshire

What Is Form CCLU1-A?

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.

FAQ

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.

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Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the New Hampshire Department of Safety;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Form CCLU1-A New Hampshire Health and Human Services Criminal History Record Information Authorization - New Hampshire

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