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NYS CIS Acknowledgement

NYS CIS Acknowledgement

Owned by Mohammed Ahmed
Last updated: Mar 13, 2024
1 min read

You only need to fill this out once. If you have completed this form in the past, please skip.

Please email the completed and signed form to CCIOCAREQUEST@nycourts.gov and CC the hiring manager/supervisor. You will need to e-sign the document (instructions below).

In signing this form, you are agreeing to use information from this database for the following limited approved purpose: the administration of pretrial services in Richmond, Kings, and Bronx Counties Supervised Release Program (SRP) and the administration of Alternative to Incarceration (ATI) programming in NYC city-wide.

Please do NOT type or print your name as a signature.

 

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e-Signature instructions

 

 

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