Applicant Agency Justice Connection Request Form

INSTRUCTIONS: Each user must have a unique email address; users email will be their login id. After you have completed the online form, click on the "SUBMIT" button to send the information.

* Indicates a Required Field

Agency Contact Information
Head of Agency Contact Information
Please note, Agency Head will not be able to view Criminal Offender Record Information CORI, only Custodian of Records who have been authorized by DOJ have access to CORI.

If the Head of Agency is also to act as Custodian of Record, please repeat their details in the section below.


Agency Custodian of Records (COR)

Add up to ten entries.

If you have more than 10 CORs, please complete this form as many times as needed.

AAJC COR Entry 1
AAJC COR Entry 2
AAJC COR Entry 3
AAJC Entry COR 4
AAJC Entry COR 5
AAJC COR 6
AAJC Entry COR 7
AAJC COR Entry 8
AAJC Entry COR 9
AAJC Entry COR 10
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