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Authorization for Release of Information

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THE DARTMOUTH POLICE DEPARTMENT TO CONDUCT A CRIMINAL BACKGROUND (CORI) CHECK. I HEREBY RELEASE ALL PERSONS WHOMSOEVER FROM ANY CHARGE OR CIVIL SUIT RESULTING FROM THE FURNISHING OF SAID INFORMATION TO THOSE INTERESTED PARTIES WHO MAY BY LAW REQUEST SAME. A PHOTOCOPY OF THIS RELEASE FORM WILL BE VALID AS AN ORIGINAL HEREOF, EVEN THOUGH THE SAID PHOTOCOPY DOES NOT CONTAIN AN ORIGINAL WRITING OF MY SIGNATURE
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