Ma Offender Registry Board Form PDF Details

In an effort to enhance public safety, the Commonwealth of Massachusetts has instituted the Sex Offender Registry Board (SORB), governed by the mandates of M.G.L. c. 6, § 178I. This regulatory body has established a specific procedure for requesting sex offender registry information, necessitating the use of a designated form, which must be submitted via mail to the SORB, complete with a self-addressed stamped envelope. Designed to inform requestors about the registration status, offense details, and conviction or adjudication dates of identified sex offenders, the form serves as a critical tool in mitigating risk. However, it's important to note the statutory limitations on public access; information on low-risk (level 1) offenders, or those yet to be classified, remains confidential, ensuring a balanced approach to privacy and protection. Furthermore, the form obligates requestors to provide personal assurances against misuse, underscoring the gravity and sensitivity of the information sought. This careful delineation of procedure, combined with warnings against unlawful use, highlights the Commonwealth's commitment to both transparency and discretion in its efforts to bolster community safety.

QuestionAnswer
Form NameMa Offender Registry Board Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmassachusetts sor board, sori form, ma form sex offender, massachusetts form sex offender registry

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Commonwealth of Massachusetts

Sex Offender Registry Board

M.G.L. c. 6, § 178I REQUEST FOR SEX OFFENDER REGISTRY INFORMATION

All requests for sex offender information must be made on this form and mailed to the Sex Offender Registry Board, Attn: SORI Coordinator, P.O. Box 4547, Salem, MA 01970, along with a self-addressed stamped envelope. The Board will provide a report that includes the following information: whether the person identified is a sex offender with an obligation to register, the offense(s) for which the offender was convicted or adjudicated, and the date(s) of the conviction(s) or adjudication(s). Please be advised that the law only permits the public to receive information on sex offenders required to register and finally classified by the Board as a level 2 (moderate risk) or level 3 (high risk) offender. Therefore, information is not available to the public if the identified individual is a level 1 (low risk) offender or if he/she has not yet been finally classified by the Board.

All requests shall be recorded and kept confidential, except to assist or defend in a criminal prosecution.

SORB USE ONLY

Requestor’s name: ______________________________________________________________ Date of birth: ________________________

Organization name: (if any)_____________________________________________________________________________________________

Address: ______________________________________________________________________ Telephone number: (____)_______________

______________________________________________________________________

I swear under the pains and penalties of perjury that I am the above-named person, at least 18 years of age, and I am requesting information for my own protection, the protection of a child under 18 years of age, or for the protection of another person for whom I have responsibility, care or custody.

Requestor’s signature: _____________________________________________

Date: ____________________________

I hereby request that the following information be used to determine whether the identified individual is a sex offender required to register in Massachusetts.

Subject’s LAST NAME:

Subject’s FIRST NAME::

Subject’s MIDDLE INITIAL:

Date of birth or approximate age:

/

/

M M D D Y Y Y YAGE

Address (PRINT): ____________________________________________________________________________________________

Personal identifying characteristics:

 

 

Sex: ______ Race: ______ Height: ______

Weight: ______

Eye Color: ______ Hair Color: ______

Other information (e.g. license plate number, parents’ names, etc.): ___________________________________________________________

_____________________________________________________________________________________________________________________

If additional information is needed, please contact the Requestor at the telephone number above.

**********WARNING**********

SEX OFFENDER REGISTRY INFORMATION SHALL NOT BE USED TO COMMIT A CRIME OR TO ENGAGE IN ILLEGAL DISCRIMINATION OR HARASSMENT OF AN OFFENDER. ANY PERSON WHO USES INFORMATION DISCLOSED PURSUANT TO M.G.L. C. 6, §§ 178C – 178Q FOR SUCH PURPOSES SHALL BE PUNISHED BY NOT MORE THAN TWO AND ONE HALF (2 ½) YEARS IN A HOUSE OF CORRECTION OR BY A FINE OF NOT MORE THAN ONE THOUSAND DOLLARS ($1000.00) OR BOTH (M.G.L. C. 6, § 178N). IN ADDITION, ANY PERSON WHO USES REGISTRY INFORMATION TO THREATEN TO COMMIT A CRIME MAY BE PUNISHED BY A FINE OF NOT MORE THAN ONE HUNDRED DOLLARS ($100.00) OR BY IMPRISONMENT FOR NOT MORE THAN SIX (6) MONTHS ( M.G.L. C. 275, § 4).

SOR Form 4 (05/11)