Sample "Successful Record Check Letter - Sample" - Mississippi

Successful Record Check Letter - Sample is a legal document that was released by the Mississippi Department of Health - a government authority operating within Mississippi.

Form Details:

  • The latest edition currently provided by the Mississippi Department of Health;
  • Ready to use and print;
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  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Mississippi Department of Health.

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Download Sample "Successful Record Check Letter - Sample" - Mississippi

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SAMPLE
DATE: ____________________________________
(Must be date on M SDH notification)
Dear: _____________________________________,
Following our employment offer to you on (Date), the hospital performed a criminal record check,
SAMPLE
as required by Section 43-11-13, the Mississippi Code of 1972, as amended, Mississippi State
Department of Health, Division of Licensure and Certification.
We are pleased to advise you that the results of the criminal record check revealed no disqualifying
event; therefore, pursuant to the requirements of this law, we are providing this letter to confirm your
suitability for employment based on the criminal record check.
You may use this letter for a period of two (2) years from the date of the letter to seek employment
at any licensed entity. When presented with this letter, a licensed entity may rely on the letter with
respect to your criminal background and is not required by law for a period of two (2) years from the
date of this letter to conduct a criminal record check.
SAMPLE
If you have questions regarding this letter, please do not hesitate to contact me at 601-000-0000.
Sincerely,
Jane Doe
Employment Manager
SWORN AND SUBSCRIBED BEFORE ME, this the _______ day of ____________, 20_____.
SAMPLE
_______________________________________
_____________________________
Signature of Notary Public
My Commission Expires
SAMPLE
DATE: ____________________________________
(Must be date on M SDH notification)
Dear: _____________________________________,
Following our employment offer to you on (Date), the hospital performed a criminal record check,
SAMPLE
as required by Section 43-11-13, the Mississippi Code of 1972, as amended, Mississippi State
Department of Health, Division of Licensure and Certification.
We are pleased to advise you that the results of the criminal record check revealed no disqualifying
event; therefore, pursuant to the requirements of this law, we are providing this letter to confirm your
suitability for employment based on the criminal record check.
You may use this letter for a period of two (2) years from the date of the letter to seek employment
at any licensed entity. When presented with this letter, a licensed entity may rely on the letter with
respect to your criminal background and is not required by law for a period of two (2) years from the
date of this letter to conduct a criminal record check.
SAMPLE
If you have questions regarding this letter, please do not hesitate to contact me at 601-000-0000.
Sincerely,
Jane Doe
Employment Manager
SWORN AND SUBSCRIBED BEFORE ME, this the _______ day of ____________, 20_____.
SAMPLE
_______________________________________
_____________________________
Signature of Notary Public
My Commission Expires