The signature on the last and un-numbered page of the application shall have the effect of:
- (a) Certifying that the applicant is the individual described by the name, address and other identifying information entered on the page; and
- (b) Confirming that the applicant authorizes the division of state police to furnish his or her criminal record to the home for the purpose of admission to the home.
Source. #8953, eff 7-21-07, EXPIRED: 7-21-15 New. #12564, INTERIM, eff 6-28-18, EXPIRED: 12-26-18 New. #12712, eff 1-15-19