1. Attachment C - 2043FY-25-R-00002.pdf

PDF 9 KB Posted

Attached to
Secure Courier Services Federal contract opportunity
Solicitation number
2043FY-25-R-00002
Issued by
Department of the Treasury Internal Revenue Service

About this file

This document is a Courier's Additional Disclosure Statement (CADS) template for IRS courier services. The form requires couriers transporting IRS deposits to disclose family members residing in the same domicile who also perform courier duties for the IRS.

The form specifies that couriers are not permitted to travel with immediate family members and must update the document within 24 hours of any relationship status changes. It includes space for listing up to six family members and their relationships, followed by fields for the courier employee's printed name, signature, and date, as well as agency official signature and date. This appears to be an internal control document to prevent potential conflicts of interest and ensure security in IRS deposit transport operations.

View the file

Other files for this federal contract opportunity

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Attachment C

COURIER’S ADDITIONAL DISCLOSURE STATEMENT (CADS) - SAMPLE

Courier’s Additional Disclosure Statement

I fully understand that as a Courier transporting the Internal Revenue Service (IRS) deposit I am not to travel with an immediate family member; and I am required to list below the names and relationships of all family members residing in the same domicile who also perform Courier duties for the IRS. I also understand that it is my responsibility to update this document within 24 hours of a change in relationship status

Name _____________________ Relationship___________________

Print Name ___________________________ (Courier Employee)

Signature _______________________ Date _______________________

(Courier Employee)

Agency _________________________ Date ________________________ (Signature for Courier Official)

File details come from the government source that posted it. Updated .