12-Exhibit 2 - Sample Non-Employee Background Check.pdf
PDF 2 MB Posted
- Solicitation number
- GEN2130006B1
- Issued by
- Florida
About this file
This document is a two-page Non-Employee Background Check and Fingerprint Application form from the Broward County Sheriff's Office (BSO). The first page is a Photo ID Card Request form that requires detailed personal information for non-employees seeking access to BSO facilities, including physical characteristics, contact details, and purpose of the request. The form offers multiple categories of ID card types including Jail Vendor, Volunteer, Task Force, and various Boards, with specific checkboxes for different roles and affiliations.
The second page is a Fingerprint Notification and Acknowledgment form authorizing the Broward County Sheriff's Office to process fingerprints for criminal history record review. The form outlines key understandings for the applicant, including that fingerprints will be retained by the Florida Department of Law Enforcement (FDLE) and FBI, the applicant can challenge criminal record information, and can obtain a copy of their national criminal history record directly from the FBI. The form provides spaces for signature, printed name, date of birth, and company/school name, and is part of the standard background check process for non-employees seeking access to BSO facilities.
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Text version
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Exhibit 2
I hereby authorize the to process a set of my fingerprints for the purpose of accessing and reviewing Florida and national criminal history records that may pertain to me to determine eligibility for employment or licensure.
I understand the following:
My fingerprints will be retained at the Florida Department of Law Enforcement (FDLE) and the Federal Bureau of Investigation (FBI) for the purpose of providing notice of any subsequent modifications to my criminal history record.
A copy of any national criminal history record that may pertain to me can be obtained directly from the FBI.
I am entitled, within a reasonable amount of time, to a determination as to the validity of my challenge before a final decision is made regarding my status as an employee, volunteer, contractor, or subcontractor if it is the sole factor precluding my employment or unescorted access to the secure facility.
Signature: ________________________________________ Date: _____________________
Printed Name: ________________________________ Date of Birth: _______________
Exhibit 2
File details come from the government source that posted it. Updated .