36C10B18R2676-006.xlsx

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FSC Healthcare Clearinghouse Services
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36C10B18R2676
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36C10B18R2676 A5- Veterans Employment Certification Report.xlsx

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Sheet1 Contractor Name:

Total number of employees at time of proposal submission:
Total number of Veterans employed at time of proposal submission:
Percentage of Veterans employed by the Prime Offeror:ERROR:#DIV/0!
Total number of current employees:
Total number of current Veterans employed:
Percentage of Veterans employed by the Prime Offeror:ERROR:#DIV/0!
The Offeror hereby certifies to the number of Veterans and total number of employees currently employed by the Prime Offeror, _ (Insert Contractor Name)________, as of (Insert Date) .
I understand that a knowingly false certification will subject the undersigned to criminal prosecution pursuant to 18 USC Section 1001.
Signature: _________________________Date: ________________
Authorized Company Representative

Sheet2

Sheet3

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