36C26119R0046-006.pdf

Security Information for Contractors

Prior to commencing work, each contract employee, including any subcontract employees, must work with their Contracting Officer Representative (COR) or Contracting Officer (CO) to complete the following within five (5) business days of receiving notice of award:

The COR or CO must go to the VHA Service Center (VSC) Human Resources website to obtain the most recent VSC Personnel Security Services Overview packet and other required forms (available under the

“Security” heading): http://vaww.va.gov/VHASERVICECENTER/Security.asp

1. The contractor point of contact (POC) shall submit completed Contract Security Services Request

Form (Form #1A/B) that lists all contract employees, including any subcontract employees, who will be working on the contract (or task/delivery order) to the Contracting Officer. Please note:

due to the personal information contained in the form, the information must be sent in a secure manner. Please do NOT e-mail a document containing social security numbers unless the e-mail is encrypted or the form is password protected.

2. Each contractor employee listed on the Contract Security Services Request Form (Form #1A/B) must complete the following forms and send completed forms to their COR or CO for review.

• PIV Sponsorship Form (Form #3)

• Optional Form 306, Declaration of Federal Employment

• VA Form 0710, Authorization for Release of Information

• Self-Certification Form

3. Each contractor employee listed on the Contract Security Services Request Form (Form #1A/B) must take the Contractor/Employee Fingerprinting Request Form (Form #2) and two forms of ID to their nearest VA facility to have their fingerprints submitted and the form completed and submitted in accordance with the instructions on the form. *It is imperative for each applicant to take a copy of the Contractor/Employee Fingerprinting Request Form (Form #2) to the fingerprinting facility as it determines which facility is billed for the fingerprint submission and where the results are sent.* Contractors can contact the Contracting Officer’s Representative or local VA facility for assistance in scheduling an appointment. If a contractor employee is not located near a VA facility, he/she should contact VSC at VSC.Security@va.gov for further instructions.

The COR or CO should send the below forms to VSC.Security@va.gov encrypted once the Form 1A has been reviewed and signed. Contract Security Services Request Form – Form 1A

• PIV Sponsorship Form – Form 3

• Optional Form 306, Declaration of Federal Employment

• VA From 0710, Authorization for Release of Information

• Self-Certification Form http://vaww.va.gov/VHASERVICECENTER/Security.asp http://vaww.va.gov/VHASERVICECENTER/Security.asp http://vaww.va.gov/VHASERVICECENTER/docs/Security_ServicesRequestForm.pdf http://vaww.va.gov/VHASERVICECENTER/docs/Security_ServicesRequestForm.pdf http://vaww.va.gov/VHASERVICECENTER/docs/Security_ServicesRequestForm.pdf http://vaww.va.gov/VHASERVICECENTER/docs/Security_ServicesRequestForm.pdf http://vaww.va.gov/VHASERVICECENTER/docs/Security_ServicesRequestForm.pdf http://vaww.va.gov/VHASERVICECENTER/docs/Security_ServicesRequestForm.pdf http://vaww.va.gov/VHASERVICECENTER/docs/Security_ServicesRequestForm.pdf http://vaww.va.gov/VHASERVICECENTER/docs/Security_ServicesRequestForm.pdf mailto:VSC.Security@va.gov mailto:VSC.Security@va.gov mailto:VSC.Security@va.gov mailto:VSC.Security@va.gov

The VSC screens all documents as well as the fingerprint results and provides the points of contact with a favorable or unfavorable screening decision for each contractor using the National Criminal History Check

Form, NCHC. If a contractor is eligible for reciprocity, the VSC will contact that individual, the contractor

POC, Contracting Officer Representative and the Contracting Officer with further instructions.

Please Note: As contract personnel are substituted and/or added to the contract (or task/delivery order), each individual must complete items 1-4 in this letter prior to commencing work.

Upon receipt of the screening decision from the VSC, NCHC, the Contracting Officer will provide the contractor with a “Notice to Proceed” letter, which will list those individuals who received a favorable screening decision and instruct them to begin working.