8-j. Certified Cleared Employee List.pdf

This document is a Certified Cleared Employee List form from Rockford Public School District No. 205, designed to certify that a vendor, supplier, professional services firm, or contractor has conducted comprehensive background checks on their employees. The form requires vendors to confirm they have completed criminal history records checks, Statewide Sex Offender Database checks, and Statewide Child Murderer and Violent Offender Against Youth Database checks for all employees, in accordance with Illinois state law (105 ILCS 5/10-21.9).

The form serves as a legal certification that the vendor's employees have not been convicted of specific criminal or drug offenses listed in the referenced Act, and that the person signing the document is authorized to execute it on behalf of the company. The document provides a table for listing employees' details, including their number, last name, middle initial, first name, and spaces to mark criminal history and database check results. The form requires notarization and includes provisions for marking the form as "not applicable" according to section 36 of the Supplemental Terms and Conditions.