Attachment J-2 SEC_0008_Credit_Release_Form.pdf

PDF 85 KB Posted

Attached to
Psychosexual Risk Assessments Federal contract opportunity
Solicitation number
9594CS24Q0002
Issued by
Court Services and Offender Supervision Agency

About this file

This document is a Credit Release Form from the Court Services and Offender Supervision Agency (CSOSA) for the District of Columbia. It authorizes CSOSA to obtain one or more consumer/credit reports about the applicant for employment purposes, including evaluating fitness for employment, promotion, reassignment, retention, or access to classified information.

The related federal contract opportunity is a solicitation (Solicitation Number: 9594CS24Q0002) for Psychosexual Risk Assessments. CSOSA is seeking comprehensive psychosexual risk assessments, sexual history polygraph examinations, psychosexual risk assessment reports, and corresponding treatment recommendations. The work will be performed at CSOSA's facility in Washington, DC, and some services may be provided virtually. The solicitation is a total Small Business Set-Aside under NAICS code 621330, Offices of Mental Health Practitioners. The resultant award is anticipated to be a total of 5 years (one 12-month base period plus four 12-month option periods). All quotes submitted must comply with the submission requirements outlined in Section L.

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Other files for this federal contract opportunity

Other files attached to Psychosexual Risk Assessments, newest first.
File Type Posted
9594CS24Q0002 Amd 0001.pdf PDF
Attachment J-1 SEC0010-Temp-Contractor-Form-10182013.pdf PDF
Attachment J-7 Past Performance Questionnaire.docx DOCX document
Attachment J-8 Solicitation Price Sheet.docx DOCX document
Solicitation 9594CS24Q0002.pdf PDF
Attachment J-4 Contractor Confidentiality and Nondisclosure Agreement.docx DOCX document
Attachment J-3 PIV_Request_Form_051409.pdf PDF
Attachment J-6 Cover Letter.docx DOCX document
Attachment J-5 FAR 52.212-3 Offeror Reps & Certs - Comm Items & Svcs.docx DOCX document

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Text version

Court Services and Offender Supervision Agency for the District of Columbia

MEMORANDUM

This is a release for the Court Services and Offender Supervision Agency to obtain one or more consumer/credit reports about you in connection with your application for employment or in the course of your employment with the Court Services and Offender Supervision Agency. One or more reports about you may be obtained for employment purposes, including evaluating your fitness for employment, promotion, reassignment, retention, or access to classified information.

I,______________________________________, hereby authorize the Court Services and

Offender Supervision Agency to obtain such report(s) from any consumer/credit reporting agency for employment purposes.

Signature

Date

Social Security Number

CSOSA-SEC-0008 Revision: 11/2002

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