A22 - Suitability Roster.xlsx
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- 75N95022R00013
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Suitability Roster
ROSTER OF EMPLOYEES REQUIRING SUITABILITY INVESTIGATIONS - ATTACHMENT #22
| CAN: | Contractor: | |||
| RFP/Contract #: | Contractor Contact: | |||
| Contract Title: | Contractor E-mail: | |||
| Project Officer: | ||||
| Contract Specialist: | ||||
| TO BE FILLED OUT BY | ||||
| PROJECT OFFICER and ISSO: | TO BE FILLED OUT BY CONTRACTOR: | |||
| TO BE FILLED IN BY CONTRACTOR: |
PROJECT OFFICER and ISSO:
| Suitability Level | Investigation Type | Questionaire Required | Existing Clearance or Application | |||||
| Last Name | First Name | Position | Non-Disclosure |
Agreement Submitted (mm/dd/yyyy) Security Awareness Training Completed
| (mm/dd/yyyy) | Tier 1, 2, 3, 4, or 5 | Tier 1; Tier 2S; Tier 2SR; Tier 3; Tier 3R; Tier 4; Tier 4R; Tier 5; Tier 5R | Estimated Cost | SF85, SF85P, or SF86 | Questionaire Submitted |
| (mm/dd/yyyy) | HHS Credit Release Submitted | ||||
| (mm/dd/yyyy) | OF 306 Submitted | ||||
| (mm/dd/yyyy) | Fingerprinting Completed | ||||
| (mm/dd/yyyy) | Agency | Clearance Level | Date | Comment |
&Z&F
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