Attach 8 Contractor e-QIP Checklist.docx

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SBA OII Examinations and Related Services
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73351022R0019
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Contractor e-QIP Checklist

Full Name:

SSN:

Date of Birth:

Place of Birth:

Email Address:

Phone Number:

Contractor Applicant Physical Address:

Contracting Company:

Office:

COR/COTR: CO:

Contract switch: ☐ Yes ☐ No Contract Number:

Contract Start Date:Contract End Date:
Rehire:☐ Yes ☐ No

Date Sponsored for PIV:

Network Access Required: ☐ Yes ☐ No

Attachments:
☐Completed OF 306
☐SBA For 2044 – Credit Report Release for Employment
☐OPM Position Designation Form
☐SBA 1228 – Computer Access Clearance/Security form
☐Statement of Work or Position Description (Description of Duties)
☐Resume
☐Immigration Documentation (if born outside the U.S.A)

(Contractor Applicant Completes all Items Above the Dotted Line, COR/CO completes all items below the line.)

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