Attachment 3 - State House Complex Background Check~1.pdf
PDF 1 MB Posted
- Attached to
- T0438-Battery Chargers, Industrial Lifts, and Pallet Trucks Maintenance and Repair - Statewide
- Solicitation number
- 26DPP01254
- Issued by
- New Jersey
About this file
This document is a background check form for the State House Complex in New Jersey, applicable to individuals seeking access to state facilities. The form serves as a security screening mechanism for the State of New Jersey and requires respondents to provide comprehensive personal identification information, employment history, and disclosure of any criminal convictions, arrests, or pending charges. The document outlines the process by which prospective contractors, vendors, or employees must complete background verification before being granted access to state buildings and facilities. Applicants are required to certify the accuracy of their submitted information under penalty of perjury and acknowledge understanding of the background check requirements and associated policies.
The form emphasizes that all information provided must be truthful and complete, with specific sections dedicated to criminal history disclosure, including felonies, misdemeanors, and any charges regardless of conviction status. The document includes standard authorization language permitting the State House Complex to conduct necessary background investigations through appropriate law enforcement and public record sources. This background check requirement applies broadly to any individuals with potential facility access in connection with contract work, maintenance, or repair services at New Jersey state properties, making it a prerequisite for participation in statewide procurement activities such as the Battery Chargers, Industrial Lifts, and Pallet Trucks Maintenance and Repair contract opportunity.
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| T0438 Bid Solicitation 7.22.26.docx | DOCX document | |
| Attachment 1 - SSTCs~8.pdf | ||
| Attachment 5 - Bidder Data Sheet~3.pdf | ||
| Attachment 2 - Standard Procurement Forms Packet~15.pdf | ||
| Attachment 6 - Power Point Presentation~1.pptx | PPTX presentation |
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Text version
NEW JERSEY STATE HOUSE COMPLEX
PROCEDURE FOR BACKGROUND CHECKS – DPP/DPA
All persons contracted to perform work at the State House Complex as part of a State authorized project must submit to a background check which consists of a search by the New Jersey State Police (NJSP) of the Criminal History Records Information (CHRI) data base and the National Crime Information Center (NCIC) data base. The State House Complex consists of the following locations:
1. Executive State House – 125 West State Street, Trenton, NJ 08625
2. Executive State House – 225 West State Street, Trenton, NJ 08625
3. Legislative State House/Legislative Staff Building – 135 West State Street, Trenton, NJ 08625
4. State House Annex – 145 West State Street, Trenton, NJ 08625
5. State House Garage – 165 West State Street, Trenton, NJ 08625
6. Public Health, Environmental & Agriculture Laboratory (NJPHEAL) – 3 Schwarzkopf Dr. Ewing, NJ 08628
Applicants will go to www.NJSP.gov, click on Services, select Criminal History Background Check scroll down and select one of the following: NJ Residents and/or Out of State Residents once applicants click on the selected option, applicant will read all instructions before selecting Personal Record Request Employment with service code 2F1BF3 applicant will click on Service Code to schedule appointment with IdentoGO. When scheduling appointment, the applicant will put the Contributor Case Number: EMPLOYER in box number 7 on the IdentoGO website.
Once an applicant has gone for their scheduled appointment with IdentoGO allow 24 to 72hrs for the background check to be processed.
The candidate will then enter their name, birth date and contact information. Once completed they click on the blue "NEXT" button. The next screen is asking about employer information. The employer information MUST be entered as follows: (Please note if this step is not followed exactly as stated below the candidate will have to redo the entire process again).
Employer Name: DPM&C Country: United States Address Line 1: 33 W. State Street, 9th floor Address Line 2: PO Box 034 City: Trenton State: New Jersey Postal Code: 08625-0034
*The next screen is titled "Agency Identifiers"*
Under the contributor case number field, please enter EMPLOYER Under the "Miscellaneous (if unknown, leave blank)" field, please enter the PO#, Contract#, or Project# which this candidate will be working on.
The candidate will continue filling out each of the next pages until the appointment is scheduled. The candidate must keep a copy of the completed IdentoGo form for submission later on.
On the date that the candidate is fingerprinted, he/she must obtain the PCN/TCN number from IdentoGo.
Immediately after the fingerprints are taken, you will email DPMC.BackgroundChecks@treas.nj.gov and copy SHbackgroundcheck@treas.nj.gov the following information for each candidate:
1. Completed IdentoGo form
2. Applicant's first & last name
3. Applicant's date of birth
4. PCN/TCN#
5. Applicants completed appointment date
If you have any questions or concerns, please contact DPMC.BackgroundChecks@treas.nj.gov or
SHbackgroundcheck@treas.nj.gov e n t a m e p s e n d e n m d
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M a i l i n g e s n
S U
ח o f v i t k i s e s
T i n e c o
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C f f a i i c a ti ti t h i a l
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COVER SHEET
State House
DATE:________________
TO: SHbackgroundcheck@treas.nj.gov (ATTN: Joe Hillman) EMAIL THIS COVER SHEET ONLY TO SHbackgroundcheck@treas.nj.gov ATTN: Joe Hillman
(NO COPY OF FORMS)
From: ________________________________________________________________ Name Company
SUBJECT: List of Employees Names for Capitol Complex
TERM CONTRACTNUMBER/PO#:____________________
*Employee List of Names Only*
NAME OF EMPLOYEE - (LAST/FIRST) FINGERPRINT DATE
(MM/DD/YYYY)
Any question concerning this process shall be directed to Joe Hillman at (609)-777-4411 or SHbackgroundcheck@treas.nj.gov
File details come from the government source that posted it. Updated .