Attachment 7 - Credit Report Release for Employment.docx
DOCX document 23 KB Posted
- Attached to
- SBA Independent Valuation Consulting Services Federal contract opportunity
- Solicitation number
- 73351023R0027
- Issued by
- Small Business Administration
About this file
This document contains a credit report release form for employment with the U.S. Small Business Administration. The form authorizes the SBA to obtain a consumer credit report for employment purposes in order to determine suitability for federal employment, clearance to perform contractual services, and security clearances. It includes fields for the employee's name, Social Security number, address, signature, and date.
The related federal contract opportunity is a solicitation from the Small Business Administration seeking independent valuation consulting services. The solicitation number, name, opportunity type, issuing agency are provided. No additional details on products, services, pricing, response dates or timelines are included in this document.
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Text version
Credit Report Release for Employment
U.S. Small Business Administration
PLEASE BE ADVISED THAT ONE OR MORE CONSUMER CREDIT REPORTS MAY BE OBTAINED FOR EMPLOYMENT PURPOSES PURSUANT TO THE FAIR CREDIT REPORTING ACT, AS AMENDED, 15 U.S.C., §1681, ET SEQ.
Information provided by you on this form will be furnished to the consumer reporting agency, in order to obtain information to determine your (1) suitability for Federal employment, (2) clearance to perform contractual service for the Federal Government, and/or (3) security clearance or access. The information obtained may be provided to other Federal agencies for the above purposes and in fulfillment of official responsibilities to the extent that such disclosure is permitted by law.
I hereby authorize the U.S. Small Business Administration, to obtain such report(s) from any consumer/credit reporting agency for employment purposes. I understand that if I am denied employment, either in whole or in part, based on this credit report, SBA will give me a copy of the report and information about my rights under the Fair Credit Reporting Act.
Print employee's name Social Security number Street address and apartment number, if applicable
City, state, zip code Signature Date Your Social Security Number is needed to keep records accurate because other people may have the same name. Executive Order 9397 also asks Federal agencies to use this number to help identify individuals in agency records.
SBA Form 2044 (5-99)
File details come from the government source that posted it. Updated .