Attachment 9-Fair Credit Form.pdf
PDF 10 KB Posted
- Attached to
- FBI Fingerprinting Channeler Services Federal contract opportunity
- Solicitation number
- 1145PC24Q0024
- Issued by
- Peace Corps
About this file
This document appears to be a Fair Credit Reporting Act disclosure form. The purpose of this form is to authorize the Peace Corps, Office of Security to obtain consumer credit reports for employment purposes, such as determining fitness for federal employment, clearance to perform contractual services for the federal government, and security clearance or access. The form requires the applicant's printed name, social security number, signature, and date. This form is related to the FBI Fingerprinting Channeler Services solicitation (Solicitation Number: 1145PC24Q0024), issued by the Peace Corps.
The solicitation is for FBI Fingerprinting Channeler Services, with a proposal due date of July 13, 2024 at 4:00pm EST. Questions are due by July 10, 2024 at 4:00pm EST. The required products or services are not specified in the provided information.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 2 - QA Spreadsheet RFQ ANSWERS 1145PC24Q0024.xls | XLS spreadsheet | |
| Attachment 4 - Quality Assurance Surveillance Plan.pdf | ||
| Attachment 6 - Peace Corps Manual Section 892.docx | DOCX document | |
| Attachment 7-Tax Check Waiver Consent Form.pdf | ||
| Attachment 3 - Past Performance Questionnaire.doc | DOC document | |
| Attachment 2 - QA Spreadsheet RFQ 1145PC24Q0024.xls | XLS spreadsheet | |
| Attachment 8 -Background Investigation Clearance Form.pdf | ||
| 1145PC24Q0024 Fingerprinting RFQ.docx | DOCX document | |
| Attachment 5 - Peace Corps Manual Section 899.docx | DOCX document | |
| Attachment 11 - OF-306.pdf | ||
| Attachment 1 - Pricing Spreadsheet Fingerprinting.xlsx | XLSX spreadsheet | |
| Attachment 10 - Intelligence Background Form.pdf |
Show all 12
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Text version
FAIR CREDIT REPORTING ACT OF 1970, AS AMENDED
PLEASE TAKE NOTICE 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., - 1682, ET SEQ. SHOULD A
DECISION TO TAKE ANY ADVERSE ACTION AGAINST YOU BE MADE, BASED ON
EITHER IN WHOLE OR IN PART ON THE CONSUMER CREDIT REPORT, THE
CONSUMER REPORTING AGENCY THAT PROVIDED THE REPORT PLAYED NO ROLE
IN THE AGENCY'S DECISION TO TAKE SUCH ADVERSE ACTION.
Information provided by you on this form will be furnished to the consumer reporting agency in order to obtain information in connection with an investigation to determine your (1) fitness 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 re-disclosed 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 authorized the Peace Corps, Office of Security to obtain such report(s)from any consumer/credit reporting agency for employment purposes.
(Print Name) (Social Security No.)
(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.
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