Attachment E - Personnel Authorization.pdf

This is a Personnel Authorization form for the Department of Motor Vehicles (DMV) in Virginia, required to be submitted by the contractor upon contract award and prior to service performance for janitorial services at nine stand-alone DMV Customer Service Center locations. The form certifies that all personnel assigned to work at DMV facilities are legal residents or aliens under the Immigration Reform and Control Act of 1986, and that the contractor will not knowingly employ unauthorized aliens. Additionally, the contractor must certify that all assigned employees have passed criminal history background checks and have no incidents of felony or larceny crimes.

The form requires the contractor's proprietor or authorized representative to provide a comprehensive list of personnel assigned to the DMV, including each employee's name, birthdate, address, and phone number. The authorized representative must sign and date the certification, confirming compliance with all immigration and criminal background requirements prior to commencement of janitorial service operations at the designated DMV locations.