Attachment J-10 CSOSA Credit Release.pdf

PDF 147 KB Posted

Attached to
Residential Drug Treatment Services (FY 2024)
Solicitation number
9594CS24R0022
Issued by

About this file

This document contains an attachment for a Court Services and Offender Supervision Agency credit release form and details of a related federal contract opportunity for residential drug treatment services. The solicitation is for substance use disorder treatment at contractor facilities located within a 30-mile radius of Washington, D.C. for up to 30 days per offender, extendable based on recommendations. The objective is to stabilize substance use disorders, enhance supervision compliance, promote recovery and community reintegration. The Court Services and Offender Supervision Agency seeks these services to reduce recidivism risks and return offenders to the community free of illicit substance use.

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Other files

File Type Posted
SF-1449 9594CS24R0022 Conformed Copy.pdf PDF
SF-30 9594CS24R0022-005 Approved.pdf PDF
SF-30 9594CS24R0022-005 Question-Answer Sheet.pdf PDF
SF-30 9594CS24R0022-004 Approved.pdfā.pdf PDF
SF 1449 9594CS24R0022_4_Conformed Copy.pdf PDF
Attachment J-14 Price Breakout Table.docx DOCX document
SF-30 9594CS24R0022-003 Approved.pdf PDF
SF-30 9594CS24R0022-0002 Question-Answer Sheet.pdf PDF
SF-30 9594CS24R0022-0002 Approved.pdf PDF
SF-30 9594CS24R0022-0001.pdf PDF
SF-30 9594CS24R0022-0001 Question-Answer Sheet.pdf PDF
Attachment J-5 Release of Information-Privacy Act Waiver.pdf PDF
Attachment J-8 Monthly Program Activity Report.pdf PDF
Attachment J-6 Vendor Clinical Staffing Form.pdf PDF
Attachment J-7 CSOSA Contact Form.pdf PDF
Attachment J-12 Past Performance Questionnaire.pdf PDF
Attachment J-11 Cover Letter.pdf PDF
Attachment J-1 Billing Authorization.pdf PDF
Attachment J-13 Pricing Tables.pdf PDF
Attachment J-3 Release of Information-Health Records.pdf PDF
Attachment J-2 Release of Information-Substance Abuse Treatment.pdf PDF
Attachment J-9 Security form for Temp Contractors.pdf PDF
9594CS24R0022 Approved.pdf PDF
Attachment J-4 Release of Information-Mental Health-Sex Offender.pdf PDF
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Text version

Court Services and Offender Supervision Agency for the District of Columbia

Attachment J-10:

MEMORANDUM

This is a release for the Court Services and Offender Supervision Agency to obtain one or more consumer/credit reports about you in connection with your application for employment or in the course of your employment with the Court Services and Offender Supervision Agency.

One or more reports about you may be obtained for employment purposes, including evaluating your fitness for employment, promotion, reassignment, retention, or access to classified information.

I,______________________________________, hereby authorize the Court Services and

Offender Supervision Agency to obtain such report(s) from any consumer/credit reporting agency for employment purposes.

Signature

Date

Social Security Number

CSOSA-SEC-0008 Revision: 11/2002

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