Attachment J-12 CSOSA Credit Release.docx

DOCX document 48 KB Posted

Attached to
Supportive Housing Services (Up to 180 Days)
Solicitation number
9594CS26Q0075
Issued by

About this file

This is a credit release form for the Court Services and Offender Supervision Agency (CSOSA). The document serves as a template or procedural document that outlines the process and requirements for releasing credit information related to individuals under CSOSA supervision. The form is designed to be completed by contractors providing supportive housing services as part of the broader solicitation for Supportive Housing Services (Up to 180 Days), solicitation number 9594CS26Q0075.

The credit release form establishes the authorization and documentation needed for CSOSA or its contractors to obtain and review credit history information for individuals being placed in supportive housing programs. This documentation is likely required to assess housing eligibility, verify financial responsibility, or establish baseline information for individuals participating in the supportive housing initiative. As an attachment to the main solicitation, this form represents a mandatory compliance and administrative requirement that contractors must implement and utilize when processing placements or admissions into the supportive housing program. Contractors responding to the solicitation should be prepared to incorporate this credit release process into their intake and enrollment procedures.

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Other files

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Amendment 0002 9594CS26Q0075.pdf PDF
Amd 0001 Exhibit A Responses to Questions Recieved.pdf PDF
Amendment 0001 9594CS26Q0075.pdf PDF
Amd 0001 Revised Attachment J-18 Solicitation Price Sheet.docx DOCX document
Solicitation 9594CS26Q0075.pdf PDF
Attachment J-1 Section C Statement of Work.pdf PDF
Attachment J-9 CSOSA Supportive Housing Building Requirements.pdf PDF
Attachment J-17 FAR 52.212-3 Offeror Reps & Certs.docx DOCX document
Attachment J-5 Release of Information-Substance Abuse Treatment.pdf PDF
Attachment J-13 Contractor Confidentiality and Nondisclosure Agreement.docx DOCX document
Attachment J-15 Pre-award Inspection Check List.docx DOCX document
Attachment J-2 Release of Information Privacy Act Waiver.docx DOCX document
Attachment J-3 Relase of Information and Waiver General Third Party Disclosure.docx DOCX document
Attachment J-4 Release of Information-Health Records.pdf PDF
Attachment J-6 Release of Information-Mental Health-Sex Offender.pdf PDF
Attachment J-8 Monthly Program Activity Report.docx DOCX document
Attachment J-7 Vendor Referral Letter (Billing Authorization).docx DOCX document
Attachment J-10 CSOSA Food and Nutrition Requirements.pdf PDF
Attachment J-11 Security Form for Temporary Contractors.docx DOCX document
Attachment J-14 Cover Letter.docx DOCX document
Attachment J-16 Past Performance Questionnaire.docx DOCX document
Attachment J-18 Solicitation Price Sheet.docx DOCX document
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Text version

Court Services and Offender Supervision Agency for the District of Columbia

Attachment J-12: Credit Release 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

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CSOSA-SEC-0008

Revision: 11/2002 image1.png

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