Attachment J-2 CSOSA Credit Release Form - V1 - 1-19-21.pdf
PDF 138 KB Posted
- Attached to
- Psychotherapy Group Services Federal contract opportunity
- Solicitation number
- 9594CS24Q0025
About this file
This document is a credit release form from the Court Services and Offender Supervision Agency (CSOSA) that authorizes CSOSA to obtain consumer and credit reports about an individual for employment purposes, including evaluating fitness for employment, promotion, reassignment, retention, or access to classified information.
The related federal contract opportunity is for CSOSA to acquire psychotherapy group services. CSOSA requires a contractor to provide facilitated group psychotherapy and individual psychotherapy sessions for residents at CSOSA's Re-Entry and Sanction Center. The contractor must be available to provide on-site or virtual group and individual therapy sessions for a minimum of 60 minutes per session, during the hours of 9:00 am - 9:00 pm Monday to Friday. The solicitation number is 9594CS24Q0025.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 0001 9594CS24Q0025 Q and As.pdf | ||
| Attachment J-5 Pricing Worksheet.docx | DOCX document | |
| Attachment J-3 PIV Request Form - V1 - 1-19-21.pdf | ||
| Attachment J-6 - FAR 52.212-3 JAN 2021 - V1 - 1-28-21.docx | DOCX document | |
| 9594CS24Q0025 RFQ for Psychotherapy Group Services.pdf | ||
| Attachment J-1 CSOSA SEC 0010-Temp-Contractor-Form.pdf | ||
| Attachment J-4 Cover Letter.pdf |
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Text version
Attachment J-3
Court Services and Offender Supervision Agency for the District of Columbia
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
Court Services and Offender Supervision Agency
File details come from the government source that posted it. Updated .