Attachment J-2 CSOSA SEC 0008 Credit Release Form.pdf
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- Solicitation number
- 9594CS25Q0085
About this file
This document is a memorandum and authorization form from the Court Services and Offender Supervision Agency (CSOSA) for the District of Columbia. The form is a release that allows CSOSA to obtain consumer/credit reports about an individual in connection with their employment application or during their employment.
The document authorizes CSOSA to acquire one or more reports for employment purposes, including evaluating the individual's fitness for employment, potential promotion, reassignment, retention, or access to classified information. The form requires the individual's signature, date, and social security number, and is marked with a document code CSOSA-SEC-0008 with a revision date of 11/2002. The form includes digital buttons to print, save, or reset the form.
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Text version
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
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File details come from the government source that posted it. Updated .