Attachment J-2 SEC_0008_Credit_Release_Form.pdf

PDF 85 KB Posted

Attached to
FM:Systems Software On-site Consultant Federal contract opportunity
Solicitation number
9594CS25Q0078
Issued by
Court Services and Offender Supervision Agency

About this file

This document is a consumer/credit report authorization form from the Court Services and Offender Supervision Agency (CSOSA) for the District of Columbia. The form allows CSOSA to obtain consumer/credit reports about an individual in connection with their employment application or during their employment. The reports can be used for various employment purposes, including evaluating fitness for employment, promotion, reassignment, retention, or access to classified information. The form requires the individual's signature, date, and social security number to authorize the agency to obtain reports from consumer/credit reporting agencies. The document is revision 11/2002 and is identified with the code CSOSA-SEC-0008.

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Other files for this federal contract opportunity

Other files attached to FM:Systems Software On-site Consultant, newest first.
File Type Posted
Amendment 0001 9594CS25Q0078.pdf PDF
Attachment J-1 SEC0010-Temp-Contractor-Form.pdf PDF
Solicitation 9594CS25Q0078.pdf PDF
Attachment J-7 - Solicitation Price Sheet.docx DOCX document
Attachment J-3 PIV_Request_Form.pdf PDF
Attachment J-6 Past Performance Questionnaire.docx DOCX document
Attachment J-4 Contractor Confidentiality and Nondisclosure Agreement.docx DOCX document
Attachment J-5 FAR 52.212-3.docx DOCX document

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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 .