Attachment J-3 CSOSA Credit Release Form.pdf

PDF 137 KB Posted

Attached to
Re-Entry and Sanctions Center Therapeutic Recreation/ Wellness Services
Solicitation number
9594CS23Q0077
Issued by

About this file

This memorandum is a release form for the Court Services and Offender Supervision Agency to obtain consumer or credit reports on individuals for employment purposes. It authorizes the CSOSA to obtain reports from credit reporting agencies to evaluate fitness for employment, promotion, reassignment, retention, or access to classified information.

The federal contract opportunity is for therapeutic recreation and wellness services at the Re-Entry and Sanctions Center. The solicitation number is 9594CS23Q0077 and was issued by the Court Services and Offender Supervision Agency. Services required include therapeutic recreation and wellness programs. The response deadline and award date are not provided in the information given.

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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 .