Attachment J-3 SEC_0008_Credit_Release_Form.pdf
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- Solicitation number
- 9594CS26Q0053
About this file
This document is an employment authorization form for consumer/credit reporting issued by the Court Services and Offender Supervision Agency for the District of Columbia.
The memorandum authorizes CSOSA to obtain one or more consumer and credit reports about an individual in connection with employment application or ongoing employment. The reports may be used for employment evaluation purposes, including assessing fitness for employment, promotion, reassignment, retention, or access to classified information. The form requires the applicant to provide written authorization by completing three fields: printed name, signature, date, and Social Security number. The document is identified as form CSOSA-SEC-0008 with a revision date of November 2002, and includes Print Form, Save Form, and Reset Form functionality options.
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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 .