Attachment J-3 SEC_0008_Credit_Release_Form.pdf
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- Attached to
- Personal Property Management System
- Solicitation number
- 9594CS26Q0025_1
About this file
This document is an employment authorization form issued by the Court Services and Offender Supervision Agency for the District of Columbia. The form grants authorization to CSOSA to obtain one or more consumer credit reports about applicants or employees in connection with employment-related decisions. The reports may be obtained for multiple purposes including evaluating fitness for employment, promotion, reassignment, retention, or access to classified information. The form requires the applicant or employee to provide their signature, date, and Social Security Number to authorize the agency to request reports from any consumer or credit reporting agency for employment purposes. The form is designated as CSOSA-SEC-0008 with a revision date of November 2002 and includes Print Form, Save Form, and Reset Form buttons for digital completion.
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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 .