Attachment J-8 CSOSA Credit Release.pdf

PDF 154 KB Posted

Attached to
Outpatient Treatment Services Federal contract opportunity
Solicitation number
9594CS26Q0003
Issued by
Court Services and Offender Supervision Agency

About this file

This is an employment authorization form issued by the Court Services and Offender Supervision Agency for the District of Columbia (CSOSA). The form permits CSOSA to obtain one or more consumer/credit reports about an individual in connection with an application for employment or during the course of employment with the agency. The reports may be obtained for multiple employment-related 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 CSOSA to request such reports from any consumer/credit reporting agency for employment purposes.

The form is identified as CSOSA-SEC-0008 with a revision date of November 2002. It includes interactive buttons for printing, saving, and resetting the form. This is a standard authorization document rather than a contract solicitation or procurement document, and serves as the required consent mechanism under the Fair Credit Reporting Act for background screening in federal employment contexts.

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Other files for this federal contract opportunity

Other files attached to Outpatient Treatment Services, newest first.
File Type Posted
Amendment 0003 9594CS26Q0003.pdf PDF
Amendment 0002 9594CS26Q0003.pdf PDF
Amd 0001 Revised Attachment J-15 Solicitation Price Sheet.docx DOCX document
Amendment 0001 9594CS26Q0003.pdf PDF
Attachment J-11 Contractor Confidentiality and Nondisclosure Agreement.docx DOCX document
Attachment J-6 Authorization for Release of Information_Waiver-General Third Party Disclosure.pdf PDF
Attachment J-1 Vendor Referral Letter-Billing Authorization.pdf PDF
Solicitation 9594CS26Q0003 Outpatient Treatment.pdf PDF
Attachment J-13 Cover Letter.docx DOCX document
Attachment J-5 Release of Information-Privacy Act Waiver.pdf PDF
Attachment J-15 Solicitation Price Sheet.docx DOCX document
Attachment J-14 Past Performance Questionnaire.docx DOCX document
Attachment J-10 WD 2015-4281 Rev 35 03Dec25.pdf PDF
Attachment J-9 PIV_Request_Form.pdf PDF
Attachment J-4 Release of Information-Health Records.pdf PDF
Attachment J-2 CSOSA Consent Release of Sensitive Information-Mental Health or Sex Offender.pdf PDF
Attachment J-12 FAR 52.212-3 Offeror Reps & Certs - Comm Items & Svcs.docx DOCX document
Attachment J-7 Security Form For Temporary Contractors.pdf PDF
Attachment J-3 Release of Information-Substance Abuse Treatment.pdf PDF
Show all 19

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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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txt_date:
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File details come from the government source that posted it. Updated .