Attachment J-8 CSOSA Credit Release.pdf

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Attached to
Outpatient Treatment Services
Solicitation number
9594CS26Q0003
Issued by

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