B02 Attach 7 Credit Report Release for Employment.docx
DOCX document 23 KB Posted
- Attached to
- ODR&R Data Analytics Product and Support Services Federal contract opportunity
- Solicitation number
- 73351024R0015
- Issued by
- Small Business Administration
About this file
This document is a Credit Report Release for Employment form from the U.S. Small Business Administration (SBA). It provides authorization for the SBA to obtain consumer credit reports for the purposes of determining suitability for federal employment, clearance to perform contractual service for the federal government, and/or obtaining a security clearance or access. The form requires the applicant to provide their name, social security number, and address. It states that the information obtained from the credit report may be provided to other federal agencies for the authorized purposes, and that if the applicant is denied employment based on the credit report, they will be provided a copy of the report and information about their rights under the Fair Credit Reporting Act.
The related federal contract opportunity is for "ODR&R Data Analytics Product and Support Services" issued by the SBA's Office of Disaster Recovery and Resilience (ODRR). The requirement is to provide incident management support, technical assistance materials development, and analytical support to inform the SBA Administrator's economic recovery priorities in preparation for and after declared disaster events. This project will help integrate information from across the agency, interagency, national, and external sources to support the ODRR mission.
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Text version
Credit Report Release for Employment
U.S. Small Business Administration
PLEASE BE ADVISED THAT ONE OR MORE CONSUMER CREDIT REPORTS MAY BE OBTAINED FOR EMPLOYMENT PURPOSES PURSUANT TO THE FAIR CREDIT REPORTING ACT, AS AMENDED, 15 U.S.C., §1681, ET SEQ.
Information provided by you on this form will be furnished to the consumer reporting agency, in order to obtain information to determine your (1) suitability for Federal employment, (2) clearance to perform contractual service for the Federal Government, and/or (3) security clearance or access. The information obtained may be provided to other Federal agencies for the above purposes and in fulfillment of official responsibilities to the extent that such disclosure is permitted by law.
I hereby authorize the U.S. Small Business Administration, to obtain such report(s) from any consumer/credit reporting agency for employment purposes. I understand that if I am denied employment, either in whole or in part, based on this credit report, SBA will give me a copy of the report and information about my rights under the Fair Credit Reporting Act.
Print employee's name Social Security number Street address and apartment number, if applicable
City, state, zip code Signature Date Your Social Security Number is needed to keep records accurate because other people may have the same name. Executive Order 9397 also asks Federal agencies to use this number to help identify individuals in agency records.
SBA Form 2044 (5-99)
File details come from the government source that posted it. Updated .