B02 Attach 8 Credit Report Release for Employment.docx
DOCX document 23 KB Posted
- Attached to
- Request for Proposal (RFP) for Disaster Recovery, Mitigation, Policy, and Data Analytics Support Services
- Solicitation number
- 73351024R0006
- Issued by
-
Small Business Administration
About this file
The document provided is a Credit Report Release for Employment form from the U.S. Small Business Administration (SBA). This form authorizes the SBA to obtain consumer credit reports for the purpose of determining the suitability of an individual for federal employment, securing a contractual service for the federal government, and/or obtaining a security clearance or access. The information obtained may be shared with other federal agencies, as permitted by law, to fulfill official responsibilities. The employee's name, Social Security number, and address are required on the form, which the employee must sign to authorize the credit report release.
The related federal contract opportunity is a Request for Proposal (RFP) for Disaster Recovery, Mitigation, Policy, and Data Analytics Support Services issued by the SBA. This is an Indefinite Delivery, Indefinite Quantity (IDIQ) contract that will establish the terms and conditions for task orders awarded under it. The scope of work includes management and financial consulting, acquisition and grants management support, and business program and project management services. The RFP indicates that the government may add additional labor categories to the IDIQ as needed, and any discounted rates will be agreed upon by both parties.
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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 .