Contractor_Screening_Request.pdf

PDF 104 KB Posted

Attached to
Fitness Equipment - New, Preventative Maintenance, Repair and On-Call Services
Solicitation number
270143
Issued by
Pima County, Tucson City, Arizona

About this file

This is a Contractor Employee Screening Request form issued by the Tucson Police Department for non-department employees and contractors performing services at City of Tucson facilities. The screening requirement applies to contractors working across multiple City departments, including Parks and Recreation, Police, and Fire Departments, as evidenced by the related fitness equipment service contract opportunity. All contractors must complete fingerprinting and background screening prior to commencing work at any City facility. The screening process is conducted at the Police Identification Section located at the Patrick K. Hardesty Midtown Multi-Service Center at 1100 S. Alvernon Way and requires applicants to schedule appointments through the City of Tucson Police Department website or by calling 791-4054. Applicants must submit the completed form at their scheduled appointment date and time. There is no fee associated with this screening service.

The form requires comprehensive applicant information including personal identification details, physical characteristics, citizenship status, and contact information for both the individual contractor and the company they represent. The City of Tucson contact person is responsible for notifying applicants of their screening results. The form includes sections for Automated Fingerprint Identification System (AFIS) processing results and final approval or denial determination. Any questions regarding the screening process should be directed to tpdbackgrounds@tucsonaz.gov. This background screening requirement is a mandatory prerequisite for all contractor work at City of Tucson facilities and must be completed before service commencement.

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Text version

Tucson Police Department Non-Department/Contractor Employee Screening Request

Date (when form given to applicant):

Instructions

All non-department employees performing services at Tucson Police Department facilities shall be fingerprinted prior to performing work. Fingerprinting is by appointment only. Please visit www.tucsonaz.gov/police and follow the links to fingerprinting or https://www.signupgenius.com/go/9040549A5A623A0FB6-mandatory. Enter “Contractor” in the citation field. If you are unable to access the TPD website, please call 791-4054 for assistance with making an appointment. Fill out this form completely and bring it with you to the Police Identification Section at the Patrick K.

Hardesty Midtown Multi-Service Center at 1100 S. Alvernon Way on your scheduled date and time. The City of Tucson contact person will notify you of the results of the screening process. Any questions about this process should be directed to tpdbackgrounds@tucsonaz.gov There is NO FEE for this service.

City of Tucson Department where work will be done:

City Contact Person:

Phone #:

Company applicant represents ___________________________________________________________ Applicant’s company address ____________________________________________________________ Applicant’s company contact person ________________________ Phone # _______________________

------------------------------------DO NOT WRITE BELOW THIS LINE------------------------------------------

AFIS HIT:

No: Yes: Print type: SID#:

AFIS initials/PR#:

Approved Not Approved

** APPLICANT/EMPLOYEE INFORMATION **

Name:

Date of Birth:

Any former/maiden names, AKAs:__________________________________________ Sex (M/F):__________ Race (Hispanic, Indian, Black, Asian, White): _________________________________ Height: ____ft. _____in. Weight: _______lbs. Eye color: _______ Hair color: _______ Place of birth (State/ Country): _______________ Country of citizenship: _______________

SSN:___________________

Driver’s License: ________________ State: _____ Home Address: (City, State & Zip):

Home phone #: _____________________ Daytime phone #: _____________

Right index

Revised 7/14/26 http://www.tucsonaz.gov/police https://www.signupgenius.com/go/9040549A5A623A0FB6-mandatory mailto:tpdbackgrounds@tucsonaz.gov

Instructions
Company applicant represents ___________________________________________________________
Applicant’s company address ____________________________________________________________
Any former/maiden names, AKAs:__________________________________________
Height: ____ft. _____in. Weight: _______lbs. Eye color: _______ Hair color: _______
Place of birth (State/ Country): _______________ Country of citizenship: _______________
SSN:___________________
Driver’s License: ________________ State: _____

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