Credit Check Form_Fillable.pdf
PDF 86 KB Posted
- Solicitation number
- SST1002-23
About this file
This document contains a consumer credit check disclosure and authorization form for federal employment as well as details of a related federal contract opportunity. The credit check form is to be completed by applicants for federal employment or those requiring a security clearance and authorizes the Department of Justice to obtain consumer or credit reports for evaluation purposes.
The related federal contract opportunity is solicitation number SST1002-23 issued by the Department of Justice Bureau of Prisons Correctional Facilities to procure an upgrade kit for a 45-inch Polar 115 EMC monitor paper cutter. The solicitation type is listed as an upgrade to existing equipment for the agency. No further details are provided on response dates, pricing terms, set-asides, or incumbent.
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Other files
| File | Type | Posted |
|---|---|---|
| Business Mgmt Quest. - SST1002-23.doc | DOC document | |
| SST1002-23 - Papercutter Upgrate RFQ.pdf |
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Text version
United States Department of Justice
Disclosure and Authorization Pertaining to Consumer Reports
Pursuant to the Fair Credit Reporting Act (Title 15, U.S. Code, Section 1681)
This is a release for the Department of Justice to obtain one or more consumer/credit reports about you in connection with your application for Federal employment, during the course of your
Federal employment (including employment under contract), and/or connection with your security clearance or your access to classified information. One or more reports about you may be obtained for purposes of evaluating your fitness for employment, promotion, reassignment, retention, access to classified information, or other employment proposes.
I,_____________________________________________________, hereby authorize the Department of (Print Clearly) Justice to obtain, and I further instruct any consumer/credit reporting agency to release to DOJ, any such report(s) for the above purposes.
Signature
Date
D&B #
Company
DOJ-555
Revised Dec. 2004 Security and Emergency Planning Staff
| Print Clearly: |
| Date: |
| Social Security Number: |
| Current Organization Assigned: |
File details come from the government source that posted it. Updated .