Credit Check Form_Fillable.pdf
PDF 86 KB Posted
- Attached to
- SF-97-1 Federal contract opportunity
- Solicitation number
- PET1002-24
About this file
This document contains a credit check form and disclosure for a federal solicitation from the Department of Justice Bureau of Prisons. The credit check form requests release authorization for the Department of Justice to obtain consumer or credit reports on applicants for federal employment, current federal employees, or those requiring a security clearance or access to classified information. It collects an applicant's name, signature, date and Dun & Bradstreet number.
The related federal contract opportunity is solicitation number PET1002-24 for correctional facilities. The solicitation is from the Department of Justice Bureau of Prisons for an unspecified opportunity type. No further details are provided on required products or services, response dates, or other salient information.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| PET1002-24 RFQ 1600001333.pdf | ||
| Business Mgmt Quest. - PET1002-24.doc | DOC document |
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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 .