Credit Release Authorization.pdf
PDF 7 KB Posted
- Attached to
- Duck Cloth
- Solicitation number
- CT2383-26
About this file
This is a consumer credit report authorization form issued by the United States Department of Justice, UNICOR, Federal Prison Industries, pursuant to the Fair Credit Reporting Act (Title 15, U.S. Code, Section 1681). The form is a template designed for vendors submitting quotes or proposals to conduct business with the federal government.
The form authorizes the Department of Justice and UNICOR to obtain one or more consumer or credit reports about a company for the purpose of evaluating the company's financial ability to perform contractual obligations resulting from any acquisition agreement with the federal government. The signatory, identified by printed name, authorizes the Department of Justice to obtain reports from any consumer or credit reporting agency and instructs such agencies to release the reports to the Department of Justice, UNICOR, Federal Prison Industries. Required completion fields include the authorized representative's signature, date, company's Dun & Bradstreet (D&B) number, and company name.
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Text version
United States Department of Justice
UNICOR, Federal Prison Industries
Pertaining to Consumer Reports
Pursuant to the Fair Credit Reporting Act
(Title 15, U.S. Code, Section 1681)
This release for the Department of Justice, UNICOR, Federal
Prison Industries to obtain one or more consumer/credit reports about your company is in connection with your quote/proposal to do business with the Federal government. One or more reports about your company may be obtained for the purposes of evaluating your companies financial ability to perform the acquisition actions required by any contractual agreement between your company and the Federal government.
I, _________________________________, hereby authorize the
(Print Clearly)
Department of Justice to obtain, and further instruct any consumer/credit reporting agency to release to Department of
Justice, UNICOR, Federal Prison Industries any such report(s) for the above purposes.
Signature:_______________________________
Date: _______________________________
D&B# _______________________________
Company: _______________________________
File details come from the government source that posted it. Updated .