Credit Release Authorization.pdf

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CT2387-26
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This document is a consumer/credit report authorization form issued by the United States Department of Justice on behalf of UNICOR, Federal Prison Industries. The form authorizes the Department of Justice to obtain consumer and credit reports about a company submitting a quote or proposal for federal government contracting purposes. The reports may be obtained to evaluate the company's financial ability to perform contractual obligations required under any resulting agreement with the Federal government.

The authorization form requires the signatory to provide their printed name, signature, date of authorization, the company's Dun & Bradstreet (D&B) number, and company name. By signing, the authorized representative instructs consumer/credit reporting agencies to release any such reports to the Department of Justice, UNICOR, Federal Prison Industries for the stated evaluation purposes. This authorization is executed pursuant to the Fair Credit Reporting Act (Title 15, U.S. Code, Section 1681).

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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: _______________________________

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