Credit_Release_Authorization.pdf

PDF 7 KB Posted

Attached to
VARIOUS THREADS - BERRY AMENDMENT COMPLIANT Federal contract opportunity
Solicitation number
CT2239-18
Issued by
Department of Justice Bureau of Prisons Federal Correctional Institution Manchester

About this file

CREDIT RELEASE FORM

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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: _______________________________

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