DFM Contractor Security Clearance Form 10_16_2025.xlsx

This is a DFM Contractor Security Clearance Form issued by the Colorado Division of Facilities Management (DFM) for the state and local contract opportunity 2024-057M23, which involves installing IP cameras and infrastructure at CMHHIP and SCYSC facilities. The form is a mandatory pre-employment clearance requirement that must be completed by all contractors and their personnel prior to commencing work at CDHS facilities and grounds. The clearance request deadline is no later than 1:00 pm on August 26, 2026, with an estimated processing time of five business days. The project is managed by DFM Project Manager Aaron Shorter. The form requires comprehensive personal identification information from all contractor employees, including full legal name, last four digits of Social Security number, driver's license number and state, date of birth, place of birth, race, sex, and current place of residence.

The form is incomplete as presented, lacking specific company information, company address, and the required personal details for the contractor personnel seeking clearance. This security clearance form serves as a gatekeeping document to ensure that only properly vetted individuals are permitted access to state facilities during the IP camera installation project. All information must be typed into the form, and incomplete submissions will not be processed, requiring contractors to ensure complete accuracy and thoroughness in their submissions to avoid delays in project commencement.