DFM Contractor Security Clearance Form 10_16_2025.xlsx

This is a Contractor Security Clearance Form issued by the Colorado Division of Facilities Management (DFM) for individuals assigned to the IP Cameras and Infrastructure installation project at CMHHIP and SCYSC facilities. The form requires contractors to complete a security clearance process prior to commencing work on state facilities and grounds. The clearance request deadline is no later than 1:00 pm on August 26, 2026, with an allowance of five business days for processing. Aaron Shorter serves as the DFM Project Manager and Requestor overseeing the clearance submissions.

The form mandates complete submission of all required information typed into the designated fields. Incomplete forms will not be processed. Required contractor information includes company name, company address, full legal name of personnel, last four digits of Social Security Number, driver's license number and issuing state, date of birth, place of birth, race, sex, and current place of residence. All individuals must obtain security clearance approval before starting work in any CDHS facilities or grounds associated with the project.