Attachment 2(B) - CSO Form 004.pdf

Please wait...

If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document.

You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.

For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.

Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other countries.

Form CSO-004 Rev. 03/12 Submission Instructions: The contracting company should submit completed forms to the United States Marshals Service, 2604 Jefferson Davis Highway, Alexandria, VA 22301, Attention: JSD/OCS/Applications & Qualifications Branch (CS-3, 4th Fl.). Retain a copy for your records.

U.S. Department of Justice United States Marshals Service Acknowledgement of Conditions of Court Security Officer Eligibility INSTRUCTIONS: Applicants to become U.S. Marshals Service Court Security Officers should complete Form CSO-004. Return completed acknowledgements to the contracting company.

I, (Insert name), understand that my (potential) employer (Insert the name of the company), is under contract with the United States Marshals Service (USMS) to provide security services.

I also understand (Insert the name of the company) has, or will hire me to work on their behalf, as a Court Security Officer (CSO), for the purposes of fulfilling its contract responsibilities with the USMS. I understand that I must not at any time, represent myself as an employee of the USMS.

I acknowledge and understand that my eligibility to perform services under the contract will be determined by the USMS based upon meeting all CSO contract qualifications standards. These qualifications include successful completion of an initial and yearly medical examination; weapon qualification test; a background investigation; and, other CSO qualification standards noted in the contract.

I acknowledge and understand my suitability and eligibility to perform as a CSO under the contract will be an annual requirement, or as deemed neces sary by the Government. I acknowledge and agree that if I fail, at any time, to meet any of the CSO qualification standards, I will be prohibited from performing services under the USMS contract.

I fully understand and accept that if I am granted an “interim approval” to begin performing CSO services under the contract and subsequently fail to pass the medical standards, the weapons qualification standards or the background investigation, this approval will be revoked.

9.0.0.2.20101008.1.734229