2(A)_-_Form_CSO-001_Court_Security_Officer_Staffing_Notification.pdf

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Court Security Officers Services
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DJM-16-A32-R-0001
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Attachment 2(A) - Form CSO-001 Court Security Officer Staffing Notification

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Form CSO-001 Rev. 03/16 Page of U.S. Department of Justice United States Marshals Service Court Security Officer Staffing Notification

INSTRUCTIONS FOR CONTRACTING COMPANY TO COMPLETE THIS FORM

This form must be used and completed by the contractor only, unless otherwise noted, to notify the United States Marshals Service (USMS) of Court Security Officer staffing for those individuals proposed to perform on your company's behalf under the USMS contract for court security services. Incomplete or illegible forms will be considered unacceptable and will be returned. This form must be submitted in accordance with the time requirements stated in the applicable USMS contract.

7. STATUS (choose one):

10. CURRENT DISTRICT ASSIGNMENT:

This area serves as notification regarding the function of the individual listed in field #4.

Any CSO-001 submitted regarding Medical Information should be sent to the CSO Medical Box (UCSOMedicalMailbox@usms.doj.gov).

A CSO-001 is not required if the Incumbent is taking FMLA to assist a family member.

Any CSO001 submitted regarding Medical Information should be sent to the CSO Medical Box (UCSOMedicalMailbox@usms.doj.gov).

A CSO001 is not required if the Incumbent is taking FMLA to assist a family member.

(attach a copy of orders.)

(attach a copy of orders.)

TO:

FROM:

This transfer will result in:

TO:

FROM:

This transfer will result in:

17. THIS VACANCY WILL RESULT IN THE OPENING OF THE BELOW POSITION:

District Assignment:

NOTE TO CONTRACTOR:

Official notification of the information provided above in #17 must be submitted through an additional CSO-001 to ensure USMS processing.

9.0.0.2.20101008.1.734229

CurrentPage:
PageCount:
DATESUBMITTED:
EFFECTIVEDATE:
ContractorsName:
IndividualName:
ssn:
CSOID:
:
Function:
PositionType:
Circuit:
District:
FacilityCode:
Address:
Medical: 0
Medical: 0
DateField3:
StatusChange: 0
StatusChange: 0
Transfer: 0
Transfer: 0
Circuit-To:
District-To:
FacilityCode-To:
Address-To:
PosFunctionChange: 0
PosFunctionChange: 0
PosTypeChange: 0
PosTypeChange: 0
PosTypeChange: 0
PosTypeChange: 0
PosFuncChange13: 1
PosTypeChange13: 1
PosFuncChange: 0
PosFuncChange: 0
NewContactPosition: 0
NewContactPositionDisabled: 0
FilledBy:
FilledBy-Name:
FilledBy-SSN:
Title:
PreparedBy:
SignatureField1:

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