Attachment 2(B) - CSO Form 004.pdf

CSO FORM 004 (REV 04/06)

Section J - Attachment 2(B)

I, ________________________________________________, 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 necessary by the Government. I acknowledge and agree that if I fail, at anytime, 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.

Name: __________________________________________________________ (Please Print)

Signature: __________________________________________________________

Date: __________________________________________________________

INSTRUCTIONS TO THE CONTRACTOR: Retain a copy of this form for your records and forward the original to the United States Marshals Service, Judicial Security Division, Judicial Protective Services, Attention: Personnel Support Branch, Washington, DC 20530-1000.

CSO FORM 004 (REV 04/06)

Section J - Attachment 2(B)