Fingerprinting_Certification_Form.pdf
PDF 587 KB Posted
- Attached to
- Sterile Compounding Consulting Services
- Solicitation number
- 66000-2526-209
- Issued by
- San Mateo County, San Francisco City, California
About this file
The document is a Fingerprinting Certification Form issued by the County of San Mateo's Contract Compliance Committee on July 1, 2013. This sample form is designed to ensure the safety of children by requiring contractors, their employees, subcontractors, assignees, and volunteers who will have contact with children during service performance to undergo fingerprinting for criminal history background checks.
While the form is a sample template and does not contain specific contract details, it is associated with a potential contract for Sterile Compounding Consulting Services at San Mateo Medical Center (SMMC). The form represents a standard compliance requirement for contractors working in environments involving children, highlighting the county's commitment to child safety through thorough background screening processes. The form requires completion of agreement details, contractor information, and signature, serving as a critical administrative document in the contracting process.
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Text version
County of San Mateo – Fingerprinting Certification Form
DATE: Click here to enter a date.
AGREEMENT WITH: Click here to enter text.
FOR:
Contractor agrees that its employees and/or its subcontractors, assignees and volunteers who, during the course of performing services under this agreement, have contact with children will be fingerprinted in order to determine whether they have a criminal history which would compromise the safety of children with whom contractors employees, assignees and subcontractors or volunteers have contact.
NAME: Click here to enter text.
TITLE: Click here to enter text.
SIGNATURE:
DATE:
Issued by County of San Mateo Contract Compliance Committee July 1, 2013
SAMPLE
Contractor agrees that its employees and/or its subcontractors, assignees and volunteers who, during the course of performing services under this agreement, have contact with children will be fingerprinted in order to determine whether they have a cri...
File details come from the government source that posted it. Updated .