Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, effective July 1, 2013, applicable to contractors and service providers working with the County of San Mateo. The form establishes a requirement that all employees, subcontractors, assignees, and volunteers engaged by contractors who have contact with children during the performance of services under a county agreement must undergo fingerprinting. The fingerprinting requirement is implemented to determine whether individuals possess a criminal history that could compromise child safety and welfare during service delivery.

The form serves as a certification document to be completed and signed by the contractor or authorized representative, with fields for the agreement date, contracting party name, contractor name and title, and signature with date. This requirement applies broadly to any county contract involving potential child contact and represents a standard compliance obligation for child-safety sensitive positions and services within San Mateo County's contracting framework.