Fingerprinting_Certification_Form.pdf

PDF 587 KB Posted

Attached to
Implementation of Point-of-Care Electroencephalogram (EEG) System and Services
Solicitation number
66000-2526-208
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 Contract Compliance Committee on July 1, 2013. This is a sample form that requires contractors to ensure that employees, subcontractors, assignees, and volunteers who will have contact with children during the course of performing services under an agreement will be fingerprinted to determine if they have a criminal history that could compromise children's safety.

The form is designed to be completed by a contractor, with fields for the agreement date, contractor name, title, and signature. It is a standard compliance document that appears to be part of the County of San Mateo's child safety protocols for contractors working in settings involving children. While the form is a sample and not completed, it represents a critical screening mechanism to protect vulnerable populations by conducting criminal background checks through fingerprinting.

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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 .