Fingerprinting_Certification_Form.pdf
PDF 587 KB Posted
- Attached to
- Capsule Endoscopy
- Solicitation number
- 66000-2526-217
- 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 designed for contractors who will have employees, subcontractors, assignees, or volunteers working in positions involving contact with children.
The form requires contractors to ensure that all personnel who may interact with children during the course of service delivery will be fingerprinted. The purpose of the fingerprinting is to conduct a criminal history background check to assess and mitigate potential safety risks to children. The form is a blank template with fields to be completed, including the agreement date, contractor name, title, and signature, indicating it is a standardized compliance document to be used across county contracts involving child-related services.
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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 .