Fingerprinting_Certification_Form.pdf
PDF 587 KB Posted
- Attached to
- Hosptial and Professional Coding Audits
- Solicitation number
- 66000-2526-219
- Issued by
- San Mateo County, San Francisco City, California
About this file
This document is a Fingerprinting Certification Form issued by the County of San Mateo's Contract Compliance Committee on July 1, 2013. The form requires contractors to ensure that any employees, subcontractors, assignees, or volunteers who will have contact with children during the course of performing services under the agreement will be fingerprinted to determine if they have a criminal history that could potentially compromise children's safety.
The form is a sample template with blank fields for the agreement date, contractor name, title, signature, and date. Its primary purpose is to establish a mandatory screening process for individuals working in roles that involve direct interaction with children, demonstrating the county's commitment to protecting 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 .