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
The document is a Fingerprinting Certification Form issued by the County of San Mateo's Contract Compliance Committee on July 1, 2013. This is a sample form designed to ensure the safety of children by requiring contractors, their employees, subcontractors, assignees, and volunteers who may have contact with children during the course of performing services to undergo fingerprinting.
The form mandates that all individuals who have potential contact with children will be fingerprinted to determine if they have any criminal history that could compromise child safety. The document provides blank fields for the date of agreement, agreement details, contractor name, title, signature, and date. While this is a sample form, it represents a critical administrative requirement for contractors working in environments involving children, emphasizing the county's commitment to child protection and background screening.
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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 .