Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo Contract Compliance Committee, effective July 1, 2013. The form establishes requirements for contractors and their employees, subcontractors, assignees, and volunteers performing services under County agreements. The form applies specifically to personnel who will have contact with children during the course of service delivery. The primary requirement mandates that all covered individuals undergo fingerprinting to determine whether they possess a criminal history that could compromise child safety. The form provides spaces for the contractor to enter the agreement date, agreement counterparty, contractor name, title, signature, and date of certification.

The fingerprinting requirement serves as a mandatory screening mechanism for child safety purposes and must be completed prior to or concurrent with contract execution for any work involving direct contact with children. This certification applies to all tiers of service delivery, including direct employees, subcontractors, assignees, and volunteer personnel. Contractors are responsible for ensuring compliance across their entire workforce and supply chain. The form functions as a compliance verification document within San Mateo County's contracting framework and represents a standard condition for contracts involving child-facing services.