Fingerprinting_Certification_Form.pdf

This is a Fingerprinting Certification Form issued by the County of San Mateo's Contract Compliance Committee, applicable to contractors and their employees, subcontractors, assignees, and volunteers who have contact with children during service delivery. The form requires certification that all personnel with child contact will undergo fingerprinting to identify any criminal history that could compromise child safety. The document serves as a compliance requirement for contracts involving work with children in San Mateo County and establishes a standardized certification process for contractors to document their adherence to background check procedures.

The form is a template document issued July 1, 2013, designed to be completed for each contract agreement where child contact occurs. It includes fields for the date of agreement, contractor name, contractor representative name and title, and signature authorization. The fingerprinting requirement applies uniformly across all covered contracts regardless of contract type, duration, or value, and represents a mandatory safety compliance measure rather than an optional qualification. This certification must be obtained and filed prior to or concurrent with contract execution to ensure all relevant personnel have completed required background clearance procedures.