State of PA recompete____Exhibit 7 A.pdf

Employee's Name

Employee's SSN

Contractor's Name

Contract Number

Exhibit 7a Contractor's Validation of Employee Personal Data

First/MI/Last

Last 4 only

New Hire Incumbent PSO

Contractor Employee Status

Incumbent PSO New Hire

1. Has a valid Social Security Card from the Social Security Administration

2. Has a verified Alien/Immigration Status (I-9 or e-Verify Certificate)

3. (a) Has a minimum of two years of verifiable security or law enforcement experience;

(OR)

(b) Has a minimum of two years of honorable service as a member of any U.S. Armed Forces component

4. (a) Has a high school or general equivalency diploma from an accredited learning institution recognized by the U.S. Department of Education;

(OR)

(b) Has a diploma from an international learning institution

(OR)

(c) Has a minimum of 60 credit hours, in a related field, from an accredited learning institution recognized by the U.S. Department of Education;

(OR)

(d) Has successfully completed a federal or state certified law enforcement education and training or police office's standard training course, that may result in a law enforcement appointment or commission

5. Has the ability to fluently speak, read, comprehend, and compose coherent written reports in English

Date

Date

Date

Date

Information provided in this certification is subject to investigation and verification under Title 18, Section 1001, United States Code.

Any false or misleading information may be punishable by fine and/or imprisonment.

Date

Signature DateAuthorized Contractor Representative Signature (Required)

Title/First Initial/Last

Authorized Contractor Representative

I hereby certify the above named contractor employee personal data was validated on the dates indicated above.

(Maintain this exhibit and associated documents (copy or original) in the electronic PSO Personnel File.)

Exhibit 7a Contractor's Validation of Employee Personal Data First/MI/Last Last 4 only Contractor Employee Status

1. Has a valid Social Security Card from the Social Security Administration

2. Has a verified Alien/Immigration Status (I-9 or e-Verify Certificate)

3. (a) Has a minimum of two years of verifiable security or law enforcement experience;

(OR)

(b) Has a minimum of two years of honorable service as a member of any U.S. Armed Forces component

4. (a) Has a high school or general equivalency diploma from an accredited learning institution recognized by the U.S. Department of Education;

(OR)

(b) Has a diploma from an international learning institution

(OR)

(c) Has a minimum of 60 credit hours, in a related field, from an accredited learning institution recognized by the U.S. Department of Education;

(OR)

(d) Has successfully completed a federal or state certified law enforcement education and training or police office's standard training course, that may result in a law enforcement appointment or commission

5. Has the ability to fluently speak, read, comprehend, and compose coherent written reports in English

Information provided in this certification is subject to investigation and verification under Title 18, Section 1001, United States Code. Any false or misleading information may be punishable by fine and/or imprisonment.

Authorized Contractor Representative Signature (Required) Title/First Initial/Last I hereby certify the above named contractor employee personal data was validated on the dates indicated above.(Maintain this exhibit and associated documents (copy or original) in the electronic PSO Personnel File.)

8.2.1.4029.1.523496.503679