Attachment_2_PSO_Master_Certification_CMT_4_16_14.pdf
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- HSHQEC-16-R-00004
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HSHQEC-16-R-00004-PSO Master Certification
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Text version
Region # Date (last updated)
Contract # Contractor Name
La st
N am e
Su ff ix
Fi rs t N am e
M id dl e
In iti al
La st o f S
SN
St at us
SS
AN
C ar d
I- 9/ e- Ve rif y
Ex pe re in ce
Ed uc at io n
La ng ua ge
Ex hi bi t 9 a, Co nt ra ct or 's
Va lid at io n of
Em pl oy ee
P er so na l Da ta
HS
PD
-1
(P
IV
/P
IV
-I)
Ph ot og ra ph
Fi tn es s L et te r (P re lim in ar y)
Fi tn es s L et te r ( Fi na l)
N
SI
C Le tt er
N on
-D is cl os ur e
Ag re em en t F m
0-
Ph ys ic ia n' s
Ce rt ifi ca tio n
Dr ug
S cr ee ni ng
PSO Personal Information Employee Personal Data (Exhibit 9a)
MASTER PSO CERTIFICATION FILE
Ba si c
Tr ai ni ng
FP
S
O rie nt at io n
AE
D/
CP
R/
Fi rs t A id
EM
T
Sc re en er
(X -r ay /M ag
W
DT
P (1
6h r)
W
DT
P (8 hr
La ut en be rg
St at em en t
In iti al F ire ar m s
Tr ai ni ng
In iti al F ire ar m s
Q ua lif ic at io n
In iti al B on
Ce rt ifi ca tio n
In iti al O
C Ce rt ifi ca tio n
St at e G ua rd
L ic en se
St at e W ea po ns
Q ua lif ic at io n
St at e W ea
Pe rm it
St at e Dr iv er
's L ic en se
O th er
O th er
O th er
Pre-Employment Validation (Exhibit 9b)
Ex hi bi t 9 b, Co nt ra ct
's
Va lid at io n of P re em pl oy m en t
Re qu ire m en ts
Ba si c Tr ai ni ng
Ex am in at io n
Re fr es he r T ra in in g
AE
D/
CP
R/
Fi rs t A id
EM
T
Sc re en er
(X -r ay /M ag
W
DT
P (1
6/ 8)
(A nn ua l)
W
DT
P Du ty lif ic at io n
La ut en be rg
St em en t
Se m ia nn ua l F ire ar m s
Tr ai ni ng
Se m ia nn ua l F ire ar m s
Q ua lif ic at io n
An nu al B on
Ce rt ifi ca tio n
An nu al O
C Ce rt ifi ca tio n
St at e G ua rd
L ic en se
St at e W ea lif ic at io n
St at e W ea
Pe rm it
St at e Dr iv er
's L ic en se
Dr ug
S cr ee ni ng
O th
Current Training and Certifications (Administrative Audit)
O th er
O th
2014 Format
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