J2_OCR Separation Checklist.pdf
PDF 193 KB Posted
- Attached to
- Executive Consulting Services Federal contract opportunity
- Solicitation number
- 75P00124R00014
About this file
This document is an employee separation checklist for the Department of Health and Human Services Office for Civil Rights. It outlines the required process for contractors leaving the agency to return all issued equipment and property, including laptops, monitors, docking stations, power supplies, mice, keyboards, phones, headsets, scanners, and keys. Departing staff must provide their home address, non-HHS email, phone number, and Personal Identifier number from their PIV card for returning OCIO owned assets. All OCR owned equipment and other non-OCIO property must be returned to the employee's supervisor. Questions regarding returns should be directed to the OCR IT department email provided.
The related federal contract opportunity is a solicitation from the Department of Health and Human Services Office of the Assistant Secretary for Administration seeking executive consulting, strategic planning, program management, and administrative support services for the Office of Civil Rights. The solicitation number is 75P00124R00014 and is for Executive Consulting Services.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 75P00124R00014_Amendment 0007.pdf | ||
| RFP Solicitation 75P00124R00014_Revised_Amendment 0006.pdf | ||
| Task Order 1_Revised__Amendment 0006.pdf | ||
| ECS_ Questions and Answers__Amendment 0006.pdf | ||
| 75P00124R00014_Amendment 0005.pdf | ||
| 75P00124R00014_Amendment 0004.pdf | ||
| 75P00124R00014__Amendment 0003.pdf | ||
| 75P00124R00014_Amendment 0002.pdf | ||
| 75P00124R00014_Amendment 0001.pdf | ||
| RFP Solicitation 75P00124R00014.pdf | ||
| J.4_Seed Task Order 1.pdf | ||
| J5_Pricing Scenario for Seed Task Order.xlsx | XLSX spreadsheet | |
| J1_Past Performance Questionnare.pdf | ||
| J3_Contractor Performance Self-Assessment Template.pdf | ||
| J6_Wage Determination.pdf |
Show all 15
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Text version
ATTACHMENT J.2
Department of Health and Human Services Office for Civil Rights
OCR Contractor Employee Separation Checklist
Office Equipment:
* Indicates required information.
* Name:
* Last official date:
* Supervisor / Project Manager:
Room Number:
* Please check all items that you have been assigned and where it is located (Home OR HHS office).
OCIO Owned Assets: Home Office HHS Office
Laptop ☐ ☐
Bag ☐ ☐
Dell Monitor ☐ ☐
Docking Station w/power supply ☐ ☐
Travel Power Supply ☐ ☐
Mouse ☐ ☐
Keyboard ☐ ☐ iPhone ☐ ☐
Headset ☐ ☐
OCR Owned Assets:
ViewSonic Monitor ☐ ☐
Fujitsu ScanSnap - Scanner ☐ ☐
MiFi ☐ ☐
Desktop Printer ☐ ☐
Office / Cabinet Keys ☐ ☐
Other Assets (Please List):
OCIO Owned Assets:
The following information is required if any OCIO Owned Assets are located at your home office.
Mailing Address:
A box will be sent to this address in order to get your OCIO equipment back to HHS.
Non-HHS Email Address:
Non-HHS Telephone Number:
NOTE: OCIO does not accept Non-OCIO property. Do not send these items back to OCIO with your laptop and other equipment!
ATTACHMENT J.2
Department of Health and Human Services Office for Civil Rights
PIV Card:
* Please provide the following information related to your HHS PIV card:
PIV Personal ID:
The 10 digit number is located on the back of your PIV Card under “Personal Identifier”.
Returning Items:
All OCR Owned and Other Assets listed must be returned to your Supervisor / Project Manager.
Contact you Supervisor / Project Manager to return the PIV Card, office / cabinet keys, and any other non-OCIO owned property back to the office.
Please direct any questions to the OCR IT Department OS-OCRORIT@hhs.gov
NOTE:
OCIO does not accept PIV Cards and Non-OCIO property.
Do not send these items back to OCIO with your laptop and other equipment!
mailto:OS-OCRORIT@hhs.gov
File details come from the government source that posted it. Updated .