NCIC FORM.doc
DOC document 31 KB Posted
- Attached to
- Sales and Marketing
- Solicitation number
- FN1611-26
About this file
This is a form document related to the National Crime Information Center (NCIC). The document appears to be a template or blank form associated with the Department of Justice Bureau of Prisons Correctional Facilities' solicitation FN1611-26 for Sales and Marketing services supporting the UNICOR Office Furniture Group. Without access to the specific content of the NCIC form itself, the document likely serves as either a data collection instrument, compliance verification form, or administrative template required as part of the proposal submission process for this procurement opportunity. The solicitation has a deadline for questions on 9/24/26 and a closing date of 9/4/26 with the Bureau of Prisons Correctional Facilities as the contracting agency.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Amendment 001 Sales Marketing.pdf | ||
| Amendment 001 Sales Marketing.pdf | ||
| Sales Tier Percentage Example Spreadsheet REVISED JS.xlsx | XLSX spreadsheet | |
| Discount Request.pdf | ||
| FN1611-26 SALES AND MARKETING.pdf | ||
| SalesTools_ChairSample_Justification.pdf | ||
| Past Performance Survey FN1611-26.docx | DOCX document |
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Text version
BP-S660.012 NCIC CHECK CDFRM
MAR 99
U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS
AUTHORIZATION FOR RELEASE OF INFORMATION
NCIC (National Crime Information Center) CHECK I hereby authorize a representative of the Federal Bureau of Prisons to obtain any information on my criminal history background. I understand that this check must be done before I am allowed to enter/serve at any Bureau facility. I also understand that refusal to provide all necessary information may result in 1) denial of entry into a Bureau facility and 2) denial of volunteer/contract status.
1. Name (Last, First, Middle)
2. Address (Street address) (City, State, County, Zip Code)
3. Home Telephone Number (Area Code, Number):
4. Aliases/Nickname:
5. Citizenship (List the country you are a citizen of):
6. Social Security Number:
7. Driver=s License Number:
7a. Date of Birth (Month, day, year):
| 8a. Sex: |
| 8b. Race: |
| 8c. Height: |
| 8d. Weight: |
| 8e. Color of Eyes: |
| 9f. Color of Hair: |
9. Place of Birth (City, State, County), (List city, county and country if outside the U.S.A)
_______________________________________________________________________________________ 9a. Company Name: _____________________________________________________________________
9b. Department to be Visited: Unicor Factory ________________
10. The above listed information is true and correct. Applicant=s Signature
10a. Date
PRIVACY ACT NOTICE
Authority for Collecting Information: E.O. 10450; 5 USC 1303-1305; 42 USC 2165 and 2455; 22 USC 2585 and 2519; and 5 USC 3301
Purposes and Uses: Information provided on this form will be furnished to individuals in order to obtain information regarding activities in connection with an investigation to determine (1) fitness for Federal employment, (2) clearance to perform contractual service for the Federal Government, (3) security clearance or access. The information obtained may be furnished to third parties as necessary in te fulfilment of official responsibilities.
Effects of Non-disclosures: Furnishing the requested information is voluntary, but failure to provide all or part the information may result in lack of further consideration for employment, clearance or access, or in the termination of your employment.
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