Roster_of_Employees.pdf

ROSTER OF EMPLOYEES ATTACHMENT 5

CAN: Contractor:

RFP/Contract #: Contractor Contact:

Contract Title: Contractor E-mail:

Project Officer:

Contract Specialist:

Suitability Level

Questionaire Required

Last Name First Name e-mail Position

Non-Disclosure Agreement Submitted

(mm/dd/yyyy)

Security Awareness Training Completed

(mm/dd/yyyy) 1, 5, 6

NACI,

NACIC,

MBI, LBI, BI

Estimated

Cost SF85 or SF85P Agency

Clearance Level Date Comment

Investigation Type

TO BE FILLED OUT BY

PROJECT OFFICER and ISSO:

ROSTER OF EMPLOYEES REQUIRING SUITABILITY INVESTIGATIONS

TO BE FILLED IN BY CONTRACTOR:

TO BE FILLED OUT BY CONTRACTOR:

Questionaire Submitted

(mm/dd/yyyy)

HHS Credit Release

Submitted (mm/dd/yyyy)

OF 306

Submitted

(mm/dd/yyyy)

Fingerprinting Completed

(mm/dd/yyyy)

Existing Clearance or Application

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