O_-_Vendor_Conference_Registration_Form_-_fillable.pdf
PDF 227 KB Posted
- Solicitation number
- 2026-RFP-051-PR
- Issued by
- Dane County, Wisconsin
About this file
This document is a Vendor Conference Registration Form for temporary one-day access related to a Jail Resident Communication Services Request for Proposal issued by Dane County, Wisconsin. The form establishes procedures for vendors interested in attending a site visit scheduled for Thursday, July 9, 2026, at 9:00 a.m. (CST) to inspect the Dane County Jail facility and gain insight into the requirements for providing Digital Resident Telephone, Tablet, and Video Visitation System & Services. Vendors must complete and submit the registration form to the Dane County Purchasing Department at rogan.megan@danecounty.gov by the registration deadline of Thursday, July 2, 2026, at 4:00 p.m. (CST). The County emphasizes that forms received after the deadline cannot be accepted due to the time required to complete background screening processes.
The registration form requires vendors to provide detailed personal information for representatives attending the site visit, including full name, date of birth, driver's license number, current address, states of residence for the past ten years, sex, race, and criminal history disclosure. The form mandates background checks including checks through the Department of Transportation, Federal Bureau of Investigation, warrant databases, jail records, criminal information bureau, court records, and local company contacts. These security protocols must be completed prior to granting site visit access, reflecting the sensitive nature of the correctional facility environment and the County's operational security requirements.
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Text version
Vendor Conference Registration Form Temporary 1 Day Access
Complete this form in its entirety and email it to the Purchasing Department email listed below before the registration deadline indicated in order to be approved to attend the site visit. Forms cannot be accepted after the registration deadline due to the amount of time it takes to complete the background process.
Registration Deadline: Thursday, July 2, 2026 at 4:00pm (CST) Email Completed Form To: rogan.megan@danecounty.gov
Today's Date Date of Access Thursday, July 9, 2026 at 9:00am (CST)
Company Name Position
Reason for Visit Jail Communication RFP Site Visit Phone #
FIRST Name Drivers License # MIDDLE Name State Issued LAST Name
Current Address Other LAST names used
Date of Birth States lived in, past 10 years Sex
Race
Felony Convictions? YES NO If Yes, when?
Misdemeanor Convictions? YES NO If Yes, when?
Representative's Signature Printed Name
OFFICE USE ONLY
D.O.T. F.B.I. WARRANTS JAIL RECORDS
C. I. B. CCAP OPEN TICKETS LOCAL COMP CONTACTS
Date Criminal History Run
Project & Program Assistant
Sergeant
| Todays Date: |
| Company Name: |
| Position: |
| Phone: |
| FIRST Name: |
| Drivers License: |
| MIDDLE Name: |
| State Issued: |
| LAST Name: |
| Other LAST names used: |
| Current Address: |
| Date of Birth: |
| Sex: |
| Race: |
| States lived in past 10 years: |
| YES: Off |
| undefined: Off |
| If Yes when: |
| YES_2: Off |
| undefined_2: Off |
| If Yes when_2: |
| Printed Name: |
| DOT: Off |
| FBI: Off |
| WARRANTS: Off |
| JAIL RECORDS: Off |
| C I B: Off |
| CCAP: Off |
| OPEN TICKETS: Off |
| LOCAL COMP CONTACTS: Off |
| Sergeant: |
| Project Program Assistant: |
| Date Criminal History Run: |
File details come from the government source that posted it. Updated .