One_Time_Visitor_Background_Check_Request_Form.pdf

PDF 32 KB Posted

Attached to
B. T. Collins Youth Detention Facility - Replace Obsolete HVAC Controllers
Solicitation number
4724
Issued by
Sacramento County, San Francisco City, California

About this file

This is a One-Time Visitor Background Check Request Form for the B. T. Collins Youth Detention Facility in California. The form is used to request background checks for individuals requiring temporary access to the facility. It collects personal information including the visitor's full legal name, date of birth, Social Security number, driver's license information, telephone number, and email address. The form also requires documentation of the date and reason for the requested facility entry, the visitor's organization affiliation, position, and title. Space is provided for additional comments relevant to the background check request, and the form includes an approval section for facility officials to authorize the check with their signature, position title, and date.

The form serves as an administrative document to facilitate security screening for temporary visitors to the youth detention facility. It establishes a standardized process for vetting one-time visitors before granting them access to the secure facility, ensuring compliance with facility security protocols and regulatory requirements for youth detention centers.

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Text version

One-Time Visitor

BACKGROUND CHECK REQUEST

Today’s Date:

Requested by:

Person to be checked

Date and reason to enter YDF:

Full “Legal” Name:

Telephone:

Email Address:

Driver’s License #, State:

Date of Birth: SSN:

Organization/Position/Title:

Comments:

For Official Use:

Approved by

Position Date:

File details come from the government source that posted it. Updated .