OPM3613R0001_Attachment_1_-_Contractor_Staffing_Change_Report.docx

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OPM3613R0001
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Attachment 1 - Contractor Staffing Change Report

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Solicitation # OPM3613R0001

ATTACHMENT 1

CONTRACTOR STAFFING CHANGE REPORT

Contract/Order/Call Number: ________________

Employees who left the contract in the past 60 days:

(If no employees have left the contract during this period, indicate “none in the column labeled “last name.”)

Last Name
First
MI
Date Separated

Employees who joined the contract in the past 60 days:

(If no employees have joined the contract during this period, indicate “none in the column labeled “last name.”)

Last Name
First
MI
Date Separated

Manager’s Certification:

Contract Number:

Company Name:
Project Manager

(Please Print):

Date:

Project Manager’s Signature Date

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