Credit_Check_Form_Fillable.pdf
PDF 86 KB Posted
- Attached to
- CRT Glass Processing Federal contract opportunity
- Solicitation number
- RC0018-18
- Issued by
- Department of Justice Bureau of Prisons
About this file
CREDIT CHECK FORM
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| RC0018-18_Amendment_1.doc | DOC document | |
| BusinessManagementQuestionaire-CRT_RC0018-18.pdf | ||
| RFP_RC0018-18.pdf |
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Text version
United States Department of Justice
Disclosure and Authorization Pertaining to Consumer Reports
Pursuant to the Fair Credit Reporting Act (Title 15, U.S. Code, Section 1681)
This is a release for the Department of Justice to obtain one or more consumer/credit reports about you in connection with your application for Federal employment, during the course of your
Federal employment (including employment under contract), and/or connection with your security clearance or your access to classified information. One or more reports about you may be obtained for purposes of evaluating your fitness for employment, promotion, reassignment, retention, access to classified information, or other employment proposes.
I,_____________________________________________________, hereby authorize the Department of (Print Clearly) Justice to obtain, and I further instruct any consumer/credit reporting agency to release to DOJ, any such report(s) for the above purposes.
Signature
Date
D&B #
Company
DOJ-555
Revised Dec. 2004 Security and Emergency Planning Staff
| Print Clearly: |
| Date: |
| Social Security Number: |
| Current Organization Assigned: |
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