S02 Attachment 4 VSC Security Request Packet.pdf
PDF 3 MB Posted
- Attached to
- Q999--Inpatient Hemodialysis - Columbia RFQ
- Solicitation number
- 36C25520Q0255
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Other files
| File | Type | Posted |
|---|---|---|
| P09 QASP Hemodialysis.docx | DOCX document | |
| S02 Attachment 5 Immigration and National Act of 1952 Contract Certification.pdf | ||
| Wage Determination 15-5079.pdf | ||
| Attachment 2_Bylaws - APPROVED MAY 2009.pdf | ||
| 36C25520Q0255.pdf |
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Purpose: The Contractor/Employee Fingerprint Request is to assist individuals in obtaining fingerprinting services from VA Facilities nationwide, on behalf of the VSC. This form is required by Little Rock SIC before a request for investigation can be submitted.
Please provide full name of individual requiring fingerprints.
Please indicate whether the individual is a contractor. Contracted employees are considered contractors.
Please provide the name and location of the VA Facility where the fingerprints were submitted.
Please provide the station number of the VA Facility where the fingerprints were submitted.
Please provide the date that the fingerprints were submitted at the VA Facility.
Please indicate whether the fingerprints were submitted electronically or if manual fingerprints were submitted with ink and fingerprint card.
If fingerprints were submitted manually, please provide the date the card was mailed to
If fingerprints are manually taken, please
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