Section J 2F Form CSO-230 Reviewing Medical Officers Certification of CSO Medical Qualification.pdf

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USMSCSO23
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15M10523RA4700028
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This document contains a certification form for reviewing medical officers to assess Court Security Officer candidates and incumbent medical qualifications. The form requires the reviewing medical officer to certify whether the candidate or incumbent is qualified, needs further evaluation, or is not qualified based on the attached examining physician's form. It includes fields for patient identifying information, examination date, assigned district and circuit, years of experience, physician information, and signatures of the reviewing medical officer, coordinating officer, and coordinating officer reviewer.

The related federal contract opportunity is a solicitation from the US Marshals Service for Court Security Officer services in Circuits 2, 6, 7, 9, 10, 11, and 12. The requirement includes CSO services for Federal Judicial Services across these circuits. The contracting agency is the Department of Justice US Marshals Service.

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Form CSO-230 Rev. 01/22 Page of

UNCLASSIFIED // FOUO

Note: Completed forms containing personally identifiable information (PII) must be encrypted and include the appropriate marking (U/FOUO) in the SUBJECT line of the message prior to dissemination via email.

UNCLASSIFIED // FOUO

U.S. Department of Justice United States Marshals Service Reviewing Medical Officer's Certification of CSO Medical Qualification The USMS Form CSO-229 completed by the above-named Examining Physician must be attached to this certification.

CERTIFICATION

I certify as the Reviewing Medical Officer (RMO) that the above-named CSO or CSO Applicant is:

9.0.0.2.20101008.1.734229

CurrentPage:
PageCount:
PATIENTNAME:
SSN:
DOB:
District:
Circuit:
Years:
ExamDate:
Physician:
:
RMOName:
RMODate:
RMOSignature:
CORName:
CORDate:
CORSignature:

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