DOJ-555 Form - be obtained.for purposes of evai.uating your...

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United States Department of Justice .. D{sclosure and Au~hor~ation 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 ~ustice to obtmin one or more consumer[credit reports about you in.connection with your application for Federal employment, during the com-se of your ¯ Feder~. "employing’it (including em~loy~nsnt una~ contract), and/or in connection with your security clearance or ybur access to classifier1 information. One or more reports about you may
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Unformatted text preview: be obtained.for purposes of evai.uating your fitness for employment, promotion, reass[ .gnment~ retention, acc.ess to classified information, or other employment purposes. I, , hereby authorize.tge Department of ~[ustice to obtain, and I fu~er instruct any consumer/credit r~porting agency to r~I~ase to DO7, any such rep0rt(s) for the above purposes. Date Social S ecudty Number DOI-555 . Revised Dee. 2004 Sec~-ity and EmergencyPl~g Staff" Current Organ~zatio~ Assighed...
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