Get Contractor Fitness/security Screening Request. Form Is To Be Used By The Adjuster To List

This guide provides a clear, step-by-step approach to filling out the Contractor Fitness/Security Screening Request form. By following these instructions, users can ensure accurate and efficient submission of the necessary information for security screening.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Start by marking the appropriate box for the type of request: Final or Partial. This helps designate the status of the reimbursement request.
3. In section 3, enter the name of the FEMA Regional Office that awarded the grant or cooperative agreement to your organization.
4. Input the unique number assigned by FEMA in section 4. This number is available in item 1 of the Obligating Document for Award/Amendment, FEMA Form 76-10A.
5. Provide your Employer Identification Number in section 6, which should match the number reported in item 6 of the Application for Federal Assistance, SF 424.
6. In section 8, specify the period covered by the report by entering the beginning and ending dates.
7. Section 9 requires you to enter the name and address of the recipient organization, which should correspond with the details provided in item 5 of FEMA Form 76-10A.
8. If the payee's address differs from the recipient organization, fill out section 10 accordingly.
9. Complete section 11 to detail the status of funds classification by entering amounts for various expenses, ensuring that all information adds up correctly to reflect total expenditures.
10. Finally, sign the certification in section 12. This step confirms the accuracy of the information provided and that all costs align with project terms.
11. After filling out the form, use the options available to save your changes, download, print, or share the form as needed.

Start completing your Contractor Fitness/Security Screening Request form online today.