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Get USPS PS 2181-C 1996

Nor does it waive any remedy you may have against the Postal Service in the event of a violation of the Privacy Act or other rights established by law. As a routine use this information may be disclosed to an agency for which information is requested in the course of a background check to an appropriate government agency domestic or foreign for law enforcement purposes where pertinent in a legal proceeding in which the USPS is a party or has an interest to a government agency in order to obtain information relevant to a USPS decision concerning employment security clearances contracts licenses grants permits or other benefits to a government agency upon its request when relevant to its decision concerning employment security clearances security or suitability investigations contracts licenses grants or other benefits to a congressional office at your request to an expert consultant or other person under contract with the USPS to fulfill an agency function to the Federal Records Center for storage to the Office of Management and Budget for review of private relief legislation to an Privacy Act Statement Applicant s Name Last First Middle Date of Birth Month Day Year Home Phone Number This authorization is executed with full knowledge and understanding that the USPS will take measures to protect the aforementioned information against unauthorized disclosure to any parties not having a legitimate TransFORM PS Form 2181-C April 1996 Completion of this form is voluntary however if consent to obtain this information is not given it may have an adverse effect on your opportunities to perform services under contract with the USPS. Mailing Address This constitutes my consent and authorization to the disclosure or furnishing of any relevant and necessary information or records to any duly authorized official of the USPS by any person corporation agency or association concerning my character personal history credit be relevant and necessary to determine my fitness and suitability to perform services under contract with the USPS. Date Signed independent certified public accountant during an official audit of USPS finances to an investigator administrative judge or complaints examiner appointed by the Equal Employment Opportunity Commission for investigation of a formal EEO complaint under 29 CFR 1614 to the Merit Systems Protection Board or Office of Special Counsel for proceedings or investigations involving personnel practices and other matters within their jurisdiction and to a labor organization as required by the National Labor Relations Act to an appropriate foreign or international law enforcement agency an organization or individual for investigative or prosecutorial purposes to assist in crime prevention or detection to obtain information relating to a pending investigation trial or hearing to obtain the cooperation of a witness or informant or to notify of the status of the case to a party or his attorney to discuss settlement plea bargaining or discovery proceedings to an agency or individual concerned with maintenance extradition or release of a person held in custody to a foreign country pursuant to an international treaty conventions or executive agreement to the public news media trade associations or organized groups if it is information of interest on accomplishments of the Postal Service or its employees to a foreign country when apprehending and/or returning a fugitive to a jurisdiction seeking return to American Insurance Association Index System members if it is information relating to accidents or injuries. Signature of Applicant need for it in the discharge of official business of the United States or its agencies and instrumentalities. As a routine use this information may be disclosed to an agency for which information is requested in the course of a background check to an appropriate government agency domestic or foreign for law enforcement purposes where pertinent in a legal proceeding in which the USPS is a party or has an interest to a government agency in order to obtain information relevant to a USPS decision concerning employment security clearances contracts licenses grants permits or other benefits to a government agency upon its request when relevant to its decision concerning employment security clearances security or suitability investigations contracts licenses grants or other benefits to a congressional office at your request to an expert consultant or other person under contract with the USPS to fulfill an agency function to the Federal Records Center for storage to the Office of Management and Budget for review of private relief legislation to an Privacy Act Statement Applicant s Name Last First Middle Date of Birth Month Day Year Home Phone Number This authorization is executed with full knowledge and understanding that the USPS will take measures to protect the aforementioned information against unauthorized disclosure to any parties not having a legitimate TransFORM PS Form 2181-C April 1996 Completion of this form is voluntary however if consent to obtain this information is not given it may have an adverse effect on your opportunities to perform services under contract with the USPS. Mailing Address This constitutes my consent and authorization to the disclosure or furnishing of any relevant and necessary information or records to any duly authorized official of the USPS by any person corporation agency or association concerning my character personal history credit be relevant and necessary to determine my fitness and suitability to perform services under contract with the USPS. Date Signed independent certified public accountant during an official audit of USPS finances to an investigator administrative judge or complaints examiner appointed by the Equal Employment Opportunity Commission for investigation of a formal EEO complaint under 29 CFR 1614 to the Merit Systems Protection Board or Office of Special Counsel for proceedings or investigations involving personnel practices and other matters within their jurisdiction and to a labor organization as required by the National Labor Relations Act to an appropriate foreign or international law enforcement agency an organization or individual for investigative or prosecutorial purposes to assist in crime prevention or detection to obtain information relating to a pending investigation trial or hearing to obtain the cooperation of a witness or informant or to notify of the status of the case to a party or his attorney to discuss settlement plea bargaining or discovery proceedings to an agency or individual concerned with maintenance extradition or release of a person held in custody to a foreign country pursuant to an international treaty conventions or executive agreement to the public news media trade associations or organized groups if it is information of interest on accomplishments of the Postal Service or its employees to a foreign country when apprehending and/or returning a fugitive to a jurisdiction seeking return to American Insurance Association Index System members if it is information relating to accidents or injuries. Signature of Applicant need for it in the discharge of official business of the United States or its agencies and instrumentalities. I hereby RELEASE the aforementioned persons corporators agencies associations and their employees agents and representatives from any and all liability for damages resulting from a decision by the USPS not to contract for my services on account of compliance with knowingly providing false or misleading information or records about me. This authorization does not consent to the collection of information by the Postal Service except as otherwise permitted by law. Nor does it waive any remedy you may have against the Postal Service in the event of a violation of the Privacy Act or other rights established by law. As a routine use this information may be disclosed to an agency for which information is requested in the course of a background check to an appropriate government agency domestic or foreign for law enforcement purposes where pertinent in a legal proceeding in which the USPS is a party or has an interest to a government agency in order to obtain information relevant to a USPS decision concerning employment security clearances contracts licenses grants permits or other benefits to a government agency upon its request when relevant to its decision concerning employment security clearances security or suitability investigations contracts licenses grants or other benefits to a congressional office at your request to an expert consultant or other person under contract with the USPS to fulfill an agency function to the Federal Records Center for storage to the Office of Management and Budget for review of private relief legislation to an Privacy Act Statement Applicant s Name Last First Middle Date of Birth Month Day Year Home Phone Number This authorization is executed with full knowledge and understanding that the USPS will take measures to protect the aforementioned information against unauthorized disclosure to any parties not having a legitimate TransFORM PS Form 2181-C April 1996 Completion of this form is voluntary however if consent to obtain this information is not given it may have an adverse effect on your opportunities to perform services under contract with the USPS. Mailing Address This constitutes my consent and authorization to the disclosure or furnishing of any relevant and necessary information or records to any duly authorized official of the USPS by any person corporation agency or association concerning my character personal history credit be relevant and necessary to determine my fitness and suitability to perform services under contract with the USPS. Date Signed independent certified public accountant during an official audit of USPS finances to an investigator administrative judge or complaints examiner appointed by the Equal Employment Opportunity Commission for investigation of a formal EEO complaint under 29 CFR 1614 to the Merit Systems Protection Board or Office of Special Counsel for proceedings or investigations involving personnel practices and other matters within their jurisdiction and to a labor organization as required by the National Labor Relations Act to an appropriate foreign or international law enforcement agency an organization or individual for investigative or prosecutorial purposes to assist in crime prevention or detection to obtain information relating to a pending investigation trial or hearing to obtain the cooperation of a witness or informant or to notify of the status of the case to a party or his attorney to discuss settlement plea bargaining or discovery proceedings to an agency or individual concerned with maintenance extradition or release of a person held in custody to a foreign country pursuant to an international treaty conventions or executive agreement to the public news media trade associations or organized groups if it is information of interest on accomplishments of the Postal Service or its employees to a foreign country when apprehending and/or returning a fugitive to a jurisdiction seeking return to American Insurance Association Index System members if it is information relating to accidents or injuries. .

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