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UNCLASSIFIEDYLAW ENFORCEMENT SENSITIVE (When Completed) <br />Are initial background and reference checks completed for all contractors prior to hiring? <br />C Yes C No <br />Are initial background and reference checks completed for all volunteers prior to hiring? <br />C Yes C No <br />Do the background and reference checks include verification of employment history for the past five (5) years? <br />C Yes C No <br />Do the background and reference checks include verification residency for the past three (3) years? <br />C Yes C No <br />Do the background and reference checks include credit history to reveal current delinquency? <br />C Yes C No <br />Do the background and reference checks include credit history to reveal unresolved liens? <br />C Yes C No <br />Do the background and reference checks include credit history to reveal accounts in collection? <br />C Yes C No <br />Do the background and reference checks include credit history to reveal court -ordered judgments? <br />C Yes C No <br />Do the background and reference checks include criminal history to reveal felony convictions? <br />C Yes C No <br />Do the background and reference checks include criminal history to reveal disqualifying misdemeanor convictions? <br />C Yes C No <br />Do the background and reference checks include verification that there are no derogatory civil records? <br />(' Yes C No <br />Do the background and reference checks address alcohol dependency? <br />C Yes f' No <br />Do the background and reference checks address drug dependency? <br />C Yes C No <br />Does the facility conduct re -investigations of employees, contractors, and volunteers? <br />C Yes C- No <br />If so, how often? <br />Reportinglinvestigating Staff Misconduct <br />How many administrative allegations of staff misconduct were reported since the last DFR (if applicable)? <br />How many criminal allegations of staff misconduct were reported since the last USMS DFR (if applicable)? <br />NOTICE: This document is intended FOR OFFICIAL USE ONLY and may contain LAW ENFORCEMENT SENSITIVE OR CONFIDENTIAL information <br />which is for the sole use of the Intended recipient(s). Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended <br />recipient, please contact the sender and destroy all copies of this document. Any Protected Health Information contained in this document is to be used <br />only to aid in providing healthcare services to federal prisoners. Any other use is a violation of Federal HIPAA Law and/or the Privacy Act and will be <br />reported as such, <br />UNCLASSIFIEDULAW ENFORCEMENT SENSITIVE (When Completed) <br />Page 9 of 27 <br />Form USM-218 <br />Rev. 02/25 <br />