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Tbs 330-47 Form: What You Should Know

The Security Screening Certificate and Briefing Form consists of four sections:  Section 1 — What is the purpose of the form? The security screening certificate and briefing form (TBS/SET 330-47) is intended to expedite the security screening process for all types of clearance  requirements, including criminal, and confidential.  Section 2 — The employee's personal information.  Information to include: • Employment and education information — including SSN, date of birth, sex and race • Personal and contact information including credit/debit card number • Health information — including immunizations, blood pressure, history of medical conditions,  and medication history Section 3 — Personal and contact information for employers. Employers: Information about the employee including social security number, home phone number, email address and fax number. Information on each employer includes the name of the business, contact information for the employee, the employee's SSN, address, employer's phone number and email address, and the company's  payroll information. Information for individuals: • Employer name and contact information for each employee • Business name and contact information for the employee • Employment information — including SSN, date of birth, sex and race • Social security number, home phone number, email address and fax numbers • Health information — including immunizations, blood pressure, history of medical conditions,  and medication history • Credit/debit card number • Phone number and address for each individual • Social Security number/home phone number/employment information for each employee Section 4 — The employee's personal information. • Individual information to include SSN, date of birth, sex, race, religious affiliation, place of employment. • Individual's photo, photograph, driver's license number or Social Security Number • Address or telephone number • Information about the employee's employer and employer's location, if known. The TBS/SET 370-47 provides an effective way to screen a person for security clearance by: • Documenting the applicant's personal background, including past criminal, national security, and • Employment history (SSN, date of birth, sex, and race). Using the TBS/SET 370-47 to screen a person for a security clearance is called a screening. Screening requires a  person to submit personal identification and personal information to the agency.

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