Assignment Begin Checklist s1
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Assignment Begin Checklist (Bulgaria)
SmartLaborII Job Posting Number:
AC Name: Assigned ES/DXC Worksite: Supplier: Building Assigned: Supplier Contact (name, email, phone#): Assignment Start Date:
ES/DXC Engagement Manager (name, email):
Mandatory Conditions of Assignment Verification (provide Safety Training/Skill Verifications Received (please list all completion dates for each requirement listed below) requested/mandatory trainings and skill verifications, check for completion and add Background Check Completed __/__/____ date completed) Background Check AC consent signed __/__/____ Non-Disclosure Agreement/CDA signed __/__/______/__/____ AC Orientation completed __/__/____ Restricted Party List (RPL) checked __/__/______/__/____ CW Code of conduct training __/__/______/__/____ Has contractor been an ES/DXC employee within the Yes: ______/__/____ past 12 months? No: ______/__/____ Has contractor been an ES/DXC employee, and Yes: ______/__/____ terminated their employment via the Enhanced Early No: ______/__/____ Retirement (EER) program, within the past 24 ______/__/____ months? ______/__/____ If yes, please provide the following: ______/__/____ Last day of ES/DXC employment: mm/dd/yy ______/__/____ Former ES/DXC Manager’s name: ______
Has the contractor previously worked at ES/DXC as a Yes: contractor? No: If yes, please provide the following:
First work day of last assignment at ES/DXC: mm/dd/yy Last work day of last assignment at ES/DXC: mm/dd/yy ES/DXC Engagement Manager Name: ______Reason for assignment ending:______
Is contractor eligible to work in this country Yes: No: Documentation that must be supplied National ID Card/Passport verification (No copies Yes: allowed!)
Visa (if required) Yes: Expiry Date of Visa ____/ ____/____ Extension of contact Given Yes:
Date of completions of contract ___/__/__
Expiry date on Visa rechecked to ensure Yes: Is contractor a citizen of an Embargoed or Sanctioned Yes: Country (Cuba, Iran, Libya, Myanmar/Burma, North No: Korea, Sudan, Syria) checked
(If YES DO NOT proceed with engagement.) __/__/____
Revised 03May2016 Assignment End Agreement
Contractor will return all issued ES/DXC Badge/Credentials as well as ES/DXC Equipment (i.e. Laptop; Active Key; Router/Hub; etc.) within 5 working days after Assignment End Date. After this period, the Supplier will be responsible to assure the return of ES/DXC Properties as well as the liability for replacement costs and/or agreed contractual penalties.
Contractor/Supplier Representative will be afforded 72 hours (3 Business days) after assignment End Date to collect personal belongings left at the ES/DXC workplace. After this period, ES/DXC will not be responsible for any such items or liable for associated replacement value.
Assignment Begin Checklist Signage
I, ____(ES/DXC Approved Supplier Rep. name)______, the Supplier Representative of _____(ES/DXC Approved Supplier name) __ , hereby verify that the above required Assignment Conditions have been completed prior to the start of __(AC name)______, an employee of __(ES/DXC Approved Supplier name or Subcontractor Supplier Name) _____, as an Agency Contractor with assignment at DXC.technology.
ES/DXC Approved Supplier Representative: ______
Date: ____/____/______
Agency Contractor: ______
Date: ____/____/______
To be completed by Subcontractor Supplier, if applicable
I, ____(ES/DXC Subcontractor Supplier Rep. name)______, the Supplier Representative of _____(Subcontractor Supplier name) __ , hereby verify that the above required Assignment Conditions have been completed prior to the start of __(AC name)______, an employee of __(Subcontractor Supplier name) _____, as an Agency Contractor with assignment at DXC.technology.
Subcontractor Supplier Representative: ______
Date: ____/____/______
Footnote: 20June2013 per DXC legal counsel in Bulgaria, a Background Check AC consent must be signed for all candidates in Bulgaria.
Please upload completed document to the relevant SmartLaborII Work order.
Revised 03May2016