We conduct an annual check-in to update your contact information, credentials, and licenses and to remind you of the terms of your engagement with Rodgers Security Solutions and our clients. Please complete the form below to ensure your information is accurate and up-to-date. We look forward to another successful year together. Thank you!

Annual Compliance Check-In
Each year, all RSS employees and contractors are required to complete this form to ensure that RSS maintains accurate and up-to-date information about everyone performing work for or with the company. RSS is committed to adhering to legal and contractual obligations. Consequently, all individuals or companies representing or working for RSS in any capacity must also meet the standards set by our clients and other entities. With this in mind, please make sure you provide current and accurate information.
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Name
Which Services Do You Provide Through RSS?
Check all that apply to you
If you provide security and/or executive protection services.
Are you providing services as an individual or do you own a company that provides services through RSS?

CONTACT INFORMATION

Address
I Have Changed The Following Within The Last 1-11 Months
Does RSS Have Current Information For Your Two (2) Emergency Contacts?
We want to ensure that we can notify your emergency contacts if you are ever injured or involved in an incident at a client site/event.

Conflict of Interest Disclosure

Are you aware of any situations or activities that could create a conflict of interest or the appearance of a conflict of interest?

Non-Disclosure Agreement (NDA) Acknowledgment

I acknowledge that I have received, read, and agreed to the terms as outlined in the Non-Disclosure Agreement. I understand that violation of the agreement could result in legal consequences, as outlined in the agreement. By checking this box and submitting this form, I am bound by the terms outlined in the agreement.
I acknowledge that I have received, read, and agreed to the terms as outlined in the Addendum to the Non-Disclosure Agreement. I understand that violation of the NDA and Addendum could result in legal consequences, as outlined in both documents. By checking this box and submitting this form, I am bound by the terms as outlined.
This acknowledgment is ONLY for individuals who received a client-specific Addendum that is combined with the NDA. If you were not given an Addendum in addition to the NDA, then please click “Not Applicable.” Thank you.

TAX INFORMATION

RSS Has My Current W4/W9 Tax Form on File
Please note, if we don’t have current information for you this will delay the processing of your tax forms.

LICENSES & PERMITS

I Confirm I Am Current With The Following Licenses and Permits:
Check all that are applicable. If your role does not require these then select “Not Applicable”

CERTIFICATIONS

I Confirm I Am Current With The Following:
Check all that apply.
Click or drag files to this area to upload. You can upload up to 15 files.
Upload copies of any of the documents, IDs, permits, etc that you need to update

ATTESTATION

I confirm that the information I have provided is truthful, current, and accurate.

Click the “Submit” button below to send this form to our HR team. You will see a confirmation message and links to helpful resources upon submission.

We appreciate you!

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