Pre-Release Access Pre-ReleaseAccess Certification Form

Bureau of Labor Statistics Pre-Release Access Certification Form
I,
, Cooperating Representative for the State of
, do hereby certify
that all of the individuals listed in Attachment A of this certification form are authorized to have advance access to
Bureau of Labor Statistics (BLS) pre-release information. I certify that the individuals listed in Attachment A have
been fully informed of their responsibilities and obligations in handling and maintaining the confidentiality of prerelease information prior to its set time for release. I further certify that each of the individuals listed in
Attachment A have indicated their understanding and acceptance of the conditions for access to BLS pre-release
information.

__________________________________________
BLS State Cooperating Representative

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Date