About Our SAMPLE REPORTS:
Each LABORCHEX Background Investigation Report (BIR) is accompanied by an EXECUTIVE SUMMARY cover sheet.
The EXECUTIVE SUMMARY is designed to provide you with the following basic information:
1. Identity of the applicant.
2. Identity of the client requesting background screening.
3. Types of screenings requested (Report Type).
4. Brief rundown of details (Description).
5. Level of Completion (Status).
The Status column will always include one of three notations:
- Research Complete: This indicates that the level of screening ordered has been completed, and does not indicate Red Flags or Discrepancies. Clients can establish criteria for Alerts and Discrepancies.
- Discrepancy: This indicates that details confirmed by LABORCHEX did not match those provided by the applicant. For instance, the applicant claimed to have worked as a Warehouse Manager, but LABORCHEX confirmed he was a forklift driver. Or, the applicant claimed she earned $14/hr as an Administrative Assistant, but LABORCHEX confirmed she earned $11/hr.
- Alert: This indicates that the LABORCHEX investigation reveals information that the client has indicated (during set-up of the account) could seriously influence the hiring decision. This could include criminal records, misinformation about college degrees, a revoked driver's license, termination details, etc. If a report includes an alert, a notation will also appear in the upper left corner of Executive Summary Sheet.
Detail Comparisons
Whenever possible, LABORCHEX provides the details the applicant has provided about employment, education, credentials, etc. AND the information revealed in the employment screening process. This allows clients to easily compare such information for accuracy and truthfulness.
|  | Date of Report: 4/16/02 |
Background Investigation Report
| Subject Name: | APPLICANT, ANY | For: | MR./MS PERSONNEL DIRECTOR
PMAA MEMBER
123 MAIN STREET, SUITE A
ANYTOWN, GA 30303
Ph: 14045551212 Fax: 14045552323 | | Social Security: | 123-32-1234 |
| REPORT TYPE | DESCRIPTION | STATUS |
| Address Search | Nationwide | Research Complete |
| Criminal Investigation | Florida DOC | Research Complete |
| Criminal Investigation | Georgia Statewide | Research Complete |
| Criminal Investigation | Tennessee Statewide | ALERT |
| Education Verification | Davidson County Community College | ALERT |
| Employment Verification | ABC Manufacturing | Research Complete |
| Employment Verification | Fast and Speedy Trucking | ALERT |
| Motor Vehicle Record | TN | ALERT |
This Executive summary is intended to provide only a brief overview of screening results. Employment decisions should not be made solely on the information found in the Executive Summary. PLEASE READ this entire report in order to obtain complete employment screening results.
| Your acceptance and use of this report imply that you are in full compliance with the provisions of the Fair Credit Reporting Act (FCRA), and the amendments to the FCRA as a result of the Consumer Credit Reporting Act of 1996 (Public Law 104-208, Title II). LABORCHEX conducts business according to applicable federal and state laws. LABORCHEX uses its best and most precise efforts to furnish its clients with accurate, current, complete, and reliable reports as they may be reasonably available and obtained from Information Sources. Information Sources may include: individuals, employers who provide information on an applicant's previous work history; any public records which include courts, public record databases, or any other commonly accepted information source. LABORCHEX does not warrant or guarantee the accuracy or integrity of the information reported to LABORCHEX by any Information Source. |
ALERTS
1. CRIMINAL INVESTIGATION:
Search Type: Tennessee Statewide
Status: Criminal Record Found
CASE NUMBER: 99-CR5500403
COUNTY: Davidson
OFFENSE: Bad Checks
LEVEL: Misdemeanor
SENTENCE DATE: 9/13/1999
DISPOSITION: Guilty on single count
COMMENTS: Wrote a check for $404.45 to Wal-Mart which was returned. Did not pay the amount within 30 days as directed. Sentenced to pay restitution plus $65 fines, and placed on 1-year probation, which was completed without violations.
2. EDUCATION VERIFICATION: Davidson County Community College
GRADUATION CLAIMED: 6/76
GRADUATION VERIFIED: None
DEGREE CLAIMED: A.A.
DEGREE VERIFIED: None
3. EMPLOYMENT VERIFICATION: Fast and Speedy Trucking
ACCIDENTS
| DATE | TYPE | COST | CHARGEABLE | FATALITIES | INJURIES |
| 06/23/00 | Backing | $3,400 | Yes | No | Yes |
4. MOTOR VEHICLE RECORD:
SEARCH TYPE: Tennessee
STATUS: Results Received
RESULTS:
LIC NUMBER: 888-11-8888
ISSUED DATE: 7/24/99
EXPIRES: 7/24/05LIC STATUS: Valid
TYPE/CLASS: Operator
RESTRICTIONS: None
VIOLATIONS
| 1. Speeding 83/55 | 6/12/01 | Lowndes County SO, MS |
| 2. Ignore Traffic Signal | 1/3/03 | Nashville PD, TN |
RESULTS:
1. 11/2003 - 03/2004 APPLICANT, SAMPLE SSN: 888-11-8888 DOB: 03/1956 AGE: 47
231 Peachtree Rd. SW
ATLANTA, GA, 30303
COUNTY: Fulton
SSN VALID: yes ISSUED: TN
2. 09/1997 – 10/2003 APPLICANT, SAMPLE SSN: 888-11-8888 DOB: 03/1956 AGE: 47
1641 Apple Orchard Dr.
NAShVILLE, TN 37201
COUNTY: DAVIDSON
SSN VALID: yes ISSUED: TN
3. 01/1989 – 06/1997 APPLICANT, SAMPLE SSN: 888-11-8888 DOB: 03/1956 AGE: 47
32B SUMMIT AVENUE
CORAL GABLES, FL 33133
COUNTY: DADE
SSN VALID: yes ISSUED: TN
4. 08/1991 – 01/1989 APPLICANT, SAMPLE SSN: 888-11-8888 DOB: 03/1956 AGE: 47
PO BOX 13A
PICKENS, MS 39146 00879
COUNTY: HOLMES
SSN VALID: yes ISSUED: TN
5. 01/1980 - 01/1989 APPLICANT, SAMPLE SSN: 888-11-8888 DOB: 00/1957 AGE: 47
347 PINE STREET
NASHVILLE, TN 39095 98039
COUNTY: DAVIDSON
SSN VALID: yes ISSUED: TN
| Your acceptance and use of this report imply that you are in full compliance with the provisions of the Fair Credit Reporting Act (FCRA), and the amendments to the FCRA as a result of the Consumer Credit Reporting Act of 1996 (Public Law 104-208, Title II). LABORCHEX conducts business according to applicable federal and state laws. LABORCHEX uses its best and most precise efforts to furnish its clients with accurate, current, complete, and reliable reports as they may be reasonably available and obtained from Information Sources. Information Sources may include: individuals, employers who provide information on an applicant's previous work history; any public records which include courts, public record databases, or any other commonly accepted information source. LABORCHEX does not warrant or guarantee the accuracy or integrity of the information reported to LABORCHEX by any Information Source. |
Search Type: Florida DOC
Status: No Records Found
Search Type: GA Statewide
Status: No Records Found
| Your acceptance and use of this report imply that you are in full compliance with the provisions of the Fair Credit Reporting Act (FCRA), and the amendments to the FCRA as a result of the Consumer Credit Reporting Act of 1996 (Public Law 104-208, Title II). LABORCHEX conducts business according to applicable federal and state laws. LABORCHEX uses its best and most precise efforts to furnish its clients with accurate, current, complete, and reliable reports as they may be reasonably available and obtained from Information Sources. Information Sources may include: individuals, employers who provide information on an applicant's previous work history; any public records which include courts, public record databases, or any other commonly accepted information source. LABORCHEX does not warrant or guarantee the accuracy or integrity of the information reported to LABORCHEX by any Information Source. |
INSTITUTION
Davidson County Community College
100 Education Way
Nashville, TN 37201
PHONE: 615-444-3333 FAX: 615-555-6666
STATUS: Research Complete
| | DATA SUPPLIED | DATA CONFIRMED | ALERT |
| Dates Attended | 9/74 - 6/76 | 9/3/74- 6/15/76 | No |
| Graduated Date | 6/72 | None | Yes |
| Degree | A.A. | None | Yes |
| Major | Liberal Arts | Liberal Arts | No |
| Minor | n/a | n/a | No |
| G.P.A. | 3.0 | 3.0 | No |
| Curr. Attend. | No | No | No |
COMMENTS: Did not graduate or earn a degree of any kind.
VERIFIED BY: S. Kann
DATE VERIFIED: 2/19/04
| Your acceptance and use of this report imply that you are in full compliance with the provisions of the Fair Credit Reporting Act (FCRA), and the amendments to the FCRA as a result of the Consumer Credit Reporting Act of 1996 (Public Law 104-208, Title II). LABORCHEX conducts business according to applicable federal and state laws. LABORCHEX uses its best and most precise efforts to furnish its clients with accurate, current, complete, and reliable reports as they may be reasonably available and obtained from Information Sources. Information Sources may include: individuals, employers who provide information on an applicant's previous work history; any public records which include courts, public record databases, or any other commonly accepted information source. LABORCHEX does not warrant or guarantee the accuracy or integrity of the information reported to LABORCHEX by any Information Source. |
EMPLOYER
ABC Manufacturing
1200 Metal Gear Avenue
Bigtown, GA 30303
STATUS: Research Complete
|
| DATA SUPPLIED | DATA CONFIRMED | DISCR. | | Dates Of Employment |
1/97 - 4/98 |
1/4/97 - 4/30/98 |
No |
| Supervisor / Title |
Mr. Smith/Warehouse Manager |
Mr. Smith (no longer there) |
No |
| Job Title |
Forklift driver |
Forklift driver |
No |
| Job Description |
Drove forklift and kept stock neat |
Forklift operations and stocker |
No |
| Salary |
$7.65/hr |
$7.65/hr final |
No |
| Currently Employed |
No |
No |
No |
| Reason For Leaving |
Learned to drive a truck |
Left to drive a truck |
No |
| CUSTOMIZED QUESTIONS |
| QUESTION | INFORMATION VERIFIED |
| Did this person get along well with coworkers? | "Always. Very friendly and helpful." |
| Was this person's attendance satisfactory? | "Missed time like others. Nothing unusual or problematic." |
ELIGIBLE FOR REHIRE: Yes
EXPLANATION:"He was a fine worker. We were sorry to see him go."
COMMENTS: NO ADDITIONAL COMMENTS PROVIDED.
VERIFIED BY: D. Lewis
DATE VERIFIED: 03/11/04
|
EMPLOYER
Fast and Speedy Trucking
123 East Main St.
Nashville, TN 37201
STATUS: Research Complete
|
| DATA SUPPLIED | DATA CONFIRMED | DISCR. | | Dates Of Employment |
2/97 - 2/02 |
2/1/97 - 2/14/02 |
No |
| Supervisor / Title |
Ms. Adams/Safety Director |
Ms. Adams/Safety Director |
No |
| Job Title |
Trcuk driver |
Truck driver |
No |
| Job Description |
Drove 18-wheeler |
Drove OTR |
No |
| Salary |
32 cents/per mile |
n/a |
No |
| Currently Employed |
No |
No |
No |
| Reason For Leaving |
Sought new position with city |
Left with appropriate notice |
No |
| CUSTOMIZED QUESTIONS |
| QUESTION | INFORMATION VERIFIED |
| Did this person get along well with coworkers? | "Yes." |
| Was this person's attendance satisfactory? | "He rated very well in this category." |
ELIGIBLE FOR REHIRE: Yes
EXPLANATION: "Would need to be retested for drug and alcohol."
COMMENTS: NO ADDITIONAL COMMENTS PROVIDED.
VERIFIED BY: Ms. Adams
DATE VERIFIED: 03/12/04
|
| Your acceptance and use of this report imply that you are in full compliance with the provisions of the Fair Credit Reporting Act (FCRA), and the amendments to the FCRA as a result of the Consumer Credit Reporting Act of 1996 (Public Law 104-208, Title II). LABORCHEX conducts business according to applicable federal and state laws. LABORCHEX uses its best and most precise efforts to furnish its clients with accurate, current, complete, and reliable reports as they may be reasonably available and obtained from Information Sources. Information Sources may include: individuals, employers who provide information on an applicant's previous work history; any public records which include courts, public record databases, or any other commonly accepted information source. LABORCHEX does not warrant or guarantee the accuracy or integrity of the information reported to LABORCHEX by any Information Source. |
| DOT EMPLOYMENT VERIFICATION |
STATUS: Research Complete
CAUSE FOR SEPARATION: Voluntary
TYPE OF COMPANY: Small Trucking
EQUIPMENT TYPE: Tractor-semi
TRAILER TYPE: Dry Van
TYPE OF FREIGHT HAULED: Appliances and auto parts
GEOGRAPHIC AREA: 48 states
FULL OR PART TIME: Full Time
OVER THE ROAD OR LOCAL: Over The Road
QUALIFIED FOR SINGLE OPERATION: Yes
QUALIFIED FOR TEAM OPERATION: No
HAZARDOUS MATERIALS: Yes
ELIGIBLE FOR REHIRE: Yes
DETAILS: Would need to be retested for drug and alcohol.
TESTED POSITIVE FOR A CONTROLLED SUBSTANCE IN THE LAST 3 YEARS: No
DETAILS: N/A
ALCOHOL TEST WITH A BREATH ALCOHOL CONCENTRATION OF 0.04 OR GREATER IN THE LAST 3 YEARS: No
DETAILS: N/A
REFUSED A REQUIRED TEST FOR DRUGS OR ALCOHOL IN THE LAST 3 YEARS: No
DETAILS: N/A
VIOLATED OTHER D.O.T. DRUG/ALCOHOL REGULATIONS: NO
IF SO, IS THERE DOCUMENTATION OF SUCCESSFUL COMPLETION OF D.O.T. RETURN-TO-DUTY REQUIREMENTS, INCLUDING FOLLOW-UP TESTS: N/A
SUBSTANCE ABUSE PROFESSIONAL:N/A
LOCATION: N/A
NUMBER OF ACCIDENTS: 1
ACCIDENTS
| DATE | TYPE | COST | CHARGEABLE | FATALITIES | INJURIES | | 06/23/00 |
Backing |
$18,000 | Yes
| No
| Yes
|
| Your acceptance and use of this report imply that you are in full compliance with the provisions of the Fair Credit Reporting Act (FCRA), and the amendments to the FCRA as a result of the Consumer Credit Reporting Act of 1996 (Public Law 104-208, Title II). LABORCHEX conducts business according to applicable federal and state laws. LABORCHEX uses its best and most precise efforts to furnish its clients with accurate, current, complete, and reliable reports as they may be reasonably available and obtained from Information Sources. Information Sources may include: individuals, employers who provide information on an applicant's previous work history; any public records which include courts, public record databases, or any other commonly accepted information source. LABORCHEX does not warrant or guarantee the accuracy or integrity of the information reported to LABORCHEX by any Information Source. |
|
