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Customer Information - HR Screening Services
Customer Information: Customer Contact Made up Company Location Winnsboro, SC Biff Wellington Applicant Information: First Name John SSN XXX-XX-6789 Position Not Specified Date Ordered 7/15/2009 Last Name Applicant ID Date Completed Doe 211750 7/16/2009 Page 2 of 20 7/17/2009 Doe, John Services Performed Employment Reference / Verification Education Verification Professional Reference Anne Arundel, MD County Criminal Check Adams, PA County Criminal Check Winchester, VA County Criminal Check Pennsylvania Middle District Court, FED Federal Check Sex Offender Check SSN Verification Professional License Verification SSN Trace MVR Credit Check Medical Fraud Check Instant Crims Check ©2009 HR Screening Services, Inc Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Page 2 of 20 Page 3 of 20 7/17/2009 Doe, John Verified By: Steve Green, CFO USA Technologies Applicant Claimed Position: Controller Employer Verified Position: Assistant Controller Dates: 1/1/2005 to 12/31/2006 Dates: 1/1/2005 to 12/31/2006 Was he/she ever promoted? No. How would you evaluate his/her overall performance? John was a below average employee. He struggled at times to do what was expected of him. How did the applicant get along with co-workers? And with management? He was a loner. He did not communicate well with others. How would you rate the applicant's communication skills? Poor. Many fellow employees found him to be rude. How much supervision did he/she need? He really needed a great deal of supervision. He had a hard time staying on task. He liked to do what he enjoyed doing instead of doing what needed to be done. Was the applicant a team player? No, In fact we often excluded him from departmental projects because he worked better alone. What was his/her greatest strength(s)? He has decent accounting skills even though he doesn't use them properly. What are some of the areas that he/she needed to improve in? Just about everything! He needs to work on his verbal and written communication skills. His attitude and attention to detail also need improving. Was the applicant a safe worker? Yes. Did the applicant engage in violent behavior, any EEO or anti-harassment policies while employed? No. How was the applicant's attendance? It was average at best. Was the applicant punctual? Yes. He arrived on time but he also left at exactly 5:00 each day. This is a big problem when you work in Accounting. What was his/her reason for leaving? It was a mutual decision. He wasn't getting any better so we decided to part ways. Where did he/she go to work after leaving your company? I heard that he ended up at XYZ Zipper manufacturing. Is he/she considered eligible for rehire? (If not, why?) No. Any reason to question the applicant's honesty? He could be a little on the sneaky side sometimes. He called off sick one day and was spotted on the golf course later that day by an employee. ©2009 HR Screening Services, Inc Page 3 of 20 Page 4 of 20 7/17/2009 Doe, John Verified By: Rose Garden, HR Manager XYZ Zipper Manufacturing Applicant Claimed Position: Staff Accountant Dates: 3/1/2007 to 8/8/2008 Employer Verified Position: Staff Accountant Dates: 3/1/2007 to 8/8/2008 Company Policy prohibits the release of additional information. Additional Comments Company policy is to only verify dates of employment and position held.Rose did also indicate that John is not eligible for rehire. ©2009 HR Screening Services, Inc Page 4 of 20 Page 7 of 20 7/17/2009 Doe, John 7/15/2009 Adams, PA County Criminal Check Case Docket: 7654098 Disposition Date: 8/22/2002 Identifiers SSN not Available to Match DOB Match Name Match Charges Grade: Felony Aggravated assault Plea: Found Guilty Sentence: 24 months probation 7/15/2009 Anne Arundel, MD County Criminal Check Case Docket: 23456789 Disposition Date: 2/1/2003 Sentence: 6 months prison. 18 months probation Identifiers SSN Match DOB Match Name Match Charges Grade: Felony Possession with intent to distribute controlled substance Plea: Plead Guilty Grade: Misdemeanor Possession of a controlled substance Plea: Found Guilty 7/15/2009 Pennsylvania Middle District Court, FED Federal Check Case Docket: Fed# 349969 Disposition Date: 5/17/2004 Identifiers SSN Match DOB Match Name Match Charges Grade: Felony Possession of Child Pornography-1 count Plea: Found Guilty ©2009 HR Screening Services, Inc Sentence: 18 months Jail Page 7 of 20 Page 8 of 20 Winchester, VA County Criminal Check Doe, John 7/17/2009 1/1/1900 No records found in jurisdiction searched. ©2009 HR Screening Services, Inc Page 8 of 20 Page 9 of 20 Doe, John 7/17/2009 NT Record Details First Name: John Last Name: Doe Address: 123 Main Street City: Gettysburg State: PA Zip: 17325 Year of Birth: 1971 Height: 5' 11" Weight: 195 Type of Offense: Possession of Child Pornography Conviction Date: 5/21/2005 Victim Minor: N/A Verification Date: 7/15/2009 ©2009 HR Screening Services, Inc Page 9 of 20 Page 10 of 20 7/17/2009 Doe, John Verified By: N/A Pennsylvania - CPA - 0638978 Applicant Claimed Dates: 2/1/1998 to 12/31/2013 ©2009 HR Screening Services, Inc Standing: Good Agency Verified Dates: 2/1/2007 to 12/31/2013 Page 10 of 20 Page 11 of 20 Doe, John 7/17/2009 The Social Security Number listed matches the Applicant. ©2009 HR Screening Services, Inc Page 11 of 20 Page 12 of 20 7/17/2009 Doe, John TRANSUNION EMPLOYMENT CREDIT REPORT FOR: HR/MADE UP COMPANY E PT000000 BUREAU: 32 QU DATE REPORT PRINTED: 7/15/2009 CENTRAL STANDARD TIME: 10:13 IN OUR FILES SINCE: 02/2002 SUBJECT NAME: DOE, JOHN M SOCIAL SECURITY NUMBER: 123-45-6789 CURRENT ADDRESS REPORTED 05/2006: 123 MAIN STREET, GETTYSBURG PA EMPLOYMENT DATA REPORTED: XYZ ZIPPER MANUFACTURING AGF POSITION: ACCOUNTING DEPARTMENT DATE REPORTED: 04/2008 DATE REPORTED: 04/2009 ***WARNING INTERNAL USE ONLY - NOT FOR RESALE*** CREDIT INFORMATION -----------------------------------------------------------------------------THE FOLLOWING ITEMS OBTAINED FROM PUBLIC RECORDS APPEAR ON THE FILE. IN COMPLIANCE WITH THE FAIR CREDIT REPORTING ACT, A NOTIFICATION WAS MAILED ADVISING THE SUBJECT THAT A REPORT HAS BEEN REQUESTED IN CONNECTION WITH AN EMPLOYMENT BACKGROUND INVESTIGATION WHICH CONTAINS PUBLIC RECORD INFORMATION. SOURCE: Z 5074137 DOCKET 202122 CIVIL JUDGMENT SOURCE: Z 5074137 DOCKET 456789 FEDERAL TAX LIEN SOURCE: Z 5027019 DOCKET 12345 FEDERAL TAX LIEN ENTERED: ENTERED: 01/2008 11/2007 ENTERED: 10/2007 -----------------------------------------------------------------------------SPECIAL MESSAGES: ****HIGH RISK FRAUD ALERT:CLEAR FOR ALL SEARCHES PERFORMED*** -----------------------------------------------------------------------------THE FOLLOWING ACCOUNT INFORMATION IS PRINTED IN ORDER BY MOST NEGATIVE MANNER OF PAYMENT (MOP) AND DATE MOST RECENTLY UPDATED. CBUSASEARS D 6256134 REVOLVING ACCOUNT VERIF'D 04/2009 BALANCE: $7000 INDIVIDUAL ACCOUNT OPENED 07/1998 MOST OWED: $8000 CREDIT LIMIT: $8000 STATUS AS OF 04/2009: PAID OR PAYING AS AGREED IN PRIOR 15 MONTHS FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN: 111111111111111 CITI ©2009 HR Screening Services, Inc B 1679002 REVOLVING ACCOUNT Page 12 of 20 Page 13 of 20 7/17/2009 Doe, John VERIF'D 04/2009 BALANCE: $4000 INDIVIDUAL ACCOUNT OPENED 10/1998 MOST OWED: $5000 CREDIT LIMIT: $5000 STATUS AS OF 04/2009: PAID OR PAYING AS AGREED WARDS MWCC D 156N121 REVOLVING ACCOUNT VERIF'D 04/2009 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 07/1998 STATUS AS OF 04/2009: PAID OR PAYING AS AGREED IN PRIOR 19 MONTHS FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN: 1111111111111111111 DISCOVER FIN B 9616003 REVOLVING ACCOUNT VERIF'D 04/2009 BALANCE: $9000 INDIVIDUAL ACCOUNT OPENED 07/1998 MOST OWED: $13000 CREDIT LIMIT: $13000 STATUS AS OF 04/2009: PAID OR PAYING AS AGREED IN PRIOR 10 MONTHS FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN: 1111111111 REPUBLIC BAN B 7220001 INSTALLMENT ACCOUNT VERIF'D 04/2009 BALANCE: $3000 INDIVIDUAL ACCOUNT OPENED 10/1998 MOST OWED: $5000 CREDIT LIMIT: $5000 STATUS AS OF 04/2009: PAID OR PAYING AS AGREED IN PRIOR 04 MONTHS FROM DATE VERIF'D 2 TIMES 30 DAYS LATE PAYMENT PATTERN: 1122 TRADE 21 VERIF'D OPENED B 1JPA021 BALANCE: $100 LINE OF CREDIT ACCOUNT INDIVIDUAL ACCOUNT CREDIT LIMIT: $2000 CREDIT LINE STATUS AS OF 04/2009: PAID OR PAYING AS AGREED 04/2009 12/2004 SIMMONS FNB B 1067003 INSTALLMENT ACCOUNT RESLVD-CUST DISAGREES VERIF'D 04/2009 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 10/1982 MOST OWED: $10000 CREDIT LIMIT: $10000 STATUS AS OF 04/2009: UNRATED -----------------------------------------------------------------------------THE FOLLOWING COMPANIES HAVE REQUESTED A COPY OF THE SUBJECT'S CREDIT REPORT DATE SUBCODE SUBSCRIBER NAME 04/13/2009 Y 2462756 MIDLAND CRED 04/13/2009 B 2382255 HSBC 02/10/2007 X 102 TEST SUBCODE 04/12/2006 F 6372493 R2SFINANC -----------------------------------------------------------------------------THE FOLLOWING COMPANIES HAVE REQUESTED THE SUBJECT'S FILE FOR EMPLOYMENT USE: DATE SUBCODE SUBSCRIBER NAME 04/15/2009 E 00000 MADE UP COMPANY -----------------------------------------------------------------------------EMPLOYMENT CREDIT REPORT SERVICED BY: TRANSUNION TEST FACILITY 555 WEST ADAMS CHICAGO, IL. 60661 800-888-4213 Consumer disclosures can be obtained online through TransUnion at: http://www.transunion.com ©2009 HR Screening Services, Inc Page 13 of 20 Page 14 of 20 Doe, John 7/17/2009 END OF TRANSUNION REPORT A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT PARA INFORMACION EN ESPANOL, VISITE WWW.FTC.GOV/CREDIT O ESCRIBE A LA FTC CONSUMER RESPONSE CENTER, ROOM 130-A 600 PENNSYLVANIA AVE. N.W., WASHINGTON, D.C. 20580. THE FEDERAL FAIR CREDIT REPORTING ACT (FCRA) PROMOTES THE ACCURACY, FAIRNESS, AND PRIVACY OF INFORMATION IN THE FILES OF CONSUMER REPORTING AGENCIES. THERE ARE MANY TYPES OF CONSUMER REPORTING AGENCIES, INCLUDING CREDIT BUREAUS AND SPECIALTY AGENCIES (SUCH AS AGENCIES THAT SELL INFORMATION ABOUT CHECK WRITING HISTORIES, MEDICAL RECORDS, AND RENTAL HISTORY RECORDS). HERE IS A SUMMARY OF YOUR MAJOR RIGHTS UNDER THE FCRA. FOR MORE INFORMATION, INCLUDING INFORMATION ABOUT ADDITIONAL RIGHTS, GO TO WWW.FTC.GOV/CREDIT OR WRITE TO: CONSUMER RESPONSE CENTER, ROOM 130-A, FEDERAL TRADE COMMISSION, 600 PENNSYLVANIA AVE. N.W., WASHINGTON, D.C. 20580. - YOU MUST BE TOLD IF INFORMATION IN YOUR FILE HAS BEEN USED AGAINST YOU. ANYONE WHO USES A CREDIT REPORT OR ANOTHER TYPE OF CONSUMER REPORT TO DENY YOUR APPLICATION FOR CREDIT, INSURANCE, OR EMPLOYMENT - OR TO TAKE ANOTHER ADVERSE ACTION AGAINST YOU - MUST TELL YOU, AND MUST GIVE YOU THE NAME, ADDRESS, AND PHONE NUMBER OF THE AGENCY THAT PROVIDED THE INFORMATION. - YOU HAVE THE RIGHT TO KNOW WHAT IS IN YOUR FILE. YOU MAY REQUEST AND OBTAIN ALL THE INFORMATION ABOUT YOU IN THE FILES OF A CONSUMER REPORTING AGENCY (YOUR "FILE DISCLOSURE"). YOU WILL BE REQUIRED TO PROVIDE PROPER IDENTIFICATION, WHICH MAY INCLUDE YOUR SOCIAL SECURITY NUMBER. IN MANY CASES, THE DISCLOSURE WILL BE FREE. YOU ARE ENTITLED TO A FREE FILE DISCLOSURE IF: - A PERSON HAS TAKEN ADVERSE ACTION AGAINST YOU BECAUSE OF INFORMATION IN YOUR CREDIT REPORT; - YOU ARE THE VICTIM OF IDENTITY THEFT AND PLACE A FRAUD ALERT IN YOUR FILE; - YOUR FILE CONTAINS INACCURATE INFORMATION AS A RESULT OF FRAUD; - YOU ARE ON PUBLIC ASSISTANCE; - YOU ARE UNEMPLOYED BUT EXPECT TO APPLY FOR EMPLOYMENT WITHIN 60 DAYS. - IN ADDITION, BY SEPTEMBER 2005 ALL CONSUMERS WILL BE ENTITLED TO ONE FREE DISCLOSURE EVERY 12 MONTHS UPON REQUEST FROM EACH NATIONWIDE CREDIT BUREAU AND FROM NATIONWIDE SPECIALTY CONSUMER REPORTING AGENCIES. SEE WWW.FTC.GOV/CREDIT FOR ADDITIONAL INFORMATION. - YOU HAVE THE RIGHT TO ASK FOR A CREDIT SCORE. CREDIT SCORES ARE NUMERICAL SUMMARIES OF YOUR CREDIT-WORTHINESS BASED ON INFORMATION FROM CREDIT BUREAUS. - YOU MAY REQUEST A CREDIT SCORE FROM CONSUMER REPORTING AGENCIES THAT CREATE SCORES OR DISTRIBUTE SCORES USED IN RESIDENTIAL REAL PROPERTY LOANS, BUT YOU WILL HAVE TO PAY FOR IT. IN SOME MORTGAGE TRANSACTIONS, YOU WILL RECEIVE CREDIT SCORE INFORMATION FOR FREE FROM THE MORTGAGE LENDER. - YOU HAVE THE RIGHT TO DISPUTE INCOMPLETE OR INACCURATE INFORMATION. IF YOU IDENTIFY INFORMATION IN YOUR FILE THAT IS INCOMPLETE OR INACCURATE, AND REPORT IT TO THE CONSUMER REPORTING AGENCY, THE AGENCY MUST INVESTIGATE UNLESS YOUR DISPUTE IS FRIVOLOUS. SEE WWW.FTC.GOV/CREDIT FOR AN EXPLANATION OF DISPUTE PROCEDURES. ©2009 HR Screening Services, Inc Page 14 of 20 Page 15 of 20 7/17/2009 Doe, John - CONSUMER REPORTING AGENCIES MUST CORRECT OR DELETE INACCURATE, INCOMPLETE, OR UNVERIFIABLE INFORMATION. INACCURATE, INCOMPLETE OR UNVERIFIABLE INFORMATION MUST BE REMOVED OR CORRECTED, USUALLY WITHIN 30 DAYS. HOWEVER, THE CONSUMER REPORTING AGENCY IS NOT REQUIRED TO REMOVE ACCURATE DEROGATORY INFORMATION FROM YOUR FILE UNLESS IT IS OUTDATED (AS DESCRIBED BELOW) OR CANNOT BE VERIFIED. A CONSUMER REPORTING AGENCY MAY CONTINUE TO REPORT INFORMATION IT HAS VERIFIED AS ACCURATE. - CONSUMER REPORTING AGENCIES MAY NOT REPORT OUTDATED NEGATIVE INFORMATION. IN MOST CASES, A CONSUMER REPORTING AGENCY MAY NOT REPORT NEGATIVE INFORMATION THAT IS MORE THAN SEVEN YEARS OLD, OR BANKRUPTCIES THAT ARE MORE THAN 10 YEARS OLD. - ACCESS TO YOUR FILE IS LIMITED. A CONSUMER REPORTING AGENCY MAY PROVIDE INFORMATION ABOUT YOU ONLY TO PEOPLE WITH A VALID NEED -- USUALLY TO CONSIDER AN APPLICATION WITH A CREDITOR, INSURER, EMPLOYER, LANDLORD, OR OTHER BUSINESS. THE FCRA SPECIFIES THOSE WITH A VALID NEED FOR ACCESS. - YOU MUST GIVE YOUR CONSENT FOR REPORTS TO BE PROVIDED TO EMPLOYERS. A CONSUMER REPORTING AGENCY MAY NOT GIVE OUT INFORMATION ABOUT YOU TO YOUR EMPLOYER, OR A POTENTIAL EMPLOYER, WITHOUT YOUR WRITTEN CONSENT GIVEN TO THE EMPLOYER. WRITTEN CONSENT GENERALLY IS NOT REQUIRED IN THE TRUCKING INDUSTRY. FOR MORE INFORMATION, GO TO WWW.FTC.GOV/CREDIT. - YOU MAY LIMIT "PRESCREENED" OFFERS OF CREDIT AND INSURANCE YOU GET BASED ON INFORMATION IN YOUR CREDIT REPORT. UNSOLICITED "PRESCREENED" OFFERS FOR CREDIT AND INSURANCE MUST INCLUDE A TOLL-FREE PHONE NUMBER YOU CAN CALL IF YOU CHOOSE TO REMOVE YOUR NAME AND ADDRESS FROM THE LISTS THESE OFFERS ARE BASED ON. YOU MAY OPT-OUT WITH THE NATIONWIDE CREDIT BUREAUS AT 1-888-567-8688. - YOU MAY SEEK DAMAGES FROM VIOLATORS. IF A CONSUMER REPORTING AGENCY, OR, IN SOME CASES, A USER OF CONSUMER REPORTS OR A FURNISHER OF INFORMATION TO A CONSUMER REPORTING AGENCY VIOLATES THE FCRA, YOU MAY BE ABLE TO SUE IN STATE OR FEDERAL COURT. - IDENTITY THEFT VICTIMS AND ACTIVE DUTY MILITARY PERSONNEL HAVE ADDITIONAL RIGHTS. FOR MORE INFORMATION, VISIT WWW.FTC.GOV/CREDIT. STATES MAY ENFORCE THE FCRA, AND MANY STATES HAVE THEIR OWN CONSUMER REPORTING LAWS. IN SOME CASES, YOU MAY HAVE MORE RIGHTS UNDER STATE LAW. FOR MORE INFORMATION, CONTACT YOUR STATE OR LOCAL CONSUMER PROTECTION AGENCY OR YOUR STATE ATTORNEY GENERAL. THE FCRA GIVES SEVERAL DIFFERENT FEDERAL AGENCIES AUTHORITY TO ENFORCE THE FCRA: FOR QUESTIONS OR CONCERNS REGARDING: PLEASE CONTACT: CONSUMER REPORTING AGENCIES, CREDITORS, AND OTHERS NOT LISTED BELOW FEDERAL TRADE COMMISSION CONSUMER RESPONSE CENTER - FCRA WASHINGTON, DC 20580 1-877-382-4357 NATIONAL BANKS, FEDERAL BRANCHES/ AGENCIES OF FOREIGN BANKS (WORD "NATIONAL" OR INITIALS "N.A." APPEAR IN OR AFTER BANK'S NAME) OFFICE OF THE COMPTROLLER OF THE CURRENCY COMPLIANCE MANAGEMENT, MAIL STOP 6-6 WASHINGTON, DC 20219 800-613-6743 FEDERAL RESERVE SYSTEM MEMBER BANKS FEDERAL RESERVE BOARD ©2009 HR Screening Services, Inc Page 15 of 20 Page 16 of 20 7/17/2009 Doe, John (EXCEPT NATIONAL BANKS, AND FEDERAL BRANCHES/AGENCIES OF FOREIGN BANKS) DIVISION OF CONSUMER & COMMUNITY AFFAIRS WASHINGTON, DC 20551 202-452-3693 SAVINGS ASSOCIATIONS AND FEDERALLY CHARTERED SAVINGS BANKS (WORD "FEDERAL" OR INITIALS "F.S.B." APPEAR IN FEDERAL INSTITUTION'S NAME) OFFICE OF THRIFT SUPERVISION CONSUMER COMPLAINTS WASHINGTON, DC 20552 800-842-6929 FEDERAL CREDIT UNIONS (WORDS "FEDERAL CREDIT UNION" APPEAR IN INSTITUTION'S NAME) NATIONAL CREDIT UNION ADMINISTRATION 1775 DUKE STREET ALEXANDRIA, VA 22314 703-519-4600 STATE-CHARTERED BANKS THAT ARE NOT MEMBERS OF THE FEDERAL RESERVE SYSTEM FEDERAL DEPOSIT INSURANCE CORPORATION CONSUMER RESPONSE CENTER, 2345 GRAND AVENUE, SUITE 100 KANSAS CITY, MISSOURI 64108-2638 877-275-3342 AIR, SURFACE, OR RAIL COMMON CARRIERS REGULATED BY FORMER CIVIL AERONAUTICS BOARD OR INTERSTATE COMMERCE COMMISSION DEPARTMENT OF TRANSPORTATION OFFICE OF FINANCIAL MANAGEMENT WASHINGTON, DC 20590 202-366-1306 ACTIVITIES SUBJECT TO THE PACKERS AND STOCKYARDS ACT, 1921 DEPARTMENT OF AGRICULTURE OFFICE OF DEPUTY ADMINISTRATOR - GIPSA WASHINGTON, DC 20250 202-720-7051 ©2009 HR Screening Services, Inc Page 16 of 20 Page 17 of 20 7/17/2009 Doe, John Addresses 121 FANTASY RD FANTASY ISLAND VA 153 CENTER RD FANTASY ISLAND VA Full Trace Text TRANSUNION SSN SEARCH REPORT FOR MKT/SUB INFILE DATE TIME Z PT00000 13 PT 07/15/09 08:32CT RPT ON SSN DOB * SSN SEARCH * 123-45-6789 **HIGH RISK FRAUD ALERT**SEE END RPT NAME ADDRESS ADDR RPT DATE 1. DOE, JOHN M. 121 FANTASY RD, FANTASY ISLAND VA. 153 CENTER RD, FANTASY ISLAND VA. 05/2006 02/2004 ***HIGH RISK FRAUD ALERT:CLEAR FOR ALL SEARCHES PERFORMED*** END OF TRANSUNION REPORT ©2009 HR Screening Services, Inc Page 17 of 20 Page 18 of 20 Doe, John 7/17/2009 No exclusions found in search. ©2009 HR Screening Services, Inc Page 18 of 20 Page 19 of 20 Doe, John 7/17/2009 No Records Found ©2009 HR Screening Services, Inc Page 19 of 20 Page 20 of 20 ©2009 HR Screening Services, Inc Doe, John 7/17/2009 Page 20 of 20
