Driver Medical
Resume:
Request #: TS-******-UD*JB, Completed: Oct **, ***9 12:53 PM PDT
Request #: TS-102219-UD6JB
Turnaround time: 42 seconds
Package: Driver Pre-Employment Screening
Date Request Submitted: Oct 22, 2019 12:52 PM PDT
Request Completion Date: Oct 22, 2019 12:53 PM PDT Job Location: Rushville, Indiana 46173, Rush, USA
Randall Marsee
Complete Report
Social Security Number: ***-**-****
DOB: Sep 13, 1966
Prepared By:
HireRight
3349 Michelson Dr. Suite 150
Irvine, CA 92612
Phone: 866-***-****
Fax: 877-***-****
adduad@r.postjobfree.com
Requested By:
Rachel DeHart
Fraley & Schilling Inc
1920 S State Rd 3
Rushville, IN 46173
Phone: 865-***-****
E-mail: adduad@r.postjobfree.com
Request #: TS-102219-UD6JB, Completed: Oct 22, 2019 12:53 PM PDT Driver Personal Information
Driver License Information
Class Issued Expires Status Restrictions
Miscellaneous / State Specific Information
Type Description
Medical Certificate Information
Type Description
MVR Express
Date MVR Request Submitted: Oct 22, 2019 12:52 PM PDT MVR Request Completion Date: Oct 22, 2019 12:53 PM PDT Complete - MVR Record Clear
State: Tennessee
License: 077644024
MARSEE, RANDALL CLAYTON
786 BIG RIDGE PARK RD
MAYNARDVILLE, TN 37807
DOB: 09/13/1966; HGT: 6'-03''; WT: 243; EYES: GR; HAIR: BR Requested As: 077644024, 091366, RANDALL MARSEE
CDL-A 09/28/2016 09/28/2024 LIC
LICTYPE CDL
CLASS A - COMB VEH>26,000 GVWR, TOWED UNIT>10,001 GVWR ORIGISSUE 2004-02-20
MISC PrivateStatus: VAL = Valid
MISC NO HISTORY
CDL Medical Self Certification NI Non-Excepted Interstate Status C Certified
Issue Date 2019-08-19
Posted Date 2019-08-23
Expiration Date 2020-08-19
Medical Restriction 1 Wearing Corrective Lenses
Medical Examiner Name Jilliane Sexton
Licensing Jurisdiction TN
Phone Number 865-***-****
Request #: TS-102219-UD6JB, Completed: Oct 22, 2019 12:53 PM PDT Driving Record Information
V/S Date - Violation/Suspension date
C/R Date - Conviction/Reinstatement date
Registration Number 170*******
License Number 18379
MVR RECORD CLEAR
Information reported may be limited in accordance with the Fair Credit Reporting Act and applicable state law. Request #: TS-102219-UD6JB, Completed: Oct 22, 2019 12:53 PM PDT Driver Personal Information
Driver License Information
Miscellaneous / State Specific Information
Type Description
HireRight Comments
Date MVR Request Submitted: Oct 22, 2019 12:52 PM PDT MVR Request Completion Date: Oct 22, 2019 12:53 PM PDT Complete - MVR Not Found
State: Kentucky
License: No License # Returned
Requested As: M93391939, 091366, RANDALL MARSEE
MVR NOT FOUND
MISC Drivers License Number Not Found.
Oct 22, 2019 12:53 PM PDT -
Automated Note : Driver not found.
Requestor has been notified.
Request #: TS-102219-UD6JB, Completed: Oct 22, 2019 12:53 PM PDT Driver Personal Information
Driver License Information
Class Issued Expires Status Restrictions
Miscellaneous / State Specific Information
Type Description
Date MVR Request Submitted: Oct 22, 2019 12:52 PM PDT MVR Request Completion Date: Oct 22, 2019 12:53 PM PDT Complete - See License Details
State: Indiana
License: 894-***-****
MARSEE, RANDALL C
8705 TERRI DR
WESTLAND, MI 48185-7071
DOB: 09/13/1966; HGT: 6'-01''; WT: 215; EYES: GREEN; HAIR: BLOND Requested As: 894-***-****, 091366, RANDALL MARSEE
CHAUFFEUR 09/13/2002 VALID
CDL-A 09/13/2002 Transferred
LICTYPE CHAUFFEUR
CLASS CHAUFFEUR
MISC POINT ACCUMULATION = 0
LICTYPE CDL
CLASS A - COMB VEH>26,000 GVWR, TOWED UNIT>10,001 GVWR ORIGISSUE 1998-01-13
MISC POINT ACCUMULATION = 0
PREVADD Address History - Effective Date: 2019-07-24; Driver Address: 8705 TERRI DR; City: WESTLAND; State: MI; Zip Code: 48185-7071
PREVADD Address History - Effective Date: 1998-01-13; Driver Address: RR 1 BOX 1697; City: LINTON; State: IN; Zip Code: 47441
MISC Current Point Level: 0
MISC Donor: N
MISC Remarks: Issue Date: 01/13/1998, Renew License, CDL CLASS A, Endorsements: None, Restrictions: None, Expiration Date: 09/13/2002
MISC Remarks: Moved to KENTUCKY 09/16/1999
MISC Remarks: Moved to KENTUCKY 08/12/1999
MISC Remarks: Moved to TENNESSEE 06/23/1992
Request #: TS-102219-UD6JB, Completed: Oct 22, 2019 12:53 PM PDT Medical Certificate Information
Type Description
Driving Record Information
V/S Date - Violation/Suspension date
C/R Date - Conviction/Reinstatement date
MISC SR22Code: SR22 NOT NEEDED
MISC SR50Code: SR50 NOT NEEDED
MISC Reinstatement Fee Count: 0
MISC Reinstatement Fee Amount: 0.00
MISC NoInsFeeCount: 0
MISC NoInsFeeAmount: 0.00
Issue Date 0001-01-01
Expiration Date 0001-01-01
License Number 0
SEE LICENSE DETAILS - MVR RECORD CLEAR
Information reported may be limited in accordance with the Fair Credit Reporting Act and applicable state law. Activity Log
Activity Date/Time Performed By Recipient Result
Report Submitted Oct 22, 2019 12:52 PM PDT Fraley & Schilling Inc 1 "Complete" indicates that this request has been processed to conclusion. Please review the report details in their entirety to evaluate any potential discrepancies or records related to this request. All times listed in America/Los_Angeles timezone
The Activity Log above may reflect activity for this screening report. E-mail notifications, if configured by the company that requested the report, may have been sent by or through HireRight to an authorized company-user (shown as the "Recipient"). Some adjudication history entries and related e-mail notifications, if any, indicate whether an initial determination was made regarding whether the report satisfied the company's hiring criteria (shown in the "Result" column), including any preliminary status Result of "Meets" or "Does Not Meet" company standards. Sometimes a company's final adjudication determination may change from its initial determination. Questions about the company's hiring decisions should be directed to the company. LEGAL NOTES:
This report contains personal information, and should be handled at all times in accordance with your Service Agreement with HireRight and applicable law. Proper use of the content of this report, and final verification of the named individual's identity, are your responsibility.
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