Request #: TS-******-M**NV, Completed: Nov **, ***3 7:08 AM PST

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Request #: TS-111323-M67NV, Completed: Nov 13, 2023 7:08 AM PST Request #: TS-111323-M67NV

Turnaround time: 2 seconds

Package : Custom

Date Request Submitted : Nov 13, 2023 7:08 AM PST

Request Completion Date : Nov 13, 2023 7:08 AM PST Job Location : Canton, Michigan 48188, Wayne, USA

Dana Corliss Fields

Complete Report

Social Security Number: ***-**-****

DOB : Aug 28, 1959

Prepared By :

HireRight, LLC

14002 E. 21 st Street Suite 1200

Tulsa, OK 74134

Phone : 866-***-****

Fax : 877-***-****

ad1hm9@r.postjobfree.com

Requested By :

Morgan Fish

A.D. Transport Express, Inc.

5601 Belleville Rd

Canton, MI 48188

Phone : 734-***-****

E-mail : ad1hm9@r.postjobfree.com

Request #: TS-111323-M67NV, Completed: Nov 13, 2023 7:08 AM PST Driver Personal Information

Driver License Information

Class Issued Expires Status Restrictions

Miscellaneous / State Specific Information

Type Description

Medical Certificate Information

Type Description

Driving Record Information

MVR Express

Date MVR Request Submitted: Nov 13, 2023 7:08 AM PST MVR Request Completion Date: Nov 13, 2023 7:08 AM PST Complete - MVR Record Found

State: Ohio

License: PN605193

DANA CORLISS FIELDS

105 1/2 E HIGH ST

CIRCLEVILLE, OH 43113-1721

DOB: 08/28/1959; HGT: 6' 2''; WT: 240; EYES: Blue; HAIR: Brown Requested As: PN605193, 082859, DANA CORLISS FIELDS CDL-A 07/01/2023 08/28/2030 Valid Auto Transmission CMV CLASS A - COMB VEH>26,000 GVWR, TOWED UNIT>10,001 GVWR CDL Medical Self Certification 1 NI - Non-Excepted Interstate Status Certified Non-Excepted -- Interstate Expires: 10/26/2024 Issue Date 2022-10-26

Expiration Date 2024-10-26

Medical Examiner Name GARY ARTRIP

Specialty AN Advanced Practice Nurse

Licensing Jurisdiction OH

Phone Number 740-***-****

Registry Number 962-***-****

License Number 10904

Request #: TS-111323-M67NV, Completed: Nov 13, 2023 7:08 AM PST Type V/S Date C/R Date Description Violation Code Pts State ACD HR

ACTN 01/03

/2023

License Forfeiture

BMV Case Number: LF23013150

Offense Type Description: TAG

/STICKER VIOLATION

Status Description: CLOSED

Type Code: LF - License Forfeiture

Offense Date: 2023-01-03

CONV 07/20

/2022

10/17

/2022

TAG/STICKER VIOLATION

Conviction Code: 4

Conviction Type: C1 - IN-STATE

CONVICTION

Court Case Number: 22128419

Court Name: FRANKLIN COUNTY

MUNI

0

ACTN 08/04

/2022

License Forfeiture

BMV Case Number: LF22071056

Offense Type Description: NO

DRIVER LICENSE

Status Description: CLOSED

Type Code: LF - License Forfeiture

Offense Date: 2022-08-04

SUSP 11/25

/2022

Non Compliance Suspension

BMV Case Number: NC22100153

Status Description: COMPLIANCE

Type Code: NC

FRA Start Date: 2022-11-25

FRA End Date: 2025-11-25

Offense Date: 2022-07-20

SUSP 11/25

/2022

Non Compliance Suspension

BMV Case Number: NC22100153

Status Description: COMPLIANCE

Type Code: NC - Non Compliance

Suspension

FRA Start Date: 2022-11-25

FRA End Date: 2025-11-25

Offense Date: 2022-07-20

ACCI 07/20

/2022

Accident

County Name: FRANKLIN

BMV Case Number: 202********

This report's inclusion of accident information (if any) does not mean that the subject of this report was at fault unless the accident explicitly says so.

Request #: TS-111323-M67NV, Completed: Nov 13, 2023 7:08 AM PST V/S Date - Violation/Suspension date

C/R Date - Conviction/Reinstatement date

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 Nov 13, 2023 7:08 AM PST A.D. Transport Express, 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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