Motor Vehicle United States

Background Screening Report - Single Item

**** * ***** **** *** SUITE 127.

TULSA, OK 74134-5801

Telephone: 877-***-****

Fax: 918-***-****

From Case Number: 33801578

Candidate: Medina, Carlos

CANDIDATE INFORMATION

Prepared For: Swift Recruiting

State of Colorado

Candidate's Address:

XXX-XX-6896

224 Olive

La Junta, CO 81050

UNITED STATES

DOB: 03/08/1968

SSN:

SUMMARY OF FULL INVESTIGATION

Request Completed Element Type Description Status

05/08/2024 05/08/2024 PREVIOUS RECORD OF DRIVER IQ PRE (SUMMARY) MEDINA, CARLOS Complete EMPLOYMENT

05/08/2024 05/08/2024 MOTOR VEHICLE RECORD * STATE OF COLORADO Complete 05/08/2024 05/08/2024 MOTOR VEHICLE RECORD COMMERCIAL DRIVERS LICENSE INFO. Complete

.

Reference 1:

Recruiter: Yazmin Gonzalez Molina

Division: Field Support Recruiter

RequestID: 6990434

Candidate_ID: 109918457

Ordering_User: Yazmin Gonzalez Molina

Email : **********@*****.***

Phone : 719-***-****

Case Comments:

* Detail is only included for items underlined in the summary. See a Full Case Report or alternate "single Item" documents for other detail. Status Definitions

Adverse The report component is complete and includes discrepant or negative information. Clear Clear, no review required.

Complete Complete and ready for review.

Error The report component could not be completed due to incorrect input of information. Needs Review The report is complete, however, the component contains information that should be reviewed. NotPursued Lead intentionally closed before research completed. Pending Lead still being researched.

See Detail Results are neither clear nor adverse for this component. Refer to "Investigative Detail" pages for more information.

*** END OF REPORT ***

Case No.: 33801578 Page 1

Printed: 05/08/2024 13:09:57 Medina, Carlos

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MEDINA, CARLOS

Case No. 33801578

LICENSE 921536633

NAME Medina, Carlos

STATE CO

CLASS

A CLASS A COMMERCIAL VEH ANY WEIGHT. MAY TOW ANOTHER VEHICLE > 10K LBS.

ENDORSEMENTS TANK VEHICLE TV

RESTRICTIONS: NO MANUAL TRANSMISSION CMV

NOTES: LIC STATE CO

CLASS M CLASS M MOTORCYCLE PERMIT

ENDORSEMENTS

RESTRICTIONS:

NOTES: LIC STATE CO

CLASS

R CLASS R NON COMMERCIAL ANY NON COMMERCIAL VEHICLE ENDORSEMENTS

RESTRICTIONS:

NOTES: LIC STATE CO

MOTOR VEHICLE RECORD

JURISDICTION

CO

SUMMARY

Complete As of 05/08/2024

PROVIDED BY CLIENT

INFORMATION RETURNED FROM STATE

NAME / ADDRESS PHYSICAL IDENTITY

MEDINA, CARLOS, JR

224 OLIVE AVE,

LA JUNTA CO 81050

HEIGHT

5'10

WEIGHT

250 Lbs

SEX

M

EYE

BROWN

HR

BRN

DOB

03/08/1968

SSN

XXX XX XXXX

LICENSE 921536633

TYPE DETAILS STATUS ISSUED EXPIRES

COMMERCIAL VALID 05/03/2024 03/08/2028

PERMIT VALID 06/11/2021 06/11/2024

PERSONAL VALID 05/03/2024 03/08/2028

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STATUS CERTIFIED

STATE DEFINED

STATUS

NON EXCEPTED INTERSTATE

RECEIVED BY DMV

ISSUED 03/13/2024

EXPIRES 03/13/2025

SELF CERTIFICATION:

NAME W BART WHITE

LICENSE 6097

STATE CO

STATE DEFINED

DESCRIPTION

CH

REGISTRATION # 629-***-****

SPECIALTY CHIROPRACTOR

PHONE 719-***-****

MEDICAL

EXAMINER

CLEAR HISTORY REPORT

NOTES

TOTAL STATE POINTS : 0

CDL Med Status: Medically Certified Meets Standard Cust Pts:

12 MONTH POINTS: 0

24 MONTH POINTS: 0

TYPE: ADULT CLASS A PERMIT

ISSUE: 3/13/2024, EXPIRATION: 9/9/2024

STATUS: COMPLETED

TYPE: ADULT REGULAR LICENSE

ISSUE: 3/6/2020, EXPIRATION: 3/8/2025

STATUS: UPGRADED

TYPE: ADULT MOTORCYCLE PERMIT

ISSUE: 5/25/2018, EXPIRATION: 5/25/2021

STATUS: RENEW

TYPE: ADULT INSTRUCTION PERMIT

ISSUE: 5/6/2015, EXPIRATION: 5/6/2018

STATUS: COMPLETED

TYPE: ADULT REGULAR LICENSE

ISSUE: 5/6/2015, EXPIRATION: 3/8/2020

STATUS: RENEW

TYPE: ADULT REGULAR LICENSE

ISSUE: 4/6/2014, EXPIRATION: 3/8/2019

STATUS: LEGACY NOT VALID

TYPE: ADULT REGULAR LICENSE

ISSUE: 2/18/2009, EXPIRATION: 3/8/2014

STATUS: RENEW

TYPE: ADULT STATE ID

ISSUE: 7/11/2002, EXPIRATION: 3/8/2012

STATUS: RETURNED TO DEPARTMENT

TYPE: ADULT REGULAR LICENSE

ISSUE: 10/29/1999, EXPIRATION: 3/8/2004

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STATUS: NEW ISSUANCE

TYPE: ADULT INSTRUCTION PERMIT

ISSUE: 10/29/1999, EXPIRATION: 7/29/2000

STATUS: COMPLETED

TYPE: ADULT INSTRUCTION PERMIT

ISSUE: 6/18/1997, EXPIRATION: 2/18/1998

STATUS: COMPLETED

TYPE: ADULT REGULAR LICENSE

ISSUE: 6/18/1997, EXPIRATION: 3/8/2002

STATUS: LEGACY NOT VALID

TYPE: ADULT STATE ID

ISSUE: 4/15/1996, EXPIRATION:

STATUS: REPLACEMENT

TYPE: ADULT STATE ID

ISSUE: 5/30/1989, EXPIRATION:

STATUS: REPLACEMENT

TYPE: PROVISIONAL LICENSE

ISSUE: 12/4/1987, EXPIRATION: 3/28/1989

STATUS: LEGACY NOT VALID

TYPE: PROVISIONAL LICENSE

ISSUE: 6/9/1987, EXPIRATION: 3/28/1989

STATUS: REPLACEMENT

TYPE: PROVISIONAL LICENSE

ISSUE: 12/18/1986, EXPIRATION: 3/28/1989

STATUS: REPLACEMENT

TYPE: PROVISIONAL LICENSE

ISSUE: 7/22/1986, EXPIRATION: 3/28/1989

STATUS: REPLACEMENT

INFORMATION ON THIS RECORD HAS BEEN LIMITED TO 7 YEARS END OF REPORT

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