Remote-Work Opportunity Inquiry Expert

Applicant Name: Richard Eugene Andrews

Company Name: Amazon Logistics, Inc.

Company Address: 410 Terry Ave N Seattle, WA 98109-5210 Submitted Date/Time: February 07, 2026 10:24 AM (CST) 1.PERSONAL INFORMATION

Applicant Details

Last Name: Andrews

First Name: Richard

Middle Name: Eugene

Birth Date: June 02, 1969

Identification Country: USA

SSN/SIN/Other Identification Number: ***-**-****

Phone Number: 765-***-****

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

Current Residency Details

Current Address: 540 South Crawford Street

Country: USA

State/Province: Indiana

County: Morgan

City/Municipality: Martinsville

Zip Code/Postal Code: 46151

Residence From: Nov 2017 to Present

2. EMPLOYMENT HISTORY

This position is non-CDL; you will be required to provide 3 years of employment history below. Current or Most Recent Employer /Company Name /Truck Driving School /Self Employment Are you currently employed? Yes

Are you currently employed with the company you

are applying for?

No

Employer Type: Employer/Company

Employer/Company Name: Cook Medical

Phone Number: 812-***-****

Address: Spencer

Country: USA

State/Province: Indiana

City: Spencer

Zip Code/Postal Code: 47460

Position Held: QC Inspector

From: Apr 2025 to Present

Reason for Leaving: Still Employed

Were you subject to the FMCSRs while employed? No

Was your job designated as a safety-sensitive

function in any DOT-regulated mode subject to the

drug and alcohol testing requirements of 49 CFR

Part 40?

No

Employer 2

Are you currently employed with the company you No are applying for?:

Employer Type: Employer/Company

Employer/Company Name: Spark/ walmart delivery

Phone Number: (000-***-****

Address: None

Country: USA

State/Province: Indiana

City: Martinsville

Zip Code/Postal Code: 46151

Position Held: Delivery driver

From: Aug 2025 to Present

Reason for Leaving: Still Employed

Were you subject to the FMCSRs while employed?: No Was your job designated as a safety-sensitive

function in any DOT-regulated mode subject to the

drug and alcohol testing requirements of 49 CFR

Part 40?:

No

Employer 3

Employer Type: Employer/Company

Employer/Company Name: Dhl Excell

Phone Number: 614-***-****

Address: 360 westar blvd

Country: USA

State/Province: Ohio

City: Westerville

Zip Code/Postal Code: 43082

Position Held: Fork truck / inventory

From: Apr 2021 to Apr 2025

Reason for Leaving: Terminated

Were you subject to the FMCSRs while employed?: No Was your job designated as a safety-sensitive

function in any DOT-regulated mode subject to the

drug and alcohol testing requirements of 49 CFR

Part 40?:

No

3. EDUCATION HISTORY

School/College/Training Program

School/College/Training Program Name: Martinsville HighSchool Address: E. Gray St

City: Martinsville

State/Province: Indiana

Zip: 46151

Country: USA

Phone: 765-***-****

Are you currently enrolled?: No

From: Aug 1984 to May 1987

Graduated: yes

Degree or Certificate Earned:

Course of Study/Major:

4. EXPERIENCE AND QUALIFICATIONS

Driving Experience

Driving experience in the last 3 years: No

Accident Details

In the last 3 years, have you been in an Accident? No Traffic Conviction and/or Forfeitures Details

In the last 3 years, have you had any traffic

convictions and/or forfeitures?

No

Current License Information

Current State/Province of Residence: Indiana

Current License Number: 893-***-****

License Class: Non - CDL

Expiration Date: 6/02/2028

Other Information

Have you ever been denied a license, permit, or

privilege to operate a motor vehicle? No More

Information:

No

Has any license, permit or privilege ever been

suspended or revoked?:

No

5. UPLOAD RELATED DOCUMENTS

Below are the documents that have been uploaded

Document Type Document Title

Driver’s License (Front) IMG_20260207_110632126_HDR.jpg Driver’s License (Back) IMG_20260207_110632126_HDR.jpg Resume IndeedResume.pdf

6. FORMS

Below are the disclosure documents that have been uploaded Document Section Document Name

Disclosures & Authorizations Disclosure Regarding Background Investigation Disclosures & Authorizations Disclosure Regarding Investigative Background Investigation

Disclosures & Authorizations Summary of Rights Under the Fair Credit Reporting Act

Disclosures & Authorizations Acknowledgement and Authorization for Background Check

DOT Documents Employment Investigations Verification I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23 (d) and (e). I understand that I have the right to:

* Review information provided by current previous employers;

* Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and

* Have a rebuttal statement attached to the alleged erroneous information if the previous employer(s) and I cannot agree on the accuracy of the information.

Applicant Certification

By clicking this box, I certify that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. This application is being completed for: Amazon Logistics, Inc. 410 Terry Ave N Seattle, WA 98109-5210 ACKNOWLEDGEMENT FOR ELECTRONIC SIGNATURE

Your Name: Richard Eugene Andrews

Your SSN's Last Four Numbers: 2976

* I acknowledge that my name and my (SSN/Last four SSN) which is displayed above, is accurate, and by checking the Acceptance Box, and by clicking on the “Next Document” Button below, I am electronically signing the above document.

* I understand that my electronic signature will be binding as though I had physically signed this document by hand. I agree that a printout of this authorization may be accepted with the same authority as the original. Signature:

Date: 2/7/2026

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