Request For Further Review of Service Provider or Temporary Agency Personnel Qualification

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FedEx Ground Package System

1000 FedEx Drive


Moon Township, PA 15108

08/12/2024

SAMEEN WRIGHT
5821 SYCAMORE GLEN RD
GREENSBORO, NC 27405

Dear SAMEEN WRIGHT:

As an employee or prospective employee of a Service Provider (“SP”), an independent business that has a contract to perform transportation services for FXG VENDOR
EISENBERG LOGISTICS (“FEC”), or of a Temporary Agency (“TA”) that has a contract to perform transportation services for FEC, you authorized the production of a
Consumer and/or Investigative Consumer Report (“Report”) to verify your qualifications to be assigned to provide services under the SP's or TA’s contractual agreement
with FEC and under FEC’s motor carrier operating authority. A Report has been prepared by:

First Advantage, Consumer Disclosure Center


PO Box 105292
Atlanta, GA 30348
1-800-845-6004
Based in whole or in part upon information contained in the Report, you may receive a non-qualification determination. Depending on the circumstances, a non-
qualification determination would affect your employer’s/prospective employer’s ability to assign you to provide services to FEC under the SP’s or TA’s contractual
agreement with FEC and under FEC’s motor carrier operating authority.
Enclosed is:

Summary of your rights under the Federal Fair Credit Reporting Act and state law, as applicable
Copy of the Report
Request for Further Review of SP or Temporary Agency Personnel Qualification form

Please carefully review the Report. A qualification determination may be based in whole or in part on the information in the Report. If a non-qualification
determination is made based in whole or in part on the information contained in the Report, you will receive additional information in a separate letter.

If you believe that any of the information in the Report is inaccurate or incomplete , please contact the consumer reporting agency that provided the Report, First
Advantage, at the above address/telephone number within ten (10) calendar days.

The Report may include criminal record and other information that may be considered in the qualification verification process. If criminal record information is
included in the Report, you may provide any other information about your criminal record or rehabilitation that you would like to have considered along with the
enclosed Request for Further Review of Service Provider or Temporary Agency Personnel Qualification form within ten (10) days to your employer/prospective employer (the Service Provider or
the Temporary Agency).

If you do not contact First Advantage to dispute the accuracy of the Report or submit the Request for Further Review of SP or Temporary Agency Personnel Qualification
form or other additional information within ten (10) calendar days, a qualification determination may be made based on the available information.

Nothing stated herein should be construed as indicating an employment relationship, or contemplated employment relationship, between you and FEC. In all cases, your
employer or prospective employer is the SP or TA that seeks to verify your qualifications and assign you to provide services to FEC.

Sincerely,

FXG VENDOR EISENBERG LOGISTICS

Enclosures:
Summary of Your Rights Under the Fair Credit Reporting Act
Copy of Consumer and/or Investigative Consumer Report
Request for Further Review of Service Provider or Temporary Agency Personnel Qualification form

Para información en español, visite www.consumerfinance.gov/learnmore o escribe a la Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552.
A Summary of Your Rights Under the Fair Credit Reporting Act
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.consumerfinance.gov/learnmore or write to: Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552.
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

First Advantage Case ID WPS-292597446 Page 1 of 26 (Includes Associated Documents)


are entitled to a free file disclosure if:
o a person has taken adverse action against you because of information in your credit report;
o you are the victim of identity theft and place a fraud alert in your file;
o your file contains inaccurate information as a result of fraud;
o you are on public assistance;
o you are unemployed but expect to apply for employment within 60 days.
In addition, all consumers are entitled to one free disclosure every 12 months
upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See www.consumerfinance.gov/learnmore 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.consumerfinance.gov/learnmore for an explanation of dispute
procedures. 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, 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.consumerfinance.gov/learnmore.
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 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 1-888-5-OPT-OUT (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.consumerfinance.gov/learnmore.

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. For information about your federal rights, contact:

TYPE OF BUSINESS: CONTACT:


1.a. Banks, savings associations, a. Consumer Financial Protection
and credit unions with total assets Bureau, 1700 G Street NW,
of over $10 billion and their Washington, DC 20552
affiliates
b. Federal Trade Commission,
b. Such affiliates that are not Consumer Response Center, 600
banks, savings associations, or Pennsylvania Avenue NW, Washington,
credit unions also should list, in DC 20580, (877) 382-4357
addition to the CFPB:
2. To the extent not included in
item 1 above:
a. Office of the Comptroller of
a. National banks, federal savings the Currency, Customer Assistance
associations, and federal branches Group, P.O. Box 53570, Houston, TX
and federal agencies of foreign 77052
banks
b. Federal Reserve Consumer Help
b. State member banks, branches Center, P.O. Box. 1200,
and agencies of foreign banks Minneapolis, MN 55480
(other than federal branches,
federal agencies, and Insured State
Branches of Foreign Banks),
commercial lending companies owned
or controlled by foreign banks, and
organizations operating under
section 25 or 25A of the Federal c. Division of Depositor and
Reserve Act Consumer Protection, National
Center for Consumer and Depositor
c. Nonmember Insured Banks,
Assistance, Federal Deposit
Insured State Branches of Foreign
Insurance Corp., 1100 Walnut
Banks, and insured state savings
Street, Box #11, Kansas City, MO
associations
64106

d. National Credit Union


d. Federal Credit Unions Administration, Office of Consumer
Financial Protection Division of
Consumer Compliance, 1775 Duke
Street, Alexandria, VA 22314
3. Air carriers Assistant General Counsel for
Office of Aviation Consumer
Protection, Department of
Transportation, 1200 New Jersey
Avenue SE, Washington, DC 20590
4. Creditors Subject to the Office of Public Assistance,
Surface Transportation Board Governmental Affairs, and
Compliance, Surface Transportation
Board, 395 E Street SW, Washington,
DC 20423
5. Creditors Subject to the Nearest Packers and Stockyards
Packers and Stockyards Act, 1921 Division Regional Office
6. Small Business Investment Associate Administrator, Office of
Companies Capital Access, United States Small
Business Administration, 409 Third
Street SW, Suite 8200, Washington,
DC 20416
7. Brokers and Dealers Securities and Exchange Commission,
100 F Street NE, Washington, DC
20549
8. Institutions that are members Farm Credit Administration, 1501
of the Farm Credit System Farm Credit Drive, McLean, VA
22102-5090
9. Retailers, Finance Companies, Federal Trade Commission, Consumer
and All Other Creditors Not Listed Response Center, 600 Pennsylvania
Above Avenue NW, Washington, DC 20580,
(877) 382-4357

First Advantage Case ID WPS-292597446 Page 2 of 26 (Includes Associated Documents)


Request for Further Review of Service Provider or
Temporary Agency Personnel Qualification Form

Overview
If a Service Provider (“SP”) or a Temporary Agency (“TA”) employee’s/prospective employee’s Report does not initially demonstrate the individual is eligible to be
assigned by the SP or the TA to provide services to FXG VENDOR EISENBERG LOGISTICS (“FEC”), before any adverse action is taken and before a final determination of
qualification to be assigned to provide services to FEC is made, the individual is afforded an opportunity to:

challenge the accuracy of and correct the information in the Consumer and/or Investigative Consumer Report (“Report”) by contacting First Advantage, or
if the Report is accurate, provide additional information for review and consideration regarding any criminal record and other information, and provide
information about rehabilitation, by filling out the Request for Further Review of SP or TA Personnel Qualification form below.

Instructions for Further Review


1. The SP or TA employee/prospective employee completes Section 1 below.
2. The SP or TA employee/prospective employee gives this form to the SP or TA that is seeking to assign them to provide services to FEC.
3. The SP or TA completes Section 2.
4. The SP or TA submits this form (and any attachments)

via email to [email protected]


by fax to Individualized Assessment at 901-492-9657

All requests for review must come directly from the SP/TA.

Notice to Service Provider or Temporary Agency: There are laws and regulations that govern hiring and other employment-related decisions, and the acquisition and
use of an individual’s background information, including criminal record information. SPs and TAs are responsible for complying with all applicable laws and
regulations and are encouraged to consult their legal counsel for guidance.

___________________________________________________________________________________________________

SECTION 1 – TO BE FILLED OUT BY SP or TA EMPLOYEE/PROSPECTIVE EMPLOYEE

If the Report is accurate and includes criminal record information, you can submit this form and additional information (via the SP or TA) for individualized review
and consideration. A conviction is not necessarily a bar to your eligibility to be assigned to provide services to FEC. Factors including, but not limited to, the
nature and seriousness of the offense(s), recentness of the offense(s), age at the time of the offense(s), and rehabilitation are taken into account.

This form and any supporting documents you choose to attach should be submitted to the SP or TA that is your current or prospective employer . If the SP or TA, wishes
to assign you to provide services under its contractual agreement with FEC, the SP or TA should provide the information to FEC for FEC’s review and consideration.

Candidate Name:

First Advantage CID #:

For each conviction, provide the following information, attaching additional pages as necessary:

Offense #1 Offense #2 Offense #3


Date of Offense
Date of
Conviction
Nature of
Offense
City, County,
State of
Conviction
Sentencing
Information

Use the space below or additional pages and attach supporting documents as needed in order to provide any other information you want to be considered in evaluating
your qualification to be assigned by the SP or TA to provide services under its contractual agreement to FEC. Such information may include, but is not limited to:

The time elapsed since the offense(s)


Your age at the time of the offense(s)
Facts or circumstances surrounding the offense(s)
The number of offenses for which you have been convicted
Your employment history before and after conviction
Evidence of rehabilitation
Other mitigating factors

First Advantage Case ID WPS-292597446 Page 3 of 26 (Includes Associated Documents)


Attach additional pages if necessary

Read and acknowledge by signing and dating.

I understand the Service Provider, Temporary Agency, or FXG VENDOR EISENBERG LOGISTICS may request supporting documentation regarding my criminal record and/or
rehabilitation. I also understand if I fail to provide requested information or if I provide information that is not truthful, I may not be deemed eligible to be
assigned by the Service Provider or the Temporary Agency to provide services under its contractual agreement to Federal Express Corporation.

Candidate Signature Date

SECTION 2 – TO BE FILLED OUT BY SERVICE PROVIDER OR TEMPORARY AGENCY

If additional information has been submitted by the SP or TA employee/prospective employee and the SP or TA seeks to assign the individual to provide services, the SP
or TA may request that FXG VENDOR EISENBERG LOGISTICS consider such information by completing this section submitting the Request for Further Review and any
supporting documentation provided by the candidate:

via email to [email protected]


by fax to Individualized Assessment at 901-492-9657

Candidate Name:

First Advantage CID #:

Station Name/Number:

Service Provider or TA Name:

Service Provider V#:

Service Provider C#:

Service Provider Contact (AO/BC)

or TA Contact Name:

Service Provider or TA Email:

Signature: SP Contact (AO/BC) or TA Contact Date

First Advantage Case ID WPS-292597446 Page 4 of 26 (Includes Associated Documents)


Background Report
Confidential
SAMEEN WUNTA WRIGHT FXG VENDOR EISENBERG If you are a Please contact the First Advantage Consumer
XXX-XX-XXXX LOGISTICS First Center at:
CID - 292597446 1000 FED EX DR Advantage 1-800-845-6004 Toll Free (within the U.S.)
MOON TOWNSHIP, PA 15108-9373 Consumer +1 971-280-8128 Toll Number (outside the U.S.)
Or visit http://fadv.com/our-company/contact-
support.aspx for local contact details
First Please contact the WEST COVINA
Advantage EMPLOYMENT SERVICE CENTER at:
Customers (800)888-5773 (outside North America +1 971-
280-8128)

Caution to Customer: Under the terms of the service agreement, this report is delivered with the understanding that the
recipient client will hold the same in strict confidence and not disclose it to third parties and furthermore is to be used only for
the purpose indicated in the Client's agreement for service, i.e. employment/volunteer/or resident/tenant screening purposes.
This report and information provided therein is strictly confidential as it contains personal and sensitive information of the
consumer/applicant/candidate/employee and must be utilized solely for the business purposes consistent with the declared
purpose in the service agreement and is not to be used by the client or third parties for any other purposes. Client agrees to
abide and comply with all applicable laws in connection with this report including data privacy, data protection laws and other
similar applicable regulations.

First Advantage is not the source of the data provided in this report in that the data is collected by First Advantage from third
party data sources such as public records held in governmental databases or courthouses, schools, colleges, universities,
company officials, or third party proprietary databases etc. Accordingly First Advantage does not warrant the accuracy of the
information provided by those third parties and expressly disclaims any and all liability for any and all claimed losses,
damages, expenses including attorney fees and costs incurred as a result of reliance upon the content of this report.

For US-based Clients or Clients obtaining reports on US residents: Client certifies that it has complied with the Fair Credit
Reporting Act (FCRA) and that it has provided a clear disclosure in compliance with the FCRA to the consumer/applicant
/candidate/employee and obtained consent and authorization from the consumer/applicant/candidate employee in order to
receive this report. If the client intends to take adverse action based in whole or in part on the contents of this report, the
client must provide the consumer with a copy of the report, a summary of consumers rights as prescribed by FCRA section
1681g(c)(3) and a copy of any applicable state law rights, if required before taking any action, wait a reasonable period of
time for the consumer to dispute any inaccurate information and then can take adverse action. First Advantage has provided
your company with copies of the CFPB Summary of Rights for this purpose.

For California based Clients or Clients obtaining reports on California residents: In California an investigative consumer
reporting agency shall provide a consumer seeking to obtain a copy of a report or making a request to review a file, a written
notice in simple, plain English and Spanish setting forth the terms and conditions of his or her right to receive all disclosures.

Enterprise Advantage

First Advantage Case ID WPS-292597446 Page 5


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CID - 292597446

General Consumer Information

Consumer's Name SAMEEN WUNTA WRIGHT CSP ID V0023749


FXG VENDOR EISENBERG
Client Name FedEx ID 6409150
LOGISTICS

The following consumer information was used in the production of this report:
Last Name, First Name, Middle Name, SSN, Date of Birth, Address

5821 SYCAMORE GLEN RD


SSN XXX-XX-XXXX Address
GREENSBORO, NC 27405
Date of Birth XX/XXX/XXXX
Consumer Contact (919)407-1543 Consumer Alternate Contact
Other Names
Not Provided

Information Regarding this Order:

Position Applied For Date Ordered 07/Aug/2024 07:07:33 AM


Background Check Completion
12/Aug/2024 08:00:29 AM Report Last Updated on 12/Aug/2024 08:00:29 AM
Date
Date Report Printed 12/Aug/2024 08:05:34 AM
Self-Disclosed Criminal History

None

Select From Drop Down


Label Value
Company ID 300 - ISP Pickup & Delivery
Facility ID 00272 - ELON, NC
Position Type A - P&D Non-CDL Driver
Driver Type X - ISP Over 10,000 lbs. Qualification Cert
Person Request ID 3703014

All timestamps represent US Eastern Time

Note that different elements were searched and completed at different times from the start of the order - please refer to the
timestamp associated with each element.

CID - 292597446 Page 2 of 16


First Advantage Case ID WPS-292597446 Page 6
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CID - 292597446

First Advantage Background Report Summary

Consumer's Name SAMEEN WUNTA WRIGHT Date Ordered: 07/Aug/2024 07:07:33 AM


Background Check Completion
12/Aug/2024 08:00:29 AM
Date:
Score Result In-Eligible For Hire
Package Name: A - NON CDL DRIVER PKG + PHYSICAL AND DRUG
Package Searches Ordered Status Review Score
Social Security Verification Complete No
Social Security Verification Complete No Pass
Former Employment Complete No
Former Employment - POSTAL FLEET SERVICES SAINT
Complete No Eligible
AUGUSTINE, FL
First Advantage National Criminal File Complete No
First Advantage National Criminal File GREENSBORO, GUILFORD,
Complete No Eligible
NC
Statewide Criminal Complete
North Carolina Administrative Office Of Courts Complete Yes* Ineligible
Federal Criminal Complete No
Federal Criminal RALEIGH, WAKE, NC Complete No Eligible
Federal Criminal DURHAM, DURHAM, NC Complete No Eligible
National Sex Offender Registry Complete No
National Sex Offender Registry Search - Department Of Justice Web
Complete No Eligible
Site
Global Sanction Search Complete No
First Advantage Global Sanction Search Complete No Eligible
Motor Vehicle Report Complete No
Motor Vehicle Report Complete No Eligible
Additional Searches Ordered
NONE
Score Status
08/12/2024

* Further review is required by the client to determine the consumer's eligibility based on background check results. Please refer to
the corresponding detailed component report section for additional information.

** Further review is required by the client to determine the consumer's eligibility based on background check results. Please refer to
the corresponding detailed component report section for additional information.

*** This product has been blocked from delivery due to compliance related restrictions.

**** Criminal Background Check to be completed after all other elements are completed as per customer's instructions for
compliance with NYC Fair Chance Law.

CID - 292597446 Page 3 of 16


First Advantage Case ID WPS-292597446 Page 7
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CID - 292597446

Employment And Education Date Gap Scan

Date Gap Scan


Start Date End Date Name Component
POSTAL FLEET SERVICES Former Employment

Asterisk (*) dates are automatically calculated by the system.

Status: Complete
Social Security Verification
Score: Pass
Date Completed: 07/Aug/2024

The Social Security Number Verification (SSNV) matches the given SSN against consumer credit files contained in the databases of
nationwide credit reporting agencies. The credit bureaus' consumer credit files contain information provided by companies with which
the consumer has had financial dealings and/or public record information collected by the bureaus from the courts. The SSNV does
not verify that the Social Security Administration issued a specific SSN to a consumer.

Social Security Verification results and Remarks returned from this search are for informational purposes and should not be relied
upon as a basis for determining the eligibility of a consumer for credit, insurance, employment or any other product or service,
without additional review with and clarification from the consumer.

SOCIAL SECURITY VERIFICATION NAME AND ADDRESS INFORMATION OBTAINED FROM: EXPERIAN

Customer Provided Information


SSN XXX-XX-XXXX DOB XX/XXX/XXXX
Name Type Report Subject Name WRIGHT, SAMEEN
Name Type Former Name Name WRY, SAMEEN
Name Type Former Name Name WHIHT, SAMEEN W
10/01 01/01
Addr Type Residence Address First Date Last
/2008 /2013
Address 828 EDINBOROUGH DR
DURHAM, NC 27703
11/01 05/01
Addr Type Former Address First Date Last
/2000 /2003
Address 5513 BAYBERRY DR
NORFOLK, VA 23502
06/01 06/01
Addr Type Former Address First Date Last
/2006 /2006
Address 3115 KEMET RD APT 20
CHESAPEAKE, VA 23325
04/01 07/01
Addr Type Former Address First Date Last
/2009 /2012
Address 2803 SKYBROOK LN
DURHAM, NC 27703
11/01 04/01
Addr Type Former Address First Date Last
/2014 /2015
Address 523 CLARION BRIDGE WAY

CID - 292597446 Page 4 of 16


First Advantage Case ID WPS-292597446 Page 8
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CID - 292597446

MORRISVILLE, NC 27560
04/01 04/01
Addr Type Former Address First Date Last
/2015 /2015
Address 7603 CAVERSHAM WA
RALEIGH, NC 27617
06/01 01/01
Addr Type Former Address First Date Last
/2013 /2019
Address 7306 CAVERSHAM WAY
RALEIGH, NC 27617
07/01 07/01
Addr Type Former Address First Date Last
/2020 /2020
Address 115 ALLAGOSH DR
MORRISVILLE, NC 27560
10/01 04/01
Addr Type Former Address First Date Last
/2021 /2022
Address 407 SLATEWORTH DR
DURHAM, NC 27703
09/01 09/01
Addr Type Former Address First Date Last
/2023 /2023
Address 1212 PATE FARM LN
DURHAM, NC 27703
10/01 07/01
Addr Type Former Address First Date Last
/2020 /2024
Address 400 SLATEWORTH DR APT 407
DURHAM, NC 27703
Employment Type ES
Employer Name POSTAL FLEET SERVICES
Remarks and/or Social Security Alerts
08/07/24: SUBJECT NAME RETURNED MATCHED WITH A DEVELOPED NAME.

08/07/24: AN ADDRESS DISCREPANCY WAS FOUND. SUBJECT ADDRESS DOES NOT MATCH ADDRESS ON FILE.

08/07/24: SSN PROVIDED WAS CHECKED AGAINST THE DEATH MASTER INDEX AND NO MATCH WAS REPORTED.

08/07/24: NO ALERTS RETURNED FROM SEARCH.


Order Process History
Date Description
07/Aug/2024 07:08:23 AM Search In Progress.
07/Aug/2024 07:08:24 AM Record Judged.

Status: Complete
Former Employment - POSTAL FLEET SERVICES SAINT AUGUSTINE, FL
Score: Eligible
Date Completed: 12/Aug/2024

Consideration Code Automated Source Researching


Company POSTAL FLEET SERVICES Line of Business

CID - 292597446 Page 5 of 16


First Advantage Case ID WPS-292597446 Page 9
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CID - 292597446

Driving Position YES


2808 N. 5TH ST.
Address
SAINT AUGUSTINE, FL 32084-
Verified by First Advantage Provided by Consumer
Position TRUCK DRIVER
Employment Dates 02/Sep/2015 to 02/Mar/2018
Location SAINT AUGUSTINE
Reason Left CONTRACT ENDED
Questionnaire
Client Interview Question Source Response
Position
Employment Dates
Source
Source's telephone number
Source address
Did this person drive a vehicle as part of their roles
/responsibilities?
Did this person drive a tractor with trailer? ( Capture
Dates if Yes)
What best describes any other type of vehicle
experience: a straight truck, delivery van, or a
personal vehicle? (Capture dates if any other
vehicle experience )
Did this person participate in random drug/alcohol
tests?
While providing services for your company,has this
person had an alcohol test of 0.04 or higher?
While providing services for your company, has this
person had a verified positive drug test?
While providing services for your company, has this
person refused to be tested for drug/alcohol?
While providing services for your company, has this
person used alcohol within 4 hours of going on duty
or operating a commercial motor vehicle?
While providing services for your company, has this
person used a controlled substance while on duty?
Do you have any other records indicating this
person has any other violations of the DOT's
alcohol or controlled substances programWhile
providing services for your company? If yes, please
comment.
If YES to any of the drug/alcohol questions, has this
person successfully completed a rehab program
prescribed by a Substance Abuse Professional per
DOT requirements while providing services?
Please provide the following for each DOT
recordable accident, or accident involving a fatality
or serious injury: A: Injuries B: Fatalities C: None

CID - 292597446 Page 6 of 16


First Advantage Case ID WPS-292597446 Page
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(IncludesAssociated
AssociatedDocuments)
Documents)
CID - 292597446

For each DOT recordable accident or accident


involving a fatality or serious injury, please provide
the following: A: Date of the accident B: City town
state nearest where the accident occur
Were any hazardous materials (other than fuel from
the fuel tank) released?
What is the first name and initial of the last name of
the First Advantage employee who verified the
information?
Source Information
Contact Method
Date Title Contact Method(Fax) Contact Method(Email)
(Telephone)
07/Aug/2024 11:06:00
TENSTREET
AM
08/Aug/2024 08:57:00
TENSTREET
AM
09/Aug/2024 04:56:00
TENSTREET
AM
08/Aug/2024 08:59:00 POSTAL FLEET
(252)361-8313
AM SERVICES
Remark
08/07/2024: OUR SOURCE STATED THAT THIS INFORMATION MUST BE RESEARCHED. WE ARE CONTINUING OUR
HANDLING AND WILL FORWARD THE INFORMATION AS SOON AS IT BECOMES AVAILABLE.

08/08/2024: OUR SOURCE STATED THAT THIS INFORMATION MUST BE RESEARCHED. WE ARE CONTINUING OUR
HANDLING AND WILL FORWARD THE INFORMATION AS SOON AS IT BECOMES AVAILABLE.

08/08/2024: AN ATTEMPT HAS BEEN MADE TO CONTACT A QUALIFIED SOURCE AND A VERIFICATION WAS NOT
RECEIVED. WE WILL CONTINUE OUR HANDLING PER YOUR SPECIFIC STANDARD OPERATING PROCEDURES.

08/09/2024: OUR SOURCE STATED THAT THIS INFORMATION MUST BE RESEARCHED. WE ARE CONTINUING OUR
HANDLING AND WILL FORWARD THE INFORMATION AS SOON AS IT BECOMES AVAILABLE.
Order Process History
Date Description
07/Aug/2024 07:08:23 AM Verification In Progress
07/Aug/2024 07:08:23 AM Verification Request Received and/or Ready For Processing.
07/Aug/2024 07:08:57 AM Verification Request Received and/or Ready For Processing.
First Advantage Was Referred To An Online Service for Verification Details. First
07/Aug/2024 11:06:27 AM
Advantage Will Attempt To Access Details Online.
Automated Source Needs Additional Time For Verification. First Advantage Will Follow Up
07/Aug/2024 11:06:53 AM
With Another Attempt -- Delay Possible.
Automated Source Needs Additional Time For Verification. First Advantage Will Follow Up
08/Aug/2024 08:58:15 AM
With Another Attempt -- Delay Possible.
Source Not Available -- Unable to Leave Message -- First Advantage Will Follow Up With
08/Aug/2024 09:00:08 AM
Another Attempt-- Delay Possible.
Automated Source Needs Additional Time For Verification. First Advantage Will Follow Up
09/Aug/2024 04:56:32 AM
With Another Attempt -- Delay Possible.
09/Aug/2024 05:46:08 PM DOT Pending
12/Aug/2024 08:00:24 AM Element Completed.

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CID - 292597446

Status: Complete
First Advantage National Criminal File GREENSBORO, GUILFORD, NC
Score: Eligible
Date Completed: 07/Aug/2024

Record Source DATABASE SEARCH

Search Results No Record Found

Search Type First Advantage National Criminal File Search

Address Covered 5821 SYCAMORE GLEN RD

Address City Covered GREENSBORO

Address County Covered GUILFORD

Address State Covered NC

Address Zip 27405

Given Name Searched SAMEEN WUNTA WRIGHT

Order Process History


Date Description
07/Aug/2024 07:08:23 AM Record Ordered.
07/Aug/2024 07:12:36 AM Search In Progress.
07/Aug/2024 10:54:15 AM Record Judged.

Status: Complete
Federal Criminal RALEIGH, WAKE, NC
Score: Eligible
Date Completed: 07/Aug/2024

US DISTRICT COURT EASTERN DISTRICT OF NORTH


Record Source
CAROLINA

Search Results No Record Found

Search Type FEDERAL FELONY & MISDEMEANOR SEARCH

Date of Search 08/07/2024

Search Period 07/24/2014 - 07/24/2024

Address Covered 7306 CAVERSHAM WAY

Address City Covered RALEIGH

Address County Covered WAKE

Address State Covered NC

Address Zip 27614

310 NEW BERN AVENUE ROOM 574 RALEIGH WAKE


Location
COUNTY

Given Name Searched SAMEEN WUNTA WRIGHT

Source Status History


Status Date Description
07/Aug/2024 07:08:50 AM Search in progress. Estimated completion by 08/08/2024

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Remark
08/07/24: THIS SEARCH ALSO COVERS: 7306 CAVERSHAM WAY, RALEIGH, WAKE COUNTY, NC;
115 ALLAGOSH DR, MORRISVILLE, WAKE COUNTY, NC;
7603 CAVERSHAM WA, RALEIGH, WAKE COUNTY, NC;
523 CLARION BRIDGE WAY, MORRISVILLE, WAKE COUNTY, NC;
Order Process History
Date Description
07/Aug/2024 07:08:23 AM Search In Progress.
07/Aug/2024 07:08:41 AM Search In Progress.
07/Aug/2024 07:11:02 AM Record Judged.

Status: Complete
Federal Criminal DURHAM, DURHAM, NC
Score: Eligible
Date Completed: 07/Aug/2024

US DISTRICT COURT MIDDLE DISTRICT OF NORTH


Record Source
CAROLINA

Search Results No Record Found

Search Type FEDERAL FELONY & MISDEMEANOR SEARCH

Date of Search 08/07/2024

Search Period 07/24/2014 - 07/24/2024

Address Covered 1212 PATE FARM LN

Address City Covered DURHAM

Address County Covered DURHAM

Address State Covered NC

Address Zip 27703

324 WEST MARKET STREET ROOM 311 GREENSBORO


Location
GUILFORD COUNTY

Given Name Searched SAMEEN WUNTA WRIGHT

Source Status History


Status Date Description
07/Aug/2024 07:08:50 AM Search in progress. Estimated completion by 08/08/2024
Remark
08/07/24: THIS SEARCH ALSO COVERS: 5821 SYCAMORE GLEN RD, GREENSBORO, GUILFORD COUNTY, NC;
400 SLATEWORTH DR APT 407, DURHAM, DURHAM COUNTY, NC;
1212 PATE FARM LN, DURHAM, DURHAM COUNTY, NC;
407 SLATEWORTH DR, DURHAM, DURHAM COUNTY, NC;
Order Process History
Date Description
07/Aug/2024 07:08:23 AM Search In Progress.
07/Aug/2024 07:08:38 AM Search In Progress.
07/Aug/2024 07:11:02 AM Record Judged.

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Status: Complete
Statewide Criminal - North Carolina Administrative Office Of Courts
Score: Ineligible
Date Completed: 07/Aug/2024

Record Source NORTH CAROLINA ADMINISTRATIVE OFFICE OF COURTS

Search Results Record Found

NORTH CAROLINA ADMINISTRATIVE OFFICE OF COURTS


Search Type
SEARCH

Date of Search 08/07/2024

Search Period 07/24/2014 - 07/24/2024

2 EAST MORGAN STREET JUSTICE BUILDING - 4TH FLOOR


Location
RALEIGH WAKE COUNTY

Given Name Searched SAMEEN WUNTA WRIGHT

Case Reference # 18CR220473

Case Date 01/Nov/2018

Name on File SAMEEN W WRIGHT

Address on File 121 EFFIE, NORFOLK, VA

DoB on File XX/XX/XXXX

Charge RESISTING PUBLIC OFFICER

Charge Type MISDEMEANOR

Disposition GUILTY

Disposition Date 02/Jan/2019

FINE 2360; PROBATION 12 MONTHS; JAIL 60 DAYS /


Sentence
SUSPENDED

Charge CARRYING CONCEALED GUN

Charge Type MISDEMEANOR

Disposition GUILTY

Disposition Date 02/Jan/2019

FINE 2360; PROBATION 12 MONTHS; JAIL 60 DAYS /


Sentence
SUSPENDED

Case Reference # 18CR220474

Case Date 01/Nov/2018

Name on File SAMEEN W WRIGHT

Address on File 121 EFFIE, NORFOLK, VA

DoB on File XX/XX/XXXX

Charge POSSES MARIJUANA MORE THAN 1/2 TO 1 1/2 OUNCE

CID - 292597446 Page 10 of 16


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CID - 292597446

Charge Type MISDEMEANOR

Disposition GUILTY

Disposition Date 02/Jan/2019

JAIL 120 DAYS / SUSPENDED; FINE 200; PROBATION 12


Sentence
MONTHS

Source Status History


Status Date Description
07/Aug/2024 07:08:50 AM Search in progress. Estimated completion by 08/08/2024
Remark
08/07/24: THIS SEARCH COVERED, BUT NOT LIMITED TO: 1212 PATE FARM LN, DURHAM, DURHAM COUNTY, NC, 27703;
5821 SYCAMORE GLEN RD, GREENSBORO, GUILFORD COUNTY, NC;
7306 CAVERSHAM WAY, RALEIGH, WAKE COUNTY, NC;
DURHAM, DURHAM COUNTY, NC;
400 SLATEWORTH DR APT 407, DURHAM, DURHAM COUNTY, NC;
1212 PATE FARM LN, DURHAM, DURHAM COUNTY, NC;
407 SLATEWORTH DR, DURHAM, DURHAM COUNTY, NC;
115 ALLAGOSH DR, MORRISVILLE, WAKE COUNTY, NC;
7306 CAVERSHAM WAY, RALEIGH, WAKE COUNTY, NC;
7603 CAVERSHAM WA, RALEIGH, WAKE COUNTY, NC;
523 CLARION BRIDGE WAY, MORRISVILLE, WAKE COUNTY, NC;
Order Process History
Date Description
07/Aug/2024 07:08:23 AM Search In Progress.
07/Aug/2024 07:08:40 AM Search In Progress.
07/Aug/2024 09:29:19 AM Search In Progress.
07/Aug/2024 06:00:34 PM Record Judged.

Status: Complete
National Sex Offender Registry Search - Department Of Justice Web Site
Score: Eligible
Date Completed: 07/Aug/2024

Record Source NATIONAL SEX OFFENDER REGISTRY

Search Results No Record Found

NATIONAL SEX OFFENDER REGISTRY SEARCH-DEPT OF


Search Type
JUSTICE

Date of Search 08/07/2024

Search Period 07/24/2017 - 07/24/2024

Given Name Searched SAMEEN WUNTA WRIGHT

Source Status History


Status Date Description
07/Aug/2024 07:08:50 AM Search in progress. Estimated completion by 08/08/2024
Order Process History
Date Description

CID - 292597446 Page 11 of 16


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CID - 292597446

07/Aug/2024 07:08:23 AM Search In Progress.


07/Aug/2024 07:08:27 AM Search In Progress.
07/Aug/2024 07:16:15 AM Record Judged.

Status: Complete
First Advantage Global Sanction Search
Score: Eligible
Date Completed: 07/Aug/2024

Record Source FIRST ADVANTAGE GLOBAL SANCTIONS DATABASE

Search Results No Record Found

Search Type FIRST ADVANTAGE GLOBAL SANCTION SEARCH

Date of Search 08/07/2024

Search Period 07/24/2017 - 08/07/2024

Location CONCOURSE PKWY ATLANTA FULTON COUNTY

Given Name Searched SAMEEN WUNTA WRIGHT

Source Status History


Status Date Description
07/Aug/2024 07:08:50 AM Search in progress. Estimated completion by 08/08/2024
Order Process History
Date Description
07/Aug/2024 07:08:23 AM Search In Progress.
07/Aug/2024 07:08:27 AM Search In Progress.
07/Aug/2024 07:12:07 AM Search In Progress.
07/Aug/2024 07:12:07 AM Record Judged.

Status: Complete
Motor Vehicle Report
Score: Eligible
Date Completed: 08/Aug/2024

Request Date: 07/Aug/2024

Subject Information
Customer Provided DMV Provided
SAMEEN WUNTA WRIGHT SAMEEN WUNTA WRIGHT
5821 SYCAMORE GLEN RD 1212 PATE FARM LN
GREENSBORO, NC 27405 DURHAM, NC 27703-6814
XX/XXX/XXXX XX/XXX/XXXX

License Information
License # XXXXXXXXXXXX License State NC
Points 0.0
License Type PERSONAL
License Status Category VALID
License Status VALID License Status Description VALID

CID - 292597446 Page 12 of 16


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CID - 292597446

License Class C Class Description C - SINGLE VEH < 26K


Endorsements
Restrictions
Issue Date 04/26/2023 Expiration Date 09/06/2029
Original Issue Date 04/20/2013

Violations
Type Viol Date Conv Date Description Points
MISDEMEANOR ELUDING ARREST
Addl Desc: FLEEING OR EVADING POLICE OR
ROADBLOCK
Vehicle Speed:
Speed Zone:
Commercial Vehicle: false
Fatality: false
Suspension Id:
Action Taken:
VIOL 18/Dec/2018 20/May/2019 0.0
Event Type: VIOLATION
State Code: 641
ACD: U01
AVD: UG20
Court: DURHAM
City: NC
Order Number: 06920362
Type of Court: COUNTY COURT

DRIVING NO OPERATOR LICENSE


Addl Desc: EXPIRED OR NO DRIVER LICENSE /
PERMIT
Vehicle Speed:
Speed Zone:
Commercial Vehicle: false
Fatality: false
Suspension Id:
Action Taken:
VIOL 15/Jun/2018 20/Nov/2018 3.0
Event Type: VIOLATION
State Code: 302
ACD: B51
AVD: DB13
Court: WAKE
City: NC
Order Number: 087G7716
Type of Court: COUNTY COURT

FAIL TO APPEAR
Addl Desc: FAILURE TO APPEAR FOR TRIAL OR
COURT APPEARANCE
Vehicle Speed:
Speed Zone:
Commercial Vehicle: false
Fatality: false
Suspension Id:
Action Taken:

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CID - 292597446

VIOL 15/Jun/2018 10/Sep/2018 Event Type: VIOLATION 0.0


State Code: 634
ACD: D45
AVD: UE07
Court: WAKE
City: NC
Order Number: 087G7716
Type of Court: COUNTY COURT

FAIL TO APPEAR
Addl Desc: FAILURE TO APPEAR FOR TRIAL OR
COURT APPEARANCE
Vehicle Speed:
Speed Zone:
Commercial Vehicle: false
Fatality: false
Suspension Id:
Action Taken:
VIOL 15/Jun/2018 10/Sep/2018 0.0
Event Type: VIOLATION
State Code: 634
ACD: D45
AVD: UE07
Court: WAKE
City: NC
Order Number: 087G7716
Type of Court: COUNTY COURT

SAFE MOVEMENT VIOLATION


Addl Desc: IMPROPER TURN
Vehicle Speed:
Speed Zone:
Commercial Vehicle: false
Fatality: false
Suspension Id:
Action Taken:
VIOL 15/Jun/2018 20/Nov/2018 Event Type: VIOLATION 0.0
State Code: 227
ACD: N50
AVD: MH01
Court: WAKE
City: NC
Order Number: 087G7716
Type of Court: COUNTY COURT

Suspensions and Reinstatements


Type Viol Date Conv Date Description
MISDEMEANOR ELUDE ARREST, ACDDescription:
Suspension Date: 31/May/2019
Reinstmt Date: 31/May/2020
City: NORTH CAROLINA
Event Type: SUSPENSION
Suspension ACD: U01
AVD: UG20

CID - 292597446 Page 14 of 16


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CID - 292597446

Suspension Reinstatement Paid: 31/May/2020

FAILURE TO APPEAR, ACDDescription:


Suspension Date: 10/Nov/2018
Reinstmt Date: 20/Nov/2018
City: NORTH CAROLINA
Suspension Event Type: SUSPENSION
ACD: D40
AVD: UE02
Suspension Reinstatement Paid: 20/Nov/2018

FAILURE TO APPEAR, ACDDescription:


Suspension Date: 10/Nov/2018
Reinstmt Date: 20/Nov/2018
City: NORTH CAROLINA
Suspension Event Type: SUSPENSION
ACD: D40
AVD: UE02
Suspension Reinstatement Paid: 20/Nov/2018

Miscellaneous State Specific Information


Other Info - 01 Class C - SINGLE VEH < 26K
Other Info - 01 ConvReistDate 09/06/2021
Other Info - 01 Description PERSONAL
Other Info - 01 IssueDate 12/12/2018
Other Info - 01 StatusCode EXPIRED
Other Info - 01 SubType HISTORICAL LICENSE
Other Info - 02 Class C - SINGLE VEH < 26K
Other Info - 02 ConvReistDate 09/06/2021
Other Info - 02 Description PERSONAL
Other Info - 02 IssueDate 01/17/2018
Other Info - 02 StatusCode EXPIRED
Other Info - 02 SubType HISTORICAL LICENSE
EXPIRATION DATES IN THIS DOCUMENT MAY HAVE BEEN EXTENDED PURSUANT
TO EXECUTIVE, OR LEGISLATIVE ACTION OF THE ISSUING JURISDICTION
StateMessage Line - 01
RELATED TO COVID-19., PLEASE CONSULT WITH THE JURISDICTION FOR
FURTHER DETAILS.

Driver Record Information obtained by First Advantage Corporation on customer's behalf from the Department of Motor Vehicle
records of the state/province of NC. Identification of driver is based on information submitted. Before taking adverse action in an
employment decision based on this report, the FCRA requires you to provide the consumer with a copy of the consumer report,
along with a written description of the consumer's rights under the FCRA. First Advantage Corporation has provided your company
with the copies of the consumer rights statements for this purpose. If you have any questions regarding the content of this Driving
History Reportplease contact Customer Care at 888-947-2622. Thank you

Remark
08/07/24: ONE OR MORE VIOLATIONS
ONE OR MORE HISTORICAL ACTIONS

Order Process History

CID - 292597446 Page 15 of 16


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CID - 292597446

Date Description
07/Aug/2024 07:08:23 AM Search In Progress.
07/Aug/2024 07:08:23 AM Search In Progress.
07/Aug/2024 07:08:29 AM Search In Progress.
08/Aug/2024 01:47:40 AM Record Judged.

CID - 292597446 Page 16 of 16


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Para información en español, visite www.consumerfinance.gov/learnmore o escribe a la
Consumer Financial Protection Bureau, 1700 G Street NW, Washington, DC 20552.

A Summary of Your Rights Under the Fair Credit Reporting Act

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 FCRA. For more information, including
information about additional rights, go to www.consumerfinance.gov/learnmore or write
to: Consumer Financial Protection Bureau, 1700 G Street NW, Washington, DC 20552.

• 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:

o a person has taken adverse action against you because of information in your
credit report;
o you are the victim of identity theft and place a fraud alert in your file;
o your file contains inaccurate information as a result of fraud;
o you are on public assistance;
o you are unemployed but expect to apply for employment within 60 days.

In addition, all consumers are entitled to one free disclosure every 12 months upon
request from each nationwide credit bureau and from nationwide specialty consumer
reporting agencies. See www.consumerfinance.gov/learnmore 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

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reporting agency, the agency must investigate unless your dispute is frivolous. See
www.consumerfinance.gov/learnmore for an explanation of dispute procedures.

• 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, 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.consumerfinance.gov/learnmore.

• 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.

• The following FCRA right applies with respect to nationwide consumer reporting
agencies:

CONSUMERS HAVE THE RIGHT TO OBTAIN A SECURITY FREEZE

You have a right to place a “security freeze” on your credit report, which will
prohibit a consumer reporting agency from releasing information in your credit
report without your express authorization. The security freeze is designed to prevent
credit, loans, and services from being approved in your name without your consent.
However, you should be aware that using a security freeze to take control over who gets
access to the personal and financial information in your credit report may delay, interfere
with, or prohibit the timely approval of any subsequent request or application you make
regarding a new loan, credit, mortgage, or any other account involving the extension of
credit.

As an alternative to a security freeze, you have the right to place an initial or extended
fraud alert on your credit file at no cost. An initial fraud alert is a 1-year alert that is

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placed on a consumer’s credit file. Upon seeing a fraud alert display on a consumer’s
credit file, a business is required to take steps to verify the consumer’s identity before
extending new credit. If you are a victim of identity theft, you are entitled to an extended
fraud alert, which is a fraud alert lasting 7 years.

A security freeze does not apply to a person or entity, or its affiliates, or collection
agencies acting on behalf of the person or entity, with which you have an existing
account that requests information in your credit report for the purposes of reviewing or
collecting the account. Reviewing the account includes activities related to account
maintenance, monitoring, credit line increases, and account upgrades and enhancements.

• 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.consumerfinance.gov/learnmore.

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. For
information about your federal rights, contact:

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TYPE OF BUSINESS: CONTACT:
1.a. Banks, savings associations, and credit unions with a. Consumer Financial Protection Bureau
total assets of over $10 billion and their affiliates 1700 G Street NW
Washington, DC 20552

b. Such affiliates that are not banks, savings b. Federal Trade Commission
associations, or credit unions also should list, in addition Consumer Response Center
to the CFPB: 600 Pennsylvania Avenue NW
Washington, DC 20580
(877) 382-4357
2. To the extent not included in item 1 above: a. Office of the Comptroller of the Currency
a. National banks, federal savings associations, and Customer Assistance Group
federal branches and federal agencies of foreign banks P.O. Box 53570
Houston, TX 77052

b. State member banks, branches and agencies of b. Federal Reserve Consumer Help Center
foreign banks (other than federal branches, federal P.O. Box 1200
agencies, and Insured State Branches of Foreign Banks), Minneapolis, MN 55480
commercial lending companies owned or controlled by
foreign banks, and organizations operating under section c. Division of Depositor and Consumer Protection
25 or 25A of the Federal Reserve Act. National Center for Consumer and Depositor Assistance
Federal Deposit Insurance Corporation
c. Nonmember Insured Banks, Insured State Branches of 1100 Walnut Street, Box #11
Foreign Banks, and insured state savings associations Kansas City, MO 64106

d. Federal Credit Unions d. National Credit Union Administration


Office of Consumer Financial Protection
1775 Duke Street
Alexandria, VA 22314
3. Air carriers Assistant General Counsel for Office of Aviation Protection
Department of Transportation
1200 New Jersey Avenue SE
Washington, DC 20590
4. Creditors Subject to the Surface Transportation Board Office of Public Assistance, Governmental Affairs, and Compliance
Surface Transportation Board
395 E Street SW
Washington, DC 20423
5. Creditors Subject to the Packers and Stockyards Act, Nearest Packers and Stockyards Division Regional Office
1921
6. Small Business Investment Companies Associate Administrator, Office of Capital Access
United States Small Business Administration
409 Third Street SW, Suite 8200
Washington, DC 20416
7. Brokers and Dealers Securities and Exchange Commission
100 F Street NE
Washington, DC 20549
8. Institutions that are members of the Farm Credit Farm Credit Administration
System 1501 Farm Credit Drive
McLean, VA 22102-5090
9. Retailers, Finance Companies, and All Other Federal Trade Commission
Creditors Not Listed Above Consumer Response Center
600 Pennsylvania Avenue NW
Washington, DC 20580
(877) 382-4357

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North Carolina Security Freeze Notice

NCGS 75-63

North Carolina Consumers Have the Right to Obtain a Security Freeze

You have a right to place a "security freeze" on your credit report pursuant to North Carolina law. The
security freeze will prohibit a consumer reporting agency from releasing any information in your credit
report without your express authorization. A security freeze can be requested in writing by first-class mail,
by telephone, or electronically. You also may request a freeze by visiting the following Web site:
https://ncdoj.gov/protecting-consumers/.

The security freeze is designed to prevent credit, loans, and services from being approved in your name
without your consent. However, you should be aware that using a security freeze to take control over who
gains access to the personal and financial information in your credit report may delay, interfere with, or
prohibit the timely approval of any subsequent request or application you make regarding new loans,
credit, mortgage, insurance, rental housing, employment, investment, license, cellular phone, utilities,
digital signature, Internet credit card transactions, or other services, including an extension of credit at
point of sale.

The freeze will be placed within three business days if you request it by mail, or within 24 hours if you
request it by telephone or electronically. When you place a security freeze on your credit report, within
three business days, you will be sent a personal identification number or a password to use when you
want to remove the security freeze, temporarily lift it, or lift it with respect to a particular third party.

A freeze does not apply when you have an existing account relationship and a copy of your report is
requested by your existing creditor or its agents or affiliates for certain types of account review, collection,
fraud control, or similar activities.

You should plan ahead and lift a freeze if you are actively seeking credit or services as a security freeze
may slow your applications, as mentioned above. You can remove a freeze, temporarily lift a freeze, or lift
a freeze with respect to a particular third party by contacting the consumer reporting agency and
providing all of the following:

(1) Your personal identification number or password,

(2) Proper identification to verify your identity, and

(3) Proper information regarding the period of time you want your report available to users of the credit
report, or the third party with respect to which you want to lift the freeze.

A consumer reporting agency that receives a request from you to temporarily lift a freeze or to lift a freeze
with respect to a particular third party on a credit report shall comply with the request no later than three
business days after receiving the request by mail and no later than 15 minutes after receiving a request
by telephone or electronically. A consumer reporting agency may charge you up to three dollars ($3.00)
to institute a freeze if your request is made by 2 telephone or by mail. A consumer reporting agency may
not charge you any amount to freeze, remove a freeze, temporarily lift a freeze, or lift a freeze with
respect to a particular third party, if any of the following are true:

(1) Your request is made electronically.

(2) You are over the age of 62.

(3) You are the victim of identity theft and have submitted a copy of a valid investigative or incident report
or complaint with a law enforcement agency about the unlawful use of your identifying information by
another person, or you are the spouse of such a person.

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You have a right to bring a civil action against someone who violates your rights under the credit reporting
laws. The action can be brought against a consumer reporting agency or a user of your credit report.

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