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Services | Sample Employment Verification Report
Confidential - For Exclusive use by : Your Company, Inc.

                                  Disclaimer
Information contained herein should not be the sole determination in evaluating 
this individual. All other available information should be considered. 
Human error in compiling this information is possible and Background Source Intl. 
does not guarantee its accuracy. Background Source Intl. is not responsible for 
employment decisions based on the information provided. The FCRA requires certain 
actions if you take adverse action based in whole or in part on this report.
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 Applicants Name...........: JOHN Q. SAMPLE
Social Security #..........: 999-99-9999
Tracking Codes.............: 
Date Requested.............: 2002-05-07 10:21

_____________________ PRIOR EMPLOYMENT VERIFICATION ____________________

-------------------------------- Employer 1 of 1--------------------------------

Employer..........................: U.S.A INCORPORATED
Contact Name / Position...........: JAMES SMITH / SENIOR SALES MANAGER
City..............................: LOUISVILLE              State...: KY 
Phone.............................: (502)999-9999

Job Title Claimed.................: NONE PROVIDED
Title Reported....................: SALES MANAGER
Dates of Service Claimed..........: 08/99           End Date: 11/01
Dates of Service Verified.........: 08/99           End Date: 11/01

Overall Performance Rating: WE WERE MOST DEFINITELY PLEASED WITH HIM
Attendance........ .......: NO PROBLEMS
Reason For Departure......: HE WANTED TO PURSUE SOME EMPLOYMENT THAT 
                            BETTER SUITED HIS EDUCATIONAL BACKGROUND
Eligible For Rehire.......: CERTAINLY, I WOULD LOVE TO HAVE HIM BACK
Other Comments............: IT WAS HARD TO REPLACE HIS CHARACTER.

Notes: INFORMATION VERIFIED BY NAME AND SOCIAL SECURITY NUMBER.

Completed B...............: TC