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Services | Sample Worker's Compensation 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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Name..................: JOHN Q. SAMPLE
Social Security #.....: 999-99-9999
State Searched........: KY
Tracking Codes........: 
Date Requested........: 2002-07-09 14:22

___________________ WORKERS COMPENSATION REPORT __________________

    Years Checked...........: 1982 - 07/10/2002
    Enter by ...............: ADMINISTRATOR
    Date....................: 07/12/02

Employer....................: U.S.A INC. 
Claim #.....................: 0287029
Date of Claim...............: 05/08/02
Injury......................: STRAIN TO ABDOMEN 
Number of Lost Days: 12
Status......................: --

                              --- End of Report ---