Sample Online MVR Report

   
Wisconsin - Driver Record ReportRep. Requested on: 1/27/2014
Reference ID: 456|0|0|22401|Account#: 51542

LICENSE NAME/ADDRESSREPORT PREPARED BY
DEMO, JOHN QEMBARK SAFETY LLC
3330 NONAME AVE3267 PROGRESS DR
Wisconsin, WIORLANDO, FL 32826
County: 02

License NumberLicense StateD.O.B.SexHGTWGTEyesHairRaceDonor
E09999999 WI08/04/1991M511008GRYBLNW 

ClassOrig. IssueIssuedExpiresLicense Type
O - Any non-commercial vehicle except a motorcycle 03/01/200508/04/2010 

StatusRestrictionsEndorsements
REVOKED  

PointsC.D.L. IssuedC.D.L. Status
  Disqualified


 .PERMITS 
Issue DateConv DateDescriptionPoints
11/17/200908/04/2012PERMIT 
  - Permit Type: ID - Identification Card 
03/06/200904/05/2009PERMIT 
  - Permit Type: TPL - Temporary License 
  - Permit Class: O - Any non-commercial vehicle except a motorcycle 
  - Permit Status: U 
 

 .REVOCATIONS 
Issue DateRein DateDescriptionPoints
01/08/2010//REVO-POINTS 6 MO 
  - Miscellaneous: EY111320 
  - Rein Eligib Date: 07/08/2010 
  - Jurisdiction: WI 
07/02/2009 ADMIN LIC REVO-1 YR 
  - Miscellaneous: 05112009 
  - Rein Eligib Date: 07/02/2010 
  - Jurisdiction: WI 
06/13/2008 ADMIN LIC REVO-1 YR 
  - Miscellaneous: 06132008 
  - Rein Eligib Date: 06/13/2009 
  - Jurisdiction: WI 
 

  VIOLATIONS 
Issue DateConv DateDescriptionPoints
08/26/200705/08/2008 0.0
 
- Incident
 
 
Description: DRV U/INFL-3RD
 
 
State Code:   ACD: A20
 
 
Statute Number:
 
 
Company Code:
 
 
Company Code Description:
 
  - County: Lancaster 
  - Commercial Vehicle: N 
  - Hazardous Materials: N 
  - Jurisdiction: NE 
  - Restore Date: // 
  - Court Type: COC - County Court 
  - Action Date: 05/08/2008 
  - Probation Time: 5 Years 
  - Withdrawal Date: // 
  - Withdrawal Time: 0 
  - Jail Time: 301 
 

 .WITHDRAWALS 
Issue DateRein DateDescriptionPoints
01/13/2010 DIS/R DUI-1YR 
  - Sub Type: Withdrawal 
  - Jurisdiction: AL 
  - Elig Date: 01/13/2011 
  - EventType: WITHDRAWAL 
 

 MISCELLANEOUS AND STATE SPECIFIC INFORMATION 
Alert: Requested first name(CARL) did not match. Requested last name(ROBERTS) did not match. Requested date of birth(060676) did not match.
PriorState: MO
PriorDlNumber: G02073813
License Pickup Order: N
First Duplicate Issue Date: 01/05/10
TSA HazMat Assessment: Y
TSA HazMat Assessment Date: 10/23/08
SR-22 Required Date: 06/30/2013