Form Cjis 008 PDF Details

In an era where the integrity of information systems is paramount, especially those managed by law enforcement agencies, the need for a comprehensive and rigorous vetting process for individuals with access cannot be overstated. The CJIS-008 form, introduced by the Michigan State Police's Criminal Records Division, embodies this necessity by requiring a detailed background check for all state personnel, contractors, and vendors who might have direct or indirect contact with its information systems. Central to safeguarding sensitive data, this meticulous process encompasses both state and federal fingerprint checks. Moreover, it aligns with the state and federal guidelines to ensure that only those deemed fit by the Michigan State Police will be granted access. The form not only gathers basic applicant information but also demands explicit consent for the background investigation, highlighting criminal histories and any interactions with criminal justice entities. This consent underscores the depth of the background search while adhering to privacy standards legislated under the Privacy Act of 1974. By mandating such thorough scrutiny, the CJIS-008 form reinforces the commitment to secure and responsible management of criminal justice information, ensuring that only qualified individuals can access these critical resources.

QuestionAnswer
Form NameForm Cjis 008
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesMSP, 2010, indirect, Requestor

Form Preview Example

CJIS-008 (06/2010)

MICHIGAN STATE POLICE

Criminal Records Division

LEIN Field Services

BACKGROUND AUTHORIZATION REQUEST FOR

STATE OF MICHIGAN PERSONNEL, CONTRACTORS, AND VENDORS

Individuals who have direct or indirect access to Michigan State Police (MSP) information systems must submit to a background check. This background check will also include a state and federal fingerprint check. The MSP will determine, based upon state and federal guidelines, whether access will be granted.

Mail To:

 

 

 

 

 

 

Michigan State Police

 

 

 

Telephone: (517) 241-0607

333 S. Grand Ave.

 

 

 

 

 

 

P.O. Box 30634

 

 

 

 

 

 

Lansing, Michigan 48909-0634

 

 

 

 

 

 

Attention: Information Security Officer

 

 

 

 

 

 

I. Requestor Information

 

 

 

 

 

 

Name of Requestor

 

 

 

 

Date

 

 

 

 

 

 

 

 

Division

 

 

Agency

 

 

 

 

 

 

 

 

 

Position

 

Classification of Applicant’s Employment

 

 

 

Temporary Employee

Permanent Employee

Contractor

 

 

 

 

 

 

 

II. Applicant Information

 

 

 

 

 

 

Name of Applicant (Last, First, Middle)

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Address

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

 

ZIP Code

 

 

 

 

 

 

 

 

Social Security Number

 

 

Date of Birth

 

 

 

 

 

 

 

 

 

 

Driver’s License Number

 

 

Sex

 

 

 

 

 

 

Male

Female

 

 

 

 

 

 

 

 

Race

 

 

 

 

 

 

American Indian/Alaskan Native

Asian/Pacific Islander

Black (African American)

 

Hispanic

White

Other

 

 

 

 

 

 

 

 

III. Authorization

By signing this authorization, the applicant grants permission to the MSP and any other public or private entity to conduct a background check for the express purpose of determining whether the applicant is eligible to access MSP information systems. The background search will include, but is not limited to, arrests, criminal charges, criminal convictions, and any information regarding contact with a criminal justice agency.

I affirm that I have read and fully understand the above form and consent to the aforementioned background check.

Signature of Applicant

Date

This information is confidential. Disclosure of confidential information is protected by the Privacy Act of 1974 (5 U.S.C. § 552a), as amended.

AUTHORITY: 1974 PA 163; COMPLIANCE: Voluntary

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