Form Ri 030 Michigan PDF Details

In the landscape of Michigan's public safety and employment procedures, the RI-030 form plays a pivotal role, serving as a Michigan State Police Livescan Fingerprint Request. It embodies a critical step for individuals seeking employment or licensing in areas that necessitate a comprehensive background check, particularly in sectors like education, as seen with the involvement of entities like the Boyne City Public Schools. The form requires detailed information ranging from personal identification to the specific reason for fingerprinting, labeled distinctly for purposes such as school employment. It emphasizes the collaborative efforts between local agencies and both the Michigan State Police (MSP) and the Federal Bureau of Investigation (FBI) in utilizing advanced biometric technology to ensure the safety and integrity of its workforce and public services. Furthermore, it underscores the legal and privacy considerations inherent in the process, offering avenues for individuals to contest or update the information contained within their criminal identification records. By mandating the meticulous completion of the RI-030 form, the state of Michigan enforces a system designed to safeguard its citizens and their interests, while also providing clear procedures for maintaining the accuracy and fairness of the information collected through the Livescan Fingerprint Request process.

QuestionAnswer
Form NameForm Ri 030 Michigan
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmichigan ri 030 form, michigan state police form ri030, ri 030, ri 030 lara lhp form 01 2019

Form Preview Example

RI-030 (03/2011)

MICHIGAN STATE POLICE

LIVESCAN FINGERPRINT REQUEST

Return completed form after fingerprint capture to:

Employer or state licensing authority ***

I. CJIS Information: Type or clearly print answers to all fields.

1.

Date Printed

2.

Picture ID Type Presented

 

 

 

 

3.

TCN Number

4.

Live Scan Operator

 

 

 

 

5.

Requesting Agency ID

6.

Agency Name

1963K

Boyne City Public Schools; tpatrick@boyne.k12.mi.us

 

 

 

 

II. Applicant Information: Type or clearly print answers to all fields.

1a. First Name

1b. Middle Initial 1c. Last Name

2. Date of Birth

3. Race

4. Sex

5. Address

6. City

7. State

8. ZIP Code

Fingerprint Reason

Code:

SE (School Employment)

I understand the personal information and fingerprints submitted by live scan are used to search against criminal identification records from both the Michigan State Police (MSP) and Federal Bureau of Investigation (FBI). I hereby authorize the release of any records to the person or agency listed above.

I further understand MSP and the FBI may also retain the submitted information and fingerprints as permitted by the Federal Privacy Act of 1974 (5 USC § 552a(b)) for routine uses beyond the principal purpose listed above. Routine uses include, but are not limited to, disclosures to: governmental authorities responsible for civil or criminal law enforcement, counterintelligence, national security, or public safety.

Signature: __________________________________________

Date: ___________________

28 CFR §16.34- Procedure to obtain change, correction or updating of identification records.

If, after reviewing his/her identification record, the subject thereof believes that it is incorrect or incomplete in any respect and wishes changes, corrections or updating of the alleged deficiency, he/she should make application directly to the agency which contributed the questioned information. The subject of a record may also direct his/her challenge as to the accuracy or completeness of any entry on his/her record to the FBI, Criminal Justice Information Services (CJIS) Division, ATTN: SCU, Mod. D2, 1000 Custer Hollow Road, Clarksburg, WV 26306. The FBI will then forward the challenge to the agency which submitted the data requesting that agency to verify or correct the challenged entry. Upon the receipt of an official communication directly from the agency which contributed the original information, the FBI CJIS Division will make any changes necessary in accordance with the information supplied by that agency.

**DISCLAIMER: ALL FINGERPRINTS PROCESSED WITH INCORRECT FINGERPRINT CODES ARE THE RESPONSIBILITY OF THE REQUESTING AGENCY. MSP WILL CHARGE FOR SECOND REQUESTS DUE TO INCORRECT FINGERPRINT CODES. **

AUTHORITY: MCL 28.214, MCL 28.273 & MCL 28.162

COMPLIANCE: Voluntary, however failure to complete this Agreement will result in denial of request.

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