Michigan Ri 030 Form PDF Details

In the State of Michigan, the meticulous exercising of protocols for ensuring the safety and integrity of various educational and professional settings is paramount, particularly through the implementation of background checks facilitated by the RI-030 form. This pivotal document, explicitly designated for Driver Education Provider Owners/Designated Representatives or Driver Education Instructors, serves as a request for a Live Scan Fingerprint Background Check, setting a standard for compliance and security within the sphere of driver education and testing. At its core, the RI-030 form bridges the necessity for thorough vetting processes with the adherence to Michigan Compiled Laws, underscoring the importance of comprehensive and accurate completion before an individual's scheduled fingerprinting appointment. Detailing key information such as the appropriate fingerprint code, agency ID, and agency name specific to driver education roles, the form plays a critical role in streamlining the procedure for background checks, thereby reinforcing the safeguarding of educational environments. Furthermore, it is imbued with a level of obligatory cooperation, as failure to fulfill the form’s requirements could lead to the denial of the background check request, highlighting the form’s significance in the broader context of legal and regulatory frameworks within Michigan. Consequently, the meticulous attention to the form’s details not only facilitates the smooth execution of background checks but also aligns with broader societal commitments to safety, professionalism, and reliability.

QuestionAnswer
Form NameMichigan Ri 030 Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other nameslivescan background request, mi fingerprint form, ri 030 livescan fingerprint background check, livescan fingerprint request form

Form Preview Example

STATE OF MICHIGAN

DEPARTMENT OF STATE

LANSING

The following Live Scan Fingerprint Background Check Request (RI-030) form is ONLY to be used if you are either a Driver Education Provider Owner/Designated Representative or a Driver Education Instructor. This form should not be utilized by any other entities, fingerprint codes, or agencies.

Please ensure that the RI-030 has been filled out completely and properly prior to the scheduled appointment with the Live Scan Vendor for completion of fingerprints. In part one of the RI-030, Box one should be listed with the appropriate fingerprint code. For Driver Education Provider Owner/Designated Representative or a Driver Education Instructor, please utilize fingerprint code LDE. Boxes number two and three should read the agency ID, 3720E, and the agency name of MDOS Driver Education & Testing Section.

Fingerprint reason code LDE is pursuant to Michigan Complied Laws (MCL) 256.631(2), 256.641(4), 256.649, and 256.679.

O F F I C E O F I N V ES T I G A T I V E S ER V I C ES – D R I V ER E D U C A T I O N & T ES T I N G S EC T I O N

R I C H A R D H . A U S T I N B U I L D I N G 3 R D F L O O R 4 3 0 W . A L L E G A N L A N S I N G , M I C H I G A N 4 8 9 1 8

w w w . M i c hi g a n . go v / s o s (517) 241 - 6850

RI-030 (10/2020)

Michigan State Police

Page 1 of 2

AUTHORITY: MCL 28.162, MCL 28.214, MCL 28.248, & MCL 28.273

COMPLIANCE: Voluntary. However, failure to complete this form will result in denial of request.

LIVE SCAN FINGERPRINT BACKGROUND CHECK REQUEST

Purpose: To conduct a civil fingerprint-based background check for employment, to volunteer, or for licensing purposes as authorized by law.

Instructions: See page two.

I. Authorizing Information

1. Fingerprint Reason Code

2. Requestor/Agency ID

3. Agency Name

4. Individual ID (MNU-OA)

II.Applicant Information: Type or clearly print answers in all fields before going to be fingerprinted.

1a. Last Name

1b. First Name

1c. Middle Initial

1d. Suffix

2. Any Alternative Names, Last Names, or Aliases

3. Social Security Number (Optional)

DO NOT SUBMITT SSN

4. Place of Birth (State or Country)

5. Date of Birth

6. Phone Number

7. Driver's License / State ID Number

8. Issuing State

9. Home Address

10. City

11. State

12. ZIP Code

13. Sex

14. Race

15. Height

16. Weight

17. Eye Color

18. Hair Color

III. Live Scan Information

1. Date Printed

2. Picture ID Type Presented

3. Transaction Control Number (TCN)

4. Live Scan Operator*

*When an individual ID is provided, please enter the ID into the Miscellaneous Number (MNU) field on the Live Scan device. Select OA - Originating Agency Identifier and then enter the unique identifier in the Identification Code field.

IV. Privacy Act Statement

Authority: Acquisition, preservation, and exchange of fingerprints and associated information by the Federal Bureau of Investigation (FBI) is generally authorized under 28 U.S.C. 534. Depending on the nature of your application, supplemental authorities include Federal statutes, State statutes pursuant to Pub. L. 92-544, Presidential Executive Orders, and federal regulations. Providing your fingerprints and associated information is voluntary; however, failure to do so may affect completion or approval of your application. Principal Purpose: Certain determinations, such as employment, licensing, and security clearances, may be predicated on fingerprint- based background checks. Your fingerprints and associated information/biometrics may be provided to the employing, investigating, or otherwise responsible agency, and/or the FBI for the purpose of comparing your fingerprints to other fingerprints in the FBI's Next Generation Identification (NGI) system or its successor systems (including civil, criminal, and latent fingerprint repositories) or other available records of the employing, investigating, or otherwise responsible agency. The FBI may retain your fingerprints and associated information/biometrics in NGI after the completion of this application and, while retained, your fingerprints may continue to be compared against other fingerprints submitted to or retained by NGI.

Routine Uses: During the processing of this application and for as long thereafter as your fingerprints and associated information/biometrics are retained in NGI, your information may be disclosed pursuant to your consent, and may be disclosed without your consent as permitted by the Privacy Act of 1974 and all applicable Routine Uses as may be published at any time in the Federal Register, including the Routine Uses for the NGI system and the FBI's Blanket Routine Uses. Routine Uses include, but are not limited to, disclosures to: employing, governmental or authorized non-governmental agencies responsible for employment, contracting, licensing, security clearances, and other suitability determinations; local, state, tribal, or federal law enforcement agencies; criminal justice agencies; and agencies responsible for national security or public safety.

V. Procedure to Obtain a Change, Correction, or Update 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. (28 CFR § 16.34)

VI. Consent

I understand that my personal information and biometric data being submitted by Live Scan, will be used to search against identification records from both the Michigan State Police (MSP) and the FBI for the purpose listed above. I hereby authorize the release of my personal information for such purposes and release of any records found to the authorized requesting agency listed above.

Signature:

Date:

RI-030 (10/2020)

Michigan State Police

Page 2 of 2

INSTRUCTIONS

Section I:

Authorizing Information:

This section is to be completed by the agency authorized to request civil fingerprint-based background checks.

1.Fingerprint Code:

The fingerprint code identifies the authorizing purpose in law allowing the agency to request the civil fingerprint-based background check. For example, School Employment (SE), Child Protection Volunteer (CPV), Health Care employment (HC).

2.Requesting Agency Identification (ID):

The requesting agency ID is assigned to your agency by the MSP. No request for fingerprinting can be completed without an agency ID. Please ensure the correct fingerprinting reason code and agency Identification is used. The MSP will charge for second requests due to incorrect codes.

3.Agency Name:

The agency name is the legal name of the authorized agency. For schools specifically, the agency name is the name recognized by the Michigan Department of Education.

4.Individual ID (MNU-OA)

The Individual ID is a unique identifier specific to the individual requested to submit fingerprints. An ID such as a state issued licensing number, a Personnel Identification Code (PIC) number, or other similar uniquely issued identifier/number.

Section II:

Applicant Information:

This section can be completed by the authorized agency, the individual, or as a joint effort by both. Section II specifically pertains to the demographic information needed in order to obtain the biometric data of the applicant and is a unique identifier specific to the applicant.

Section III:

Live Scan Information:

This section is required to be completed by the Live Scan vendor operator and must be completed at the time of fingerprinting. After fingerprinting, the applicant shall return this signed and completed document to the requesting agency. The Live Scan operator must return a completed copy of the form to the applicant.

How to Edit Michigan Ri 030 Form Online for Free

Using PDF forms online is actually super easy with this PDF editor. You can fill in ri030 here and try out several other options we offer. FormsPal is focused on providing you with the ideal experience with our editor by continuously introducing new functions and enhancements. With these updates, working with our tool becomes better than ever before! To get the ball rolling, take these basic steps:

Step 1: Click on the orange "Get Form" button above. It will open our editor so you can start filling out your form.

Step 2: This tool lets you work with your PDF form in many different ways. Enhance it with your own text, adjust what's originally in the PDF, and include a signature - all within the reach of a couple of mouse clicks!

For you to complete this form, ensure that you provide the right information in each blank:

1. It is very important complete the ri030 accurately, thus be mindful when filling in the areas comprising these specific blanks:

Part number 1 for submitting livescan background request

2. Your next part is to submit the following fields: I understand that my personal, and Date.

Tips on how to fill in livescan background request part 2

Many people frequently make mistakes when filling out I understand that my personal in this section. Remember to read again whatever you enter here.

Step 3: Prior to finalizing the form, make certain that all blanks were filled in the right way. The moment you verify that it's correct, click on “Done." Obtain your ri030 the instant you register at FormsPal for a 7-day free trial. Quickly gain access to the pdf form inside your personal account, with any edits and adjustments conveniently preserved! FormsPal guarantees protected form tools without data record-keeping or distributing. Feel safe knowing that your information is secure with us!