Michigan State Live Scan Fingerprint Background Check
This file is a Live Scan Fingerprint Background Check Request form for Michigan State. It is used by Driver Education Provider Owners/Designated Representatives or Driver Education Instructors. Detailed instructions are provided for filling out the form.
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How do I fill this out?
To fill out this form, follow the instructions in the 'Authorizing Information' section and input required details in the 'Applicant Information' section. Ensure all sections are completed before your appointment. The Live Scan Vendor will complete a section and return the form for your signature.

How to fill out the Michigan State Live Scan Fingerprint Background Check?
1
Complete the 'Authorizing Information' section.
2
Fill in the 'Applicant Information' section with your details.
3
Ensure all information is accurate before your fingerprinting appointment.
4
Have the Live Scan Vendor complete their section and return the form to you.
5
Sign the consent section and submit the form with your application.
Who needs the Michigan State Live Scan Fingerprint Background Check?
1
Driver Education Provider Owners need this form for background checks.
2
Designated Representatives of Driver Education Providers use this form for compliance.
3
Driver Education Instructors require this form for employment purposes.
4
Volunteers in driver education programs use this form for licensing checks.
5
Agencies requesting civil fingerprint-based background checks need this form for various authorizations.
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What are the instructions for submitting this form?
Submit the completed form to the Driver Education & Testing Section at Richard H. Austin Building, 3rd Floor, 430 W. Allegan, Lansing, Michigan 48918. You may also fax it to (517) 241-6850 or email it to the appropriate section. Ensure all sections are completed and signed before submission.
What are the important dates for this form in 2024 and 2025?
Ensure to submit the form as per your application deadlines in 2024 and 2025.

What is the purpose of this form?
The purpose of this form is to conduct a civil fingerprint-based background check. It is required for employment, volunteering, or licensing purposes. The form ensures compliance with Michigan State laws.

Tell me about this form and its components and fields line-by-line.

- 1. Fingerprint Reason Code: The authorizing purpose in law for requesting the background check.
- 2. Requestor/Agency ID: The ID assigned to the requesting agency by the Michigan State Police.
- 3. Agency Name: The legal name of the authorized agency requesting the background check.
- 4. Individual ID: A unique identifier specific to the individual submitting fingerprints.
- 5. Applicant Information: The demographic information of the applicant.
- 6. Live Scan Information: Details to be completed by the Live Scan vendor at the time of fingerprinting.
- 7. Privacy Act Statement: Information on how the FBI and other agencies will use the submitted fingerprints.
- 8. Consent: Authorization for the release of personal information and biometrics.
What happens if I fail to submit this form?
Failure to submit this form will result in the denial of your request.
- Denial of Request: Your request will not be processed without this form.
- Incompletion of Application: Your application will remain incomplete, affecting your employment or licensing status.
How do I know when to use this form?

- 1. Employment: For employment purposes, as required by law.
- 2. Volunteering: When volunteering with organizations that require background checks.
- 3. Licensing: For obtaining necessary licenses as mandated by state regulations.
- 4. Driver Education: Specifically for Driver Education Provider Owners, Designated Representatives, and Instructors.
- 5. Agency Requests: For authorized agencies requesting background checks under legal provisions.
Frequently Asked Questions
How do I fill out the Live Scan Fingerprint Background Check form?
Complete the 'Authorizing Information' and 'Applicant Information' sections and ensure all details are correct. The Live Scan Vendor will complete a section during your fingerprinting appointment.
Who needs to use this form?
Driver Education Provider Owners, Designated Representatives, Driver Education Instructors, volunteers in driver education programs, and agencies requesting background checks need this form.
How can I edit the PDF form on PrintFriendly?
Open the form on PrintFriendly, enter edit mode, make the necessary changes, and save the updated PDF.
Can I sign the PDF form on PrintFriendly?
Yes, you can use PrintFriendly's integrated e-signature feature to sign the PDF form.
How do I share the completed PDF form?
Use PrintFriendly's sharing options to send the document via email or share it through a link.
What should I do after completing the form?
Ensure all sections are filled, signed, and submit the form with your Driver Education application to the appropriate section.
What happens if I fail to submit this form?
Failure to submit the form will result in the denial of your request, and you will not be able to proceed with your application.
What information do I need for the Live Scan Fingerprint appointment?
Bring the completed sections of the form and a picture ID. The Live Scan Vendor will complete their section during the appointment.
Can the form be used by any entity?
No, the form should only be used by Driver Education Provider Owners, Designated Representatives, and Driver Education Instructors.
What is the purpose of the form?
The form is used to conduct a civil fingerprint-based background check for employment, volunteering, or licensing purposes.
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