Blank Michigan Ri 030 PDF Form

Blank Michigan Ri 030 PDF Form

The Michigan RI-030 form is a Live Scan Fingerprint Background Check Request specifically designed for Driver Education Provider Owners, Designated Representatives, and Driver Education Instructors. This form must be completed accurately before attending an appointment with a Live Scan Vendor for fingerprinting. Proper completion of the RI-030 is essential, as failure to do so may lead to denial of the request.

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The Michigan RI-030 form plays a crucial role in the process of conducting background checks for individuals involved in driver education. Specifically designed for Driver Education Provider Owners, Designated Representatives, and Instructors, this form is essential for anyone seeking to obtain a Live Scan fingerprint background check. The form must be completed accurately before attending an appointment with a Live Scan Vendor. It consists of several sections that gather necessary information, including the fingerprint reason code, agency identification details, and personal demographic data of the applicant. For those in driver education roles, the specific fingerprint code to be used is LDE, which aligns with various Michigan Compiled Laws that govern such checks. Completing the RI-030 accurately is not just a procedural step; it is a requirement that ensures compliance and facilitates the approval of background checks necessary for employment, licensing, or volunteer opportunities. Failure to submit a properly filled-out form may result in denial of the request, highlighting the importance of attention to detail in this process.

Document Sample

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.

File Specifics

Fact Name Details
Purpose of RI-030 This form is specifically designed for Driver Education Provider Owners/Designated Representatives and Driver Education Instructors to request a Live Scan Fingerprint Background Check.
Governing Laws The use of the RI-030 is governed by several Michigan Compiled Laws (MCL), including MCL 256.631(2), 256.641(4), 256.649, and 256.679.
Fingerprint Code For Driver Education Provider Owners/Designated Representatives and Instructors, the appropriate fingerprint code to use is LDE.
Agency Information Boxes two and three of the form should include the agency ID (3720E) and the agency name, which is MDOS Driver Education & Testing Section.
Voluntary Compliance While completing the RI-030 is voluntary, failure to do so will result in denial of the background check request.
Privacy Act Statement The information collected will be used for background checks and may be shared with the FBI and other agencies as authorized by law.

How to Use Michigan Ri 030

Completing the Michigan RI-030 form is an essential step for individuals seeking a Live Scan fingerprint background check, particularly for those involved in driver education. After filling out the form, you'll need to present it during your appointment with the Live Scan vendor, where your fingerprints will be taken. Ensuring that all information is accurate and complete will help facilitate a smooth process.

  1. Section I: Authorizing Information
    • In Box 1, enter the fingerprint reason code: LDE.
    • In Box 2, write the agency ID: 3720E.
    • In Box 3, fill in the agency name: MDOS Driver Education & Testing Section.
    • In Box 4, provide the individual ID (MNU-OA) if applicable.
  2. Section II: Applicant Information
    • Type or print your last name in Box 1a.
    • In Box 1b, enter your first name.
    • In Box 1c, provide your middle initial.
    • If applicable, add your suffix in Box 1d.
    • List any alternative names or aliases in Box 2.
    • Optionally, include your Social Security Number in Box 3, but do not submit it.
    • Indicate your place of birth in Box 4.
    • Fill in your date of birth in Box 5.
    • Provide your phone number in Box 6.
    • Enter your driver's license or state ID number in Box 7.
    • In Box 8, specify the issuing state.
    • Complete your home address in Box 9.
    • Fill in your city in Box 10.
    • Provide your state in Box 11.
    • Enter your ZIP code in Box 12.
    • Indicate your sex in Box 13.
    • Specify your race in Box 14.
    • Provide your height in Box 15.
    • Fill in your weight in Box 16.
    • Indicate your eye color in Box 17.
    • Specify your hair color in Box 18.
  3. Section III: Live Scan Information
    • Leave Box 1 for the date printed, to be filled out by the Live Scan operator.
    • In Box 2, the Live Scan operator will enter the type of picture ID presented.
    • Box 3 will be completed with the transaction control number (TCN) by the Live Scan operator.
    • Box 4 will be filled in by the Live Scan operator with their name.
  4. Section VI: Consent
    • Sign and date the consent section to authorize the release of your personal information.

Your Questions, Answered

  1. What is the purpose of the Michigan RI-030 form?

    The Michigan RI-030 form is specifically designed for Driver Education Provider Owners, Designated Representatives, and Driver Education Instructors. Its main purpose is to facilitate a civil fingerprint-based background check for employment, volunteering, or licensing as authorized by Michigan law.

  2. Who should use the RI-030 form?

    This form should only be used by individuals who fall under the categories of Driver Education Provider Owner, Designated Representative, or Driver Education Instructor. Any other entities or individuals, such as those seeking different types of background checks, should not utilize this form.

  3. What information is required in the Authorizing Information section?

    In the Authorizing Information section, you will need to provide:

    • Fingerprint Reason Code: For Driver Education, use code LDE.
    • Requestor/Agency ID: This should be the ID assigned to your agency, which is 3720E for Driver Education.
    • Agency Name: This should be listed as MDOS Driver Education & Testing Section.
    • Individual ID (MNU-OA): A unique identifier specific to the individual being fingerprinted.
  4. What should I do if I make a mistake on the RI-030 form?

    If you notice any errors after completing the RI-030 form, it’s essential to correct them before your scheduled appointment with the Live Scan Vendor. Mistakes can lead to delays or even denial of your request.

  5. Is it mandatory to provide my Social Security Number on the RI-030 form?

  6. What happens if I do not complete the RI-030 form correctly?

    Failure to complete the RI-030 form accurately may result in the denial of your request for a background check. It is crucial to ensure that all sections are filled out properly and completely prior to your appointment.

  7. What should I bring to my Live Scan appointment?

    When attending your Live Scan appointment, you should bring a valid picture ID and the completed RI-030 form. It’s also helpful to have any additional documentation that may be required by your agency.

  8. How will my fingerprints be used after submission?

    Your fingerprints will be used to conduct a background check against records maintained by both the Michigan State Police and the FBI. This process is essential for determining eligibility for employment, licensing, or other suitability assessments.

  9. What should I do if I need to update my identification records?

    If you believe there is an error or you need to update your identification records, you should contact the agency that provided the information. Additionally, you may challenge the accuracy of your records directly with the FBI’s Criminal Justice Information Services Division.

Common mistakes

  1. Incorrect Fingerprint Code: Many individuals mistakenly enter a fingerprint code other than LDE for Driver Education Provider Owner/Designated Representative or Driver Education Instructor. This can lead to delays or denials.

  2. Missing Agency ID: Failing to include the correct agency ID, which is 3720E, can result in the request being rejected. Ensure this is accurately filled in.

  3. Omitting Agency Name: Some applicants neglect to write the agency name as MDOS Driver Education & Testing Section. This step is crucial for identification purposes.

  4. Inaccurate Personal Information: Errors in personal details such as name, date of birth, or address can cause complications. Always double-check these entries for accuracy.

  5. Providing Social Security Number: Some individuals mistakenly submit their Social Security Number, which is explicitly stated as optional and should not be included.

  6. Neglecting to Print Clearly: Filling out the form in illegible handwriting can lead to misunderstandings. It’s important to type or print clearly in all fields.

  7. Skipping Signature: Forgetting to sign the form can halt the processing of the request. Ensure your signature is included along with the date.

  8. Inaccurate Live Scan Information: The Live Scan section must be completed by the operator. If this is not done correctly, it could lead to processing delays.

  9. Failure to Review Before Submission: Not reviewing the entire form before submission can result in overlooked mistakes. Take a moment to verify all information is correct.

  10. Ignoring Instructions: Many applicants overlook the instructions provided on page two of the form. Following these guidelines is essential for a smooth application process.

Documents used along the form

The Michigan RI-030 form is essential for conducting a Live Scan fingerprint background check specifically for Driver Education Provider Owners, Designated Representatives, and Instructors. Along with this form, several other documents are commonly utilized to ensure compliance with legal requirements and to facilitate the background check process. Below is a list of these forms and documents.

  • Live Scan Fingerprint Request Form: This form is used to initiate the Live Scan fingerprinting process. It includes essential details such as the applicant's name, identification number, and the reason for the fingerprinting.
  • Background Check Consent Form: This document grants permission for the agency to conduct a background check. It typically requires the applicant's signature and may include information about how the results will be used.
  • Identification Verification Form: This form is used to verify the identity of the individual being fingerprinted. It often requires a government-issued ID and may include additional personal information.
  • Agency Identification Form: This form provides the necessary details about the requesting agency, including its name, ID number, and the reason for the fingerprint request. It ensures that the agency is authorized to conduct background checks.
  • Privacy Act Statement: This statement outlines how personal information will be handled and the rights of the individual regarding their data. It informs applicants of their privacy rights in relation to the fingerprinting process.

These documents work together with the Michigan RI-030 form to create a comprehensive framework for conducting background checks. It is important to complete all forms accurately to avoid delays in the processing of requests.

Similar forms

The Michigan RI-030 form is similar to the FBI Fingerprint Card (FD-258) in that both documents are used for conducting background checks through fingerprinting. The FBI Fingerprint Card is a standard form utilized across the United States for various purposes, including employment, licensing, and criminal background checks. Like the RI-030, the FD-258 requires detailed personal information from the applicant, such as name, date of birth, and address. Both forms ensure that the fingerprints collected are linked to the correct individual, facilitating accurate background investigations.

Another document that bears similarity to the RI-030 is the Michigan Child Protection Volunteer (CPV) form. This form is specifically designed for individuals who wish to volunteer in settings that involve children, requiring a background check to ensure safety. Just like the RI-030, the CPV form collects essential information, including personal identifiers and the reason for the background check. Both documents are essential for maintaining safe environments for vulnerable populations and are processed through the appropriate state agencies.

The Michigan School Employment (SE) form also aligns closely with the RI-030. This form is used for individuals applying for positions within schools, necessitating a background check to ensure the safety of students. Similar to the RI-030, the SE form requires applicants to provide identifying information and is linked to a specific fingerprint code that indicates the reason for the check. Both forms serve to protect children by ensuring that those who work with them have undergone thorough screening.

The Michigan Health Care Employment (HC) form is another document that shares similarities with the RI-030. This form is utilized by healthcare providers to conduct background checks on potential employees. Like the RI-030, the HC form requires detailed personal information and is governed by specific laws that mandate fingerprinting for employment in healthcare settings. Both forms are crucial in safeguarding public health and ensuring that individuals in these roles are suitable for employment.

Additionally, the Volunteer Background Check Authorization form is akin to the RI-030. This document is used by organizations that rely on volunteers, requiring a background check to confirm the safety of their programs. Similar to the RI-030, it collects personal information and outlines the purpose of the background check. Both documents play a vital role in ensuring that individuals who volunteer in sensitive environments have been properly vetted.

The Michigan Licensing and Regulatory Affairs (LARA) background check form is another comparable document. This form is used for various licensing purposes, requiring fingerprint-based background checks for applicants seeking professional licenses. Like the RI-030, it demands comprehensive personal information and is essential for compliance with state regulations. Both forms help maintain standards in licensed professions, ensuring public safety and trust.

The National Child Protection Act (NCPA) background check form also shares similarities with the RI-030. This federal form is used to request background checks for individuals working with children across various states. Like the RI-030, it requires detailed personal information and is aimed at safeguarding children from potential harm. Both documents reflect a commitment to ensuring that those who work with vulnerable populations are thoroughly vetted.

The Criminal Background Check Request form is another document that resembles the RI-030. This form is often used by employers to request background checks on potential hires. Both documents require the applicant to provide identifying information and are essential for making informed hiring decisions. The goal of both forms is to enhance safety and security in the workplace.

Lastly, the Michigan Department of Corrections (MDOC) background check form is similar to the RI-030. This form is utilized for individuals seeking employment within correctional facilities, necessitating a thorough background check. Like the RI-030, it collects detailed personal information and is governed by specific regulations. Both documents are crucial in ensuring that individuals working in sensitive environments are suitable for their roles, thereby protecting the community and maintaining institutional integrity.

Dos and Don'ts

When filling out the Michigan RI-030 form, attention to detail is crucial. This form is specific to Driver Education Providers and Instructors, and mistakes can lead to delays or denials. Here are ten essential dos and don’ts to consider:

  • Do ensure you use the correct fingerprint code, which is LDE for Driver Education Provider Owner/Designated Representatives or Instructors.
  • Do fill out all sections completely. Incomplete forms may result in rejection.
  • Do double-check the agency ID, which should be 3720E, and the agency name, MDOS Driver Education & Testing Section.
  • Do provide accurate personal information, including your last name, first name, and date of birth.
  • Do clearly print answers to avoid any misinterpretation by the Live Scan operator.
  • Don't submit your Social Security Number, as it is optional and not required.
  • Don't leave any boxes blank. Each field must be addressed to ensure proper processing.
  • Don't forget to bring a valid picture ID to the Live Scan appointment.
  • Don't use this form for any purpose other than that specified. It is not valid for other entities or agencies.
  • Don't hesitate to ask for help if you are unsure about how to fill out any section of the form.

By following these guidelines, you can help ensure a smooth and successful fingerprint background check process. Your attention to detail is not just a formality; it is a critical step in safeguarding your professional journey.

Misconceptions

Understanding the Michigan RI-030 form is crucial for Driver Education Providers and Instructors. However, several misconceptions can lead to confusion. Here are five common misunderstandings:

  • Only specific individuals can use the RI-030 form. Many believe that anyone can submit this form, but it is exclusively for Driver Education Provider Owners, Designated Representatives, and Driver Education Instructors. Other entities cannot use it.
  • Fingerprint codes are interchangeable. Some think that any fingerprint code can be used on the RI-030 form. In reality, the correct code for Driver Education is LDE, and using the wrong code can lead to delays or denials.
  • Submitting a Social Security Number is mandatory. There is a misconception that applicants must provide their Social Security Number on the form. However, it is optional, and applicants are advised not to submit it.
  • Completion of the form is optional. Some individuals believe that filling out the RI-030 is not necessary. This is incorrect; failure to complete the form properly will result in denial of the fingerprinting request.
  • The form can be submitted after the fingerprinting appointment. Many think they can complete the RI-030 after being fingerprinted. However, the form must be filled out completely before the appointment to ensure a smooth process.

By addressing these misconceptions, individuals can navigate the requirements of the RI-030 form more effectively and avoid unnecessary complications in their background check process.

Key takeaways

Here are some key takeaways about filling out and using the Michigan RI-030 form:

  • The RI-030 form is specifically for Driver Education Provider Owners, Designated Representatives, and Driver Education Instructors.
  • Before your appointment with the Live Scan Vendor, ensure the form is filled out completely and accurately.
  • In Box one, use the fingerprint code LDE for Driver Education purposes.
  • Provide the agency ID 3720E and the agency name MDOS Driver Education & Testing Section in Boxes two and three.
  • The fingerprint reason code is based on specific Michigan Compiled Laws, which you should be aware of.
  • Section II of the form collects demographic information about the applicant, which must be clear and accurate.
  • After fingerprinting, return the signed form to the requesting agency, and keep a copy for your records.