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The Michigan DES 025 form is an essential document for individuals seeking to undergo a Live Scan fingerprinting process, particularly in the context of driver education and testing. This form is issued by the Michigan Department of State and serves as a formal request for a criminal history report, which is crucial for various licensing and certification purposes. Applicants must provide personal information, including their name, date of birth, and contact details. After completing the form, individuals need to schedule an appointment with a licensed Live Scan vendor, which can be found on the Michigan State Police website. During the appointment, applicants are required to present a valid picture ID and the completed DES 025 form, along with paying any associated fees. It is important to note that the responsibility for ensuring the accuracy of the fingerprinting codes rests with the applicant, as any errors may lead to additional charges for reprocessing. The information collected is forwarded to the Department of State by the Michigan State Police, ensuring that the applicant's background check is thorough and compliant with state regulations.

Form Example

DES-025 (Rev. 11/2012) By Authority of 2006 PA 384

Michigan Department of State

Licensing Unit

Lansing, MI 48918

Instructions for Applicant:

Live Scan Fingerprint Request

1.Complete APPLICANT INFORMATION below.

2.Schedule an appointment to be fingerprinted:

a.Visit www.michigan.gov/msp

b.In the Search box, type “Private Livescan Vendors,” and click on Go.

c.Select the MSP – Private Live Scan Vendors link for list of vendors.

3.Attend appointment, pay fee, and keep the receipt.

4.Bring picture ID and this completed form to the appointment.

Criminal history report will be forwarded to the Department of State by the Michigan State Police.

APPLICANT INFORMATION

Applicant Name: Last

 

 

 

 

 

 

 

First

 

 

 

 

Middle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth

 

 

 

 

 

 

Race

 

 

 

 

Gender

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

Zip

 

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number (

)

Check

 

 

 

____

 

Owner, designated representative/coordinator, authorized official, etc.

 

 

 

 

 

 

 

One:

 

 

 

 

____

 

Instructor and/or Examiner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Picture

 

 

 

 

Fingerprinted: ________________________________

ID Presented: ____________________________________________

 

 

 

 

 

 

 

 

REQUESTING AGENCY INFORMATION

 

 

Agency ID:

3720E

 

 

 

 

 

 

 

Agency Name:

Bureau of Driver and Vehicle Programs

 

 

 

 

 

 

 

 

(RQID)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LDE – Dept of State, Driver Education Certification (MCL 256.649)

 

Reason Fingerprinted:

 

 

_____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_____

 

TPT – Third Party Tester (MCL 257.309)

 

If you are both a driver education instructor and driving skills test examiner, check the LDE – Dept of State, Driver Education Certification.

Disclaimer: Any and all fingerprints processed with incorrect fingerprint codes/reasons, etc., are the applicant’s responsibility. Michigan State Police will charge for second requests due to an incorrect fingerprint reason.

Document Specs

Fact Name Details
Form Title DES-025 (Rev. 11/2012)
Governing Law 2006 PA 384
Purpose This form is used for submitting a Live Scan Fingerprint Request.
Applicant Requirements Applicants must complete their information, schedule an appointment, and bring a picture ID.
Processing Authority The Michigan State Police processes the fingerprints and forwards the criminal history report to the Department of State.
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