Free Michigan Des 025 Template in PDF
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
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 |
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First |
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Middle |
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Date of Birth |
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Race |
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Gender |
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Number ( |
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Check |
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Owner, designated representative/coordinator, authorized official, etc. |
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One: |
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Instructor and/or Examiner |
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Date |
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Type of Picture |
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Fingerprinted: ________________________________ |
ID Presented: ____________________________________________ |
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REQUESTING AGENCY INFORMATION |
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Agency ID: |
3720E |
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Agency Name: |
Bureau of Driver and Vehicle Programs |
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(RQID) |
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LDE – Dept of State, Driver Education Certification (MCL 256.649) |
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Reason Fingerprinted: |
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TPT – Third Party Tester (MCL 257.309) |
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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 |
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| 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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