Structure
The Michigan RI-030 form is a crucial document for individuals involved in driver education, specifically for Driver Education Provider Owners, Designated Representatives, and Instructors. This form is designed exclusively for these roles and should not be used by any other entities or for any unrelated purposes. Completing the RI-030 correctly is essential, as it facilitates a Live Scan Fingerprint Background Check, which is necessary for employment, volunteering, or licensing as mandated by law. The form requires specific information, including a fingerprint reason code, which for those in driver education is LDE, along with the agency ID and name. It also gathers personal details from the applicant, such as their name, date of birth, and contact information. These details help ensure that the background check is thorough and accurate. It is important to fill out all sections completely before attending the appointment with the Live Scan vendor. Failure to do so may result in a denial of the request. Understanding the requirements and processes associated with the RI-030 can help streamline the application process and ensure compliance with Michigan laws.
Form Example
STATE OF MICHIGAN
DEPARTMENT OF STATE
LANSING
The following Live Scan Fingerprint Background Check Request
Please ensure that the
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
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
Instructions: See page two.
I. Authorizing Information
1. Fingerprint Reason Code
2. Requestor/Agency ID
3. Agency Name
4. Individual ID
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.
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
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:
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
1.Fingerprint Code:
The fingerprint code identifies the authorizing purpose in law allowing the agency to request the civil
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
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.
Document Specs
| Fact Name | Details |
|---|---|
| Purpose | The RI-030 form is used for Live Scan fingerprint background checks specifically for Driver Education Provider Owners/Designated Representatives and Driver Education Instructors. |
| Fingerprint Code | For Driver Education roles, the fingerprint code to be used is LDE. |
| Agency ID | The agency ID required is 3720E, associated with the MDOS Driver Education & Testing Section. |
| Governing Laws | The form is governed by Michigan Compiled Laws (MCL) 256.631(2), 256.641(4), 256.649, and 256.679. |
| Compliance | Completing the RI-030 form is voluntary; however, failure to do so will result in denial of the request. |
| Privacy Act | The collection and use of fingerprints are authorized under 28 U.S.C. 534 and relevant state statutes, ensuring privacy and data protection. |
| Submission Instructions | All sections of the RI-030 must be filled out completely before the appointment with the Live Scan Vendor for fingerprinting. |
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