Structure
When seeking employment in Michigan, particularly in educational settings, the RI-030 form plays a pivotal role in ensuring that applicants undergo the necessary background checks. This form, officially known as the Michigan State Police Livescan Fingerprint Request, is designed to collect essential information from individuals who are required to submit their fingerprints for a criminal background check. Key sections of the form include personal details such as the applicant's name, date of birth, and address, along with specifics about the requesting agency, like its ID and name. The form also necessitates the completion of various fields related to the fingerprinting process, including the Live Scan Operator's information and a unique Transaction Control Number (TCN). Importantly, the applicant must acknowledge that their fingerprints and personal data will be used to search against criminal identification records maintained by both the Michigan State Police and the Federal Bureau of Investigation. By signing the form, individuals authorize the release of any relevant records, understanding that such information may be retained for various lawful purposes, including national security and public safety. The form also highlights the process for correcting any inaccuracies in the identification records, ensuring that applicants have a clear path to address potential discrepancies. Overall, the RI-030 form is a crucial step in maintaining safety and security within Michigan's schools and other institutions, while also protecting the rights of the individuals undergoing the background check.
Form Example
MICHIGAN STATE POLICE
LIVESCAN FINGERPRINT REQUEST
Return completed form after fingerprint capture to:
Employer or state licensing authority ***
I. CJIS Information: Type or clearly print answers to all fields.
1. |
Date Printed |
2. |
Picture ID Type Presented |
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3. |
TCN Number |
4. |
Live Scan Operator |
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5. |
Requesting Agency ID |
6. |
Agency Name |
1963K |
Boyne City Public Schools; tpatrick@boyne.k12.mi.us |
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II. Applicant Information: Type or clearly print answers to all fields.
1a. First Name
1b. Middle Initial 1c. Last Name
2. Date of Birth
3. Race
4. Sex
5. Address
6. City
7. State
8. ZIP Code
Fingerprint Reason
Code:
SE (School Employment)
I understand the personal information and fingerprints submitted by live scan are used to search against criminal identification records from both the Michigan State Police (MSP) and Federal Bureau of Investigation (FBI). I hereby authorize the release of any records to the person or agency listed above.
I further understand MSP and the FBI may also retain the submitted information and fingerprints as permitted by the Federal Privacy Act of 1974 (5 USC § 552a(b)) for routine uses beyond the principal purpose listed above. Routine uses include, but are not limited to, disclosures to: governmental authorities responsible for civil or criminal law enforcement, counterintelligence, national security, or public safety.
Signature: __________________________________________ |
Date: ___________________ |
28 CFR §16.34- Procedure to obtain change, correction or updating 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.
**DISCLAIMER: ALL FINGERPRINTS PROCESSED WITH INCORRECT FINGERPRINT CODES ARE THE RESPONSIBILITY OF THE REQUESTING AGENCY. MSP WILL CHARGE FOR SECOND REQUESTS DUE TO INCORRECT FINGERPRINT CODES. **
AUTHORITY: MCL 28.214, MCL 28.273 & MCL 28.162
COMPLIANCE: Voluntary, however failure to complete this Agreement will result in denial of request.
Document Specs
| Fact Name | Fact Description |
|---|---|
| Form Purpose | The RI-030 form is used for submitting a Live Scan fingerprint request to the Michigan State Police for employment or licensing purposes. |
| Governing Laws | This form is governed by Michigan Compiled Laws (MCL) 28.214, MCL 28.273, and MCL 28.162. |
| Privacy Act Compliance | Information submitted through the RI-030 form is subject to the Federal Privacy Act of 1974, which regulates the handling of personal data. |
| Signature Requirement | Applicants must sign the form to authorize the release of their fingerprints and personal information to the requesting agency. |
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