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The Michigan RI-030 form serves a critical 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 obtaining a Live Scan fingerprint background check. It is important to note that this form is not applicable to other entities or agencies. To ensure a smooth process, applicants must complete the RI-030 thoroughly before their appointment with the Live Scan vendor. The form includes sections for authorizing information, applicant details, and Live Scan specifics. In the authorizing information section, applicants must provide a fingerprint reason code, agency ID, and agency name, while the applicant information section collects essential personal details. The Live Scan information section requires input from the Live Scan operator at the time of fingerprinting. Adherence to the form's instructions is crucial, as any errors may lead to delays or denials of requests. The RI-030 is authorized under various Michigan Compiled Laws and is vital for compliance with legal requirements for employment, licensing, or volunteer opportunities in driver education.

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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.

Form Specifications

Fact Name Details
Purpose of the RI-030 Form 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 RI-030 is governed by several Michigan Compiled Laws (MCL), including 256.631(2), 256.641(4), 256.649, and 256.679.
Fingerprint Code Requirement Applicants must use the fingerprint code LDE in Box one of the form to identify the reason for the background check.
Agency Identification Box two and three require the agency ID (3720E) and the agency name (MDOS Driver Education & Testing Section) for proper identification.
Voluntary Compliance While completing the form is voluntary, failing to do so will result in the denial of the background check request.

Michigan Ri 030: Usage Guidelines

Completing the Michigan RI-030 form is essential for those seeking a fingerprint background check for driver education purposes. It is crucial to ensure that all information is accurate and complete before your appointment with the Live Scan vendor.

  1. Start with Section I: Authorizing Information. Fill in the Fingerprint Reason Code with LDE.
  2. Enter the Requestor/Agency ID as 3720E.
  3. Provide the Agency Name as MDOS Driver Education & Testing Section.
  4. For Individual ID, enter a unique identifier such as a state-issued licensing number.
  1. Move to Section II: Applicant Information. Clearly print your Last Name, First Name, Middle Initial, and Suffix.
  2. If applicable, list any Alternative Names or Aliases.
  3. Optionally, include your Social Security Number (do not submit it).
  4. Fill in your Place of Birth, Date of Birth, and Phone Number.
  5. Provide your Driver's License/State ID Number and Issuing State.
  6. Complete your Home Address, City, State, and ZIP Code.
  7. Indicate your Sex, Race, Height, Weight, Eye Color, and Hair Color.
  1. Proceed to Section III: Live Scan Information. Leave the Date Printed blank; this will be filled in by the Live Scan vendor.
  2. Specify the Picture ID Type Presented during your appointment.
  3. Obtain the Transaction Control Number (TCN) from the Live Scan operator.
  4. Have the Live Scan Operator enter the Individual ID into the Miscellaneous Number (MNU) field on the Live Scan device.
  1. Finally, review the Privacy Act Statement and sign and date the form at the end of Section VI: Consent.
  2. Return the completed form to the requesting agency after your fingerprinting session.

Your Questions, Answered

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

The Michigan RI-030 form is designed specifically for conducting civil fingerprint-based background checks. This is essential for individuals seeking employment, volunteering, or licensing, particularly in the field of driver education. The form ensures that the necessary background checks are authorized and processed correctly.

Who should use the RI-030 form?

This form is intended solely for Driver Education Provider Owners, Designated Representatives, and Driver Education Instructors. It should not be utilized by any other entities or agencies. If you do not fit into these categories, you will need to find the appropriate form for your situation.

What information is required in Section I of the form?

In Section I, you must provide the fingerprint reason code, which identifies the purpose of the background check. For driver education roles, the code is LDE. You will also need to include the agency ID (3720E) and the agency name, which is the MDOS Driver Education & Testing Section. This section is crucial for ensuring that your request is processed correctly.

How do I fill out the applicant information section?

Section II is where you provide demographic information about the applicant. This includes the last name, first name, middle initial, any alternative names, date of birth, and other personal details. It’s important to fill this out accurately to avoid any delays in processing your background check.

What is the significance of the Live Scan information section?

Section III must be completed by the Live Scan vendor operator during the fingerprinting process. This section includes details such as the date printed, the type of picture ID presented, and the transaction control number. This information is vital for tracking and verifying the fingerprint submission.

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

If the RI-030 form is not filled out completely and correctly, your request for a background check may be denied. It is crucial to review all sections of the form before your appointment with the Live Scan vendor to ensure that everything is accurate.

Is providing my Social Security Number mandatory on the RI-030 form?

No, providing your Social Security Number is optional and should not be submitted with the form. However, ensure that all other required fields are completed to avoid any issues with your background check.

What should I do if I find an error in my identification record after submission?

If you discover an error in your identification record, you should contact the agency that provided the information directly. You may also challenge the accuracy of your record with the FBI’s Criminal Justice Information Services Division. They will facilitate the process of verifying and correcting any inaccuracies.

What is the privacy policy regarding the information submitted on the RI-030 form?

Your personal information and biometric data will be used solely for the purpose of conducting the background check. While your fingerprints may be retained by the FBI for future comparisons, this information is protected under the Privacy Act of 1974, and it may only be disclosed under specific circumstances.

How do I ensure my application is processed smoothly?

Common mistakes

  1. Incorrect Fingerprint Code: Using the wrong fingerprint code can lead to delays or denials. Ensure you use the correct code, which is LDE for Driver Education Provider Owners or Instructors.

  2. Omitting Required Information: Failing to fill out all necessary fields can result in processing issues. Each section must be completed accurately.

  3. Wrong Agency ID: Entering an incorrect agency ID can cause the application to be rejected. Always verify that the agency ID is 3720E.

  4. Not Using Legal Agency Name: The agency name must match the name recognized by the Michigan Department of Education. Any discrepancies can lead to complications.

  5. Submitting Social Security Number: The form explicitly states that the Social Security Number should not be submitted. Ignoring this can lead to privacy concerns.

  6. Incomplete Live Scan Section: The Live Scan Information section must be filled out by the vendor at the time of fingerprinting. Incomplete information here can delay processing.

Documents used along the form

The Michigan RI-030 form is essential for individuals seeking a Live Scan Fingerprint Background Check, particularly for Driver Education Providers and Instructors. Along with this form, several other documents may be required or beneficial during the background check process. Here’s a list of related forms and documents that are commonly used in conjunction with the RI-030.

  • Live Scan Vendor Agreement: This document outlines the terms and conditions between the applicant and the Live Scan service provider, detailing services, fees, and responsibilities.
  • Background Check Consent Form: A form that grants permission for the background check to be conducted, ensuring that the applicant understands the process and its implications.
  • State Identification Card or Driver's License: A valid photo ID is often required to verify the identity of the applicant at the time of fingerprinting.
  • Employment Application: If the background check is for employment purposes, this application may need to be submitted alongside the RI-030 form to provide additional context about the applicant.
  • Proof of Residency: Documents such as utility bills or lease agreements may be required to confirm the applicant's current address, which is often part of the background check process.
  • Social Security Number Disclosure Form: Although the RI-030 advises against submitting the Social Security Number, some agencies may require a separate form for disclosure under specific circumstances.
  • Fingerprinting Instructions: This document provides detailed guidelines on how to prepare for the fingerprinting session, including what to bring and what to expect.
  • Criminal History Disclosure Form: Applicants may need to disclose any past criminal history, which can be relevant to the background check process.
  • Affidavit of Truthfulness: A sworn statement confirming that all information provided in the background check process is accurate and complete, helping to prevent fraud.

These documents work together with the Michigan RI-030 form to ensure a smooth and efficient background check process. Having all necessary forms prepared in advance can help avoid delays and ensure compliance with state requirements.

Similar forms

The Michigan RI-030 form is specifically designed for Driver Education Provider Owners, Designated Representatives, and Instructors to request a Live Scan fingerprint background check. Several other documents serve similar purposes in various contexts. Here’s a list of eight documents that are comparable to the RI-030 form:

  • School Employment Background Check Form: This form is used by educational institutions to conduct background checks for potential employees, ensuring a safe environment for students.
  • Child Protection Volunteer Form: Organizations that work with children often require this form to verify the backgrounds of volunteers, helping to protect minors from potential harm.
  • Health Care Employment Background Check: This document is essential for healthcare providers to screen employees, ensuring that individuals in sensitive positions have no disqualifying criminal history.
  • Professional Licensing Application: Many professions require applicants to submit a background check as part of the licensing process to ensure they meet the standards of conduct for their field.
  • State Police Background Check Request: This form allows individuals or organizations to request a comprehensive background check from the state police, often needed for employment or legal reasons.
  • FBI Criminal Background Check Request: Individuals may need to submit this form to obtain a federal background check, which is often required for jobs in government or sensitive positions.
  • Security Clearance Application: This document is used by individuals seeking a security clearance, requiring a thorough background check to determine eligibility for access to classified information.
  • Tenant Screening Application: Landlords often use this form to conduct background checks on potential tenants, ensuring they have a reliable rental history and no criminal background that could pose a risk.

Each of these forms serves to verify the background of individuals in various contexts, similar to the Michigan RI-030 form.

Dos and Don'ts

When filling out the Michigan RI-030 form, it is important to follow specific guidelines to ensure that your application is processed smoothly. Here are some dos and don’ts to keep in mind:

  • Do ensure that you use the correct fingerprint code, which for Driver Education Provider Owner/Designated Representative or Driver Education Instructor is LDE.
  • Do clearly print or type all information in the applicant section to avoid any confusion.
  • Do include the agency ID, which is 3720E, and the agency name, MDOS Driver Education & Testing Section.
  • Do verify that all sections of the form are completed before your appointment with the Live Scan Vendor.
  • Don’t submit your Social Security Number; it is optional and not required.
  • Don’t leave any fields blank; every section must be filled out completely.
  • Don’t use this form if you are not a Driver Education Provider Owner/Designated Representative or a Driver Education Instructor.
  • Don’t forget to sign and date the form before submitting it to the requesting agency.

Misconceptions

Understanding the Michigan RI-030 form can be challenging, and several misconceptions can lead to confusion. Here are five common misunderstandings about this form:

  • Only certain individuals can use the RI-030 form. Many people think that anyone can submit this form for fingerprinting. In reality, it is specifically for Driver Education Provider Owners, Designated Representatives, or Driver Education Instructors. Other entities should not use this form.
  • Submitting the form is optional. Some may believe that completing the RI-030 is not mandatory. However, it is crucial to understand that failing to fill out this form properly can result in the denial of your request for a background check.
  • Fingerprint codes are interchangeable. A common misconception is that any fingerprint code can be used on the form. Each code serves a specific purpose. For Driver Education purposes, you must use the code LDE, as other codes may not be accepted.
  • Personal information is not important. Some individuals might think that the demographic information requested on the form is trivial. In fact, this information is essential for accurately processing your background check and linking your fingerprints to your identity.
  • The agency ID is optional. There is a belief that the agency ID can be skipped if you forget it. This is incorrect. The agency ID is mandatory and must be included for the request to be processed.

By clarifying these misconceptions, individuals can ensure they complete the RI-030 form correctly and avoid potential delays in their background check process.

Key takeaways

Key Takeaways for the Michigan RI-030 Form

  1. The RI-030 form is specifically designed for Driver Education Provider Owners, Designated Representatives, and Driver Education Instructors. Other entities should not use this form.
  2. Complete all sections of the form accurately before your appointment with the Live Scan Vendor. Incomplete forms may lead to delays or denials.
  3. In part one, use the fingerprint code LDE, and ensure the agency ID is 3720E with the agency name as MDOS Driver Education & Testing Section.
  4. After fingerprinting, return the signed and completed document to the requesting agency. The Live Scan operator will also provide a copy to the applicant.