Homepage Blank Michigan Ri 030 Form
Outline

The Michigan RI-030 form plays a crucial role for individuals involved in driver education within the state. Specifically designed for Driver Education Provider Owners, Designated Representatives, and Instructors, this form facilitates the Live Scan Fingerprint Background Check process. It is essential to note that this form is not intended for use by other entities or agencies. Proper completion of the RI-030 is vital before attending an appointment with a Live Scan Vendor, as any omissions or inaccuracies may lead to denial of the request. The form requires key information, including a fingerprint code specific to driver education, an agency ID, and the name of the Michigan Department of State's Driver Education & Testing Section. Additionally, applicants must provide personal details such as their name, date of birth, and contact information. The purpose of this background check is to ensure the safety and security of students and the integrity of the driver education program. Understanding the importance of this form and its requirements can streamline the process and help ensure compliance with state laws.

Sample - Michigan Ri 030 Form

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 Information

Fact Name Details
Purpose of Form The RI-030 form is used for conducting a civil fingerprint-based background check for driver education providers and instructors.
Eligibility This form is exclusively for Driver Education Provider Owners/Designated Representatives and Driver Education Instructors.
Fingerprint Code For the specified roles, the fingerprint code to use is LDE.
Governing Laws The use of this form is governed by Michigan Compiled Laws (MCL) 256.631(2), 256.641(4), 256.649, and 256.679.
Agency ID Applicants must include the agency ID 3720E and the agency name as MDOS Driver Education & Testing Section.
Compliance Requirement While completing the form is voluntary, failure to do so will result in denial of the request for a background check.

Detailed Guide for Filling Out Michigan Ri 030

Completing the Michigan RI-030 form is essential for those involved in driver education, whether as a provider owner, designated representative, or instructor. Ensure you fill out the form accurately before your appointment with the Live Scan vendor for fingerprinting. Follow these steps to complete the form correctly.

  1. In Section I, enter the Fingerprint Reason Code in Box 1. Use the code LDE for Driver Education Provider Owner/Designated Representative or Driver Education Instructor.
  2. In Box 2, input the Agency ID, which is 3720E.
  3. In Box 3, write the Agency Name as MDOS Driver Education & Testing Section.
  4. In Section II, fill in the applicant's details:
    • 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 submit 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
  5. In Section III, the Live Scan vendor will complete the following:
    • 1. Date Printed
    • 2. Picture ID Type Presented
    • 3. Transaction Control Number (TCN)
    • 4. Live Scan Operator
  6. In Section VI, sign and date the form to authorize the release of your personal information for background checks.

Once you have completed the form, bring it with you to your fingerprinting appointment. After the Live Scan vendor has filled out their section, ensure you receive a copy for your records before returning the completed form to the requesting agency.

Obtain Answers on Michigan Ri 030

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

    The Michigan RI-030 form is used to request a civil fingerprint-based background check. This is necessary for individuals seeking employment, volunteering opportunities, or licensing, specifically for Driver Education Providers and Instructors. The form ensures that the background check complies with Michigan laws.

  2. Who should use the RI-030 form?

    This form is exclusively for Driver Education Provider Owners, Designated Representatives, and Driver Education Instructors. Other entities or individuals should not use this form, as it is tailored to specific licensing requirements in the state of Michigan.

  3. What information is required in the RI-030 form?

    The form requires various pieces of information, including:

    • Fingerprint Reason Code
    • Requestor/Agency ID
    • Agency Name
    • Individual ID
    • Personal details such as name, birth date, and address

    All fields must be filled out clearly before the applicant goes for fingerprinting.

  4. What happens if the RI-030 form is not completed correctly?

    If the form is not filled out completely or correctly, the request for the background check may be denied. It is essential to ensure that all information is accurate to avoid delays in the process.

  5. What is the fingerprint code for Driver Education Providers?

    For Driver Education Provider Owners or Designated Representatives, the appropriate fingerprint code to use is LDE. This code must be listed in Box one of the form to ensure proper processing of the background check.

  6. Where should I submit the completed RI-030 form?

    After the form is completed and signed, it should be returned to the requesting agency. The Live Scan vendor will also provide a completed copy of the form to the applicant, which should be kept for personal records.

  7. Is providing my Social Security Number mandatory?

    No, submitting your Social Security Number is optional. However, it is advised not to include it on the form. The focus should be on providing other identifying information as required.

  8. What should I do if I need to correct my identification records?

    If you believe there is an error in your identification record, you should apply directly to the agency that provided the incorrect information. You can also challenge the accuracy of your record with the FBI, which will then coordinate with the original agency to verify or correct the entry.

Common mistakes

Filling out the Michigan RI-030 form can be straightforward, but many people make common mistakes that can lead to delays or denials. One frequent error is neglecting to include the correct fingerprint code. For Driver Education Provider Owners or Instructors, the code must be LDE. If another code is used, it may cause complications in processing the request.

Another mistake occurs when individuals fail to accurately complete the agency ID and agency name sections. The ID should be 3720E, and the agency name must read MDOS Driver Education & Testing Section. Any deviation from these specifics can result in the form being rejected.

Some applicants mistakenly leave out vital personal information in Section II. This section requires details such as the last name, first name, date of birth, and home address. Omitting even one piece of information can lead to delays in processing.

Providing the Social Security Number is also a common point of confusion. The form states that submitting a Social Security Number is optional, but some individuals still include it, which is against the instructions. This can complicate the submission process.

Another error is related to the Live Scan Information section. This part must be filled out by the Live Scan vendor operator at the time of fingerprinting. If this section is incomplete, it may result in the form being returned for corrections.

Some applicants forget to sign and date the consent section. This step is crucial, as it authorizes the release of personal information for background checks. Without a signature, the form cannot be processed.

Inaccurate demographic information can also be problematic. For example, errors in height, weight, or eye color can lead to discrepancies that may delay the application. It is essential to double-check these details before submission.

Individuals sometimes fail to bring the necessary identification to the Live Scan appointment. The form requires a picture ID type to be presented. Not having this ID can result in the inability to complete the fingerprinting process.

Lastly, some applicants do not review the completed form before submission. Taking the time to ensure all information is correct and complete can prevent unnecessary complications and speed up the processing time.

By being aware of these common mistakes and taking steps to avoid them, individuals can ensure a smoother experience when filling out the Michigan RI-030 form.

Documents used along the form

The Michigan RI-030 form is an important document used for conducting fingerprint-based background checks for individuals involved in driver education. Along with this form, several other documents and forms may be necessary to complete the background check process. Below is a list of related forms and documents that are often used in conjunction with the RI-030.

  • Live Scan Fingerprint Submission Form: This form is used to submit the fingerprints electronically to the Michigan State Police. It ensures that the fingerprints are processed accurately and efficiently.
  • Background Check Authorization Form: This document gives permission for the agency to conduct a background check on the individual. It is a critical step to ensure compliance with legal requirements.
  • Driver Education Instructor Application: This form is required for individuals applying to become certified driver education instructors. It collects personal and professional information relevant to the certification process.
  • Agency Identification Form: This form provides the necessary identification details of the agency requesting the background check. It includes the agency's name and identification number.
  • Privacy Notice: This document informs applicants about how their personal information will be used and protected during the background check process. It outlines the rights of the applicants regarding their data.
  • Fingerprinting Appointment Confirmation: This form confirms the details of the appointment for fingerprinting, including the date, time, and location. It is essential for ensuring that the applicant arrives at the correct time.
  • Change of Information Form: If any personal information changes after the initial submission, this form allows individuals to update their records with the agency conducting the background check.
  • Request for Review of Background Check Results: This form is used if an individual wishes to challenge or review the results of their background check. It provides a process for addressing any discrepancies.

These documents work together to facilitate a smooth and compliant background check process for driver education providers and instructors in Michigan. Ensuring that all forms are completed accurately can help avoid delays and complications in obtaining necessary certifications or licenses.

Similar forms

The Michigan RI-030 form is specifically designed for Driver Education Providers and Instructors to request a fingerprint background check. However, there are several other documents that serve similar purposes in different contexts. Here’s a breakdown of six documents that share similarities with the RI-030 form:

  • Child Protection Volunteer (CPV) Form: Like the RI-030, this form is used to conduct background checks for individuals volunteering with children. It requires personal information and a fingerprint code to ensure the safety of minors.
  • School Employment (SE) Form: This document is utilized by educational institutions to screen potential employees. Similar to the RI-030, it mandates a fingerprint background check to ensure the applicant's suitability for working with students.
  • Health Care Employment (HC) Form: Health care facilities use this form to verify the backgrounds of their employees. It also requires fingerprinting and personal identification, much like the RI-030, to maintain patient safety and trust.
  • Professional Licensing Application: Many professional licenses require a background check as part of the application process. This application often includes sections for personal information and fingerprinting, paralleling the requirements of the RI-030.
  • Volunteer Background Check Form: Organizations that engage volunteers often use this form to ensure that their volunteers do not have any disqualifying criminal history. It typically involves a similar process of providing personal details and fingerprints.
  • State Police Background Check Request: This document is used by various entities to request a comprehensive background check from the state police. It shares the fingerprinting requirement and the need for accurate personal information, akin to the RI-030.

Each of these forms plays a crucial role in safeguarding communities by ensuring that individuals in sensitive positions undergo thorough background checks. Understanding their similarities can help streamline the application process for those involved.

Dos and Don'ts

When filling out the Michigan RI-030 form, attention to detail is essential. Here are ten important dos and don'ts to ensure a smooth process.

  • Do read the instructions carefully before starting to fill out the form.
  • Do use the correct fingerprint code, which is LDE for Driver Education Provider Owner/Designated Representative or Driver Education Instructor.
  • Do provide your agency ID as 3720E and the agency name as MDOS Driver Education & Testing Section.
  • Do ensure all fields in the applicant information section are filled out clearly and completely.
  • Do double-check your personal information, including your name, date of birth, and address.
  • Don't submit your Social Security Number; it is optional and not required.
  • Don't forget to sign and date the form before submitting it.
  • Don't leave any required fields blank, as this may lead to delays or denial of your request.
  • Don't use the form for any purpose other than what it is intended for; it is specifically for Driver Education providers and instructors.
  • Don't wait until the last minute to complete the form; ensure it is ready before your scheduled appointment with the Live Scan vendor.

By following these guidelines, you can help ensure that your application process goes as smoothly as possible. Taking the time to fill out the RI-030 form correctly can save you from unnecessary delays and complications.

Misconceptions

Misconception 1: The RI-030 form can be used by anyone.

The RI-030 form is specifically for Driver Education Provider Owners, Designated Representatives, and Driver Education Instructors. Other entities cannot use this form.

Misconception 2: Completing the RI-030 form is optional.

Filling out the RI-030 form is mandatory. Failure to complete it will result in denial of your request for a fingerprint background check.

Misconception 3: The fingerprint code is not important.

The fingerprint code is crucial. For Driver Education Providers and Instructors, you must use the code LDE in Box one of the form.

Misconception 4: You can submit your Social Security Number on the form.

Do not submit your Social Security Number. It is listed as optional but should be avoided.

Misconception 5: Any Live Scan vendor can process the RI-030 form.

You must visit a Live Scan vendor that is authorized to process the RI-030 form. Ensure they are familiar with the requirements.

Misconception 6: The agency ID is not necessary.

The agency ID is essential. You must enter the correct agency ID, which is 3720E, in Box two of the form.

Misconception 7: The form does not require a signature.

A signature is required. You must sign the form to authorize the release of your personal information for the background check.

Misconception 8: The RI-030 form can be filled out after fingerprinting.

The form must be completed before your fingerprinting appointment. Ensure all sections are filled out properly in advance.

Misconception 9: The information on the form is not shared with other agencies.

Your information may be shared with the FBI and other agencies involved in employment, licensing, or security clearances. Be aware of the privacy implications.

Key takeaways

When filling out and using the Michigan RI-030 form, consider the following key takeaways:

  • Intended Users: This form is specifically for Driver Education Provider Owners/Designated Representatives and Driver Education Instructors. Other entities should not use it.
  • Complete Information: Ensure the RI-030 is filled out completely and accurately before your appointment with the Live Scan Vendor.
  • Fingerprint Code: For the fingerprint reason, use code LDE in Box one, as it is designated for Driver Education purposes.
  • Agency Details: Fill in Box two with the agency ID 3720E and Box three with the agency name MDOS Driver Education & Testing Section.
  • Optional Social Security Number: While you may provide your Social Security Number, it is optional and should not be submitted.
  • Live Scan Information: The Live Scan operator must complete Section III during your fingerprinting session. This includes your transaction control number and the type of ID presented.
  • Privacy Considerations: Understand that your fingerprints and personal information may be shared with various agencies for background checks and licensing purposes.
  • Correction Procedures: If you believe your identification record is incorrect, you must apply directly to the agency that contributed the information or to the FBI.