Michigan Live Scan Fingerprint Background Check Form
This form is for conducting civil fingerprint-based background checks for employment, volunteering, or licensing. It is authorized by Michigan law and requires the completion of specific sections. Proper submission is essential to avoid request denial.
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How do I fill this out?
To fill out this form, start by gathering all required information. Ensure you complete each section accurately. After completing the form, return it to the requesting agency.

How to fill out the Michigan Live Scan Fingerprint Background Check Form?
1
Gather necessary documents and information.
2
Complete the authorizing and applicant information sections.
3
Fill out the live scan information accurately.
4
Review all entries for correctness.
5
Submit the completed form to the appropriate agency.
Who needs the Michigan Live Scan Fingerprint Background Check Form?
1
Employers who need background checks for employees.
2
Volunteer organizations requiring background checks for volunteers.
3
Health care facilities needing to verify staff credentials.
4
Educational institutions performing checks on new hires.
5
Licensing boards that require fingerprint submissions for applicants.
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What are the important dates for this form in 2024 and 2025?
Important dates for the submission of this form may vary by agency. It is advisable to check with the requesting agency for specific submission deadlines in 2024 and 2025.

What is the purpose of this form?
The purpose of this form is to facilitate civil fingerprint-based background checks required for various professional and licensing applications. The collected fingerprints and personal information are essential for determining eligibility for employment, volunteering, or obtaining licenses. The process ensures a thorough review of an individual's background to help maintain safety and compliance in various sectors.

Tell me about this form and its components and fields line-by-line.

- 1. Last Name: The applicant's last name.
- 2. First Name: The applicant's first name.
- 3. Middle Initial: The applicant's middle initial.
- 4. Alternative Names: Any other names or aliases used by the applicant.
- 5. Place of Birth: The state or country where the applicant was born.
- 6. Social Security Number: Optional field for the applicant's social security number.
- 7. Date of Birth: Applicant's date of birth.
- 8. Phone Number: Contact number of the applicant.
- 9. Home Address: Residential address of the applicant.
- 10. City: City of residence.
- 11. Sex: Gender of the applicant.
- 12. Race: Race of the applicant.
- 13. Height: Height of the applicant.
- 14. Weight: Weight of the applicant.
- 15. Eye Color: Eye color of the applicant.
- 16. Hair Color: Hair color of the applicant.
- 17. Agency Name: The legal name of the requesting agency.
- 18. Requestor/Agency ID: Unique ID assigned to the agency.
What happens if I fail to submit this form?
If the form is not submitted, the request for a background check will be denied. The applicant may face delays in employment or licensing processes. It is critical to complete and submit the form as required.
- Employment Delays: Failure to submit may lead to delays in getting hired.
- Licensing Issues: Not submitting can result in denial of required licenses.
- Volunteer Opportunities: Without submission, individuals cannot volunteer for certain positions.
How do I know when to use this form?

- 1. Employment Background Checks: Used by employers to verify the background of potential hires.
- 2. Licensing Applications: Submitted for various professional licensing requirements.
- 3. Volunteer Background Verification: Needed by organizations to screen applicants for volunteer positions.
Frequently Asked Questions
What is the purpose of this form?
This form is used for civil fingerprint-based background checks for various purposes, including employment and licensing.
Who can request this background check?
Employers, volunteer organizations, and licensing boards can request this background check.
Can I edit this form online?
Yes, you can edit this form online using the PrintFriendly PDF editor.
How do I fill out this form?
You can fill out the form by gathering required information and completing each section accurately.
What happens if I don't submit this form?
Failure to submit this form will result in the denial of the request for a background check.
Is there a fee for submitting this form?
Fees may apply based on agency policies. Check with the requesting agency for details.
How can I share the completed form?
You can share the completed form through email or social media directly from PrintFriendly.
What if I need to update my information?
You can edit the form again using the PrintFriendly PDF editor to update any necessary information.
What types of identification are needed?
A government-issued photo ID is typically required, such as a driver's license or state ID.
Are there specific deadlines for submission?
Deadlines vary depending on the agency requesting the background check. Check their guidelines for specifics.
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