Diversity Information Page 10
Download a blank fillable Diversity Information in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Diversity Information with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
261650 Wabash, Suite D
Springfield, IL 62704
Phone: 217-793-2080
Fax: 217-793-0141
If you are not in Michigan, use these Procedures
Non Resident Live Scan Processing Procedures
Applicants who reside in an area where no L-1 Enrollment Services (L-1) Live Scan machines
are available may use L-1’s Live Scan Processing Program. This program utilizes advanced
scanning technology to convert a traditional fingerprint card (hard card) into an electronic
fingerprint record. Converting a “hard card” into an electronic record enables an applicant to
have their fingerprint record processed as quickly as if they had traveled to a LiveScan machine.
The section below details the procedures for submitting fingerprints to the LiveScan Processing
Unit.
Michigan Licensing
• Applicants should obtain a set of fingerprints from a local law enforcement agency or other
entity that provides fingerprinting services. These fingerprints may be either traditional ink
rolled fingerprints or LiveScan fingerprints.
• Fingerprints may be submitted on FBI applicant cards or fingerprint cards from any other
state or local government agency (we prefer standard FBI applicant cards).
• Applicants need to make sure the fingerprint card is completely filled out. Required
information includes: Full name, date of birth, home address, sex, height, weight, hair color,
eye color, place of birth (state or country only), citizenship, reason fingerprinted and ORI
(Agency ID number or MSP Requester ID number).
• Applicants will need to mail a copy of the appropriate Michigan form (Live Scan Fingerprint
Request Form, Long Term Care Workforce Background Check Form or Licensing Record
Clearance Request Form) with the fingerprint card.
• Failure to completely fill out the information on the fingerprint card or failure to
provide the appropriate Michigan Form (Live Scan Fingerprint Request Form, Long
Term Care Workforce Background Check Form or Licensing Record Clearance
Request Form) will result in the card being returned to the applicant, which will delay
the licensing process.
• The fully completed card, along with the, Live Scan Fingerprint Request Form, Long Term
Care Workforce Background Check Form or Licensing Record Clearance Request Form and
appropriate fee (indicated in the application packet) should then be mailed to the following
address: L-1 Enrollment Services/Live Scan Processing Unit, 1650 Wabash Suite D,
Springfield, IL 62704. Please include a daytime telephone number or email address where
the applicant can be reached if we have a question about the fingerprint card.
• Please include the full name of the applicant on each check or money order.
• Applicants wishing to verify that a fingerprint card has been processed may call 866-226-
2952 and speak with a customer service representative.
L-1 Enrollment Services is now Safran Morpho Trust
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business