LIVESCAN FINGERPRINT REQUEST
Instructions for Applicant:
1. Complete APPLICANT INFORMATION below.
2. Schedule an appointment to be fingerprinted:
b. In the Search box, type “Private Livescan Vendors,” and click on Go.
c. Select the
MSP – Private Live Scan Vendors
link for list of vendors.
3. Attend appointment, pay fee, and keep the receipt.
4. Bring picture ID and this completed form to the appointment.
Criminal history report will be forwarded to the Department of State by the Michigan State Police.
Date fingerprinted: __________ Type of picture ID presented: __________
Must provide a picture ID to be printed
Applicant Name _______________________________________________
Last, first, middle
Date of Birth ____________
Applicant address ______________________________________________
Applicant phone number _________________________________________
REQUESTING AGENCY INFORMATION
Agency ID: 1340A
Agency Name: Bureau of Driver and Vehicle Programs
AR–Department of State, Bureau of Driver and Vehicle Programs
**Disclaimer: Any and all fingerprints processed with incorrect fingerprint codes/reasons, etc, are the
applicant’s responsibility. Michigan State Police will charge for second requests due to incorrect