Get Fingerprint Request Form

Completing the Fingerprint Request Form is an essential step for obtaining your Michigan health professional license. This guide provides clear instructions for filling out the form online, ensuring that you can complete it accurately and efficiently.

Follow the steps to complete the Fingerprint Request Form online.

1. Press the 'Get Form' button to access the Fingerprint Request Form and open it in your preferred editing software.
2. Fill out the top section of the form with your personal information, including your first name, middle name, last name, street address, apartment/building number, city, state, ZIP code, date of birth, and other identifying details like race, height, weight, sex, eye color, and hair color.
3. Indicate your daytime telephone number with area code and the state or country of your birth to provide additional identification.
4. Select the type of license or registration you are applying for from the provided list. Make sure to check the appropriate box and enter the respective Agency ID number.
5. Once all information is accurately filled in, save your changes and download the form for printing.
6. Print the completed form and bring it along with a government-issued picture identification to your fingerprint appointment.
7. Remember to keep copies of the completed form for your records after you have submitted your fingerprints.

Complete your Fingerprint Request Form online today to ensure a smooth application process!