Get Licensing Record Clearance Request Instructions - Michigan

Completing the Licensing Record Clearance Request is essential for individuals seeking a license in Michigan. This guide provides a clear, step-by-step approach to filling out the form accurately online.

Follow the steps to successfully fill out the licensing record clearance request online.

1. Press the ‘Get Form’ button to access the Licensing Record Clearance Request form and open it in your preferred editor.
2. Carefully read the instructions provided. Ensure you understand the purpose of the form, which includes checking for conviction records and substantiated child abuse or neglect.
3. Fill in Section I with your requestor information. Be sure to include the TCN# provided by the fingerprint specialist after your fingerprinting session. Include your CPA license number and the date you were fingerprinted.
4. Complete the ‘Licensee/Applicant Name’ field. Indicate the county and your license number if applicable. Select the appropriate license/application type by checking only one box.
5. In Section II, provide accurate clearance information. Fill in your full name, marital status, gender, birth date, and any aliases. Ensure all information is printed clearly.
6. Provide your complete address, Michigan driver's license or state ID number, phone number, race, height, and any other states you have resided in during the past five years.
7. Answer the questions regarding previous convictions and substantiated abuse or neglect cases truthfully. If applicable, provide details regarding convictions or substantiations.
8. Sign the form certifying that the information you provided is accurate. Your signature indicates your understanding that personal information will be used for record checks.
9. After filling out the form, review all information for accuracy. Save your changes and ensure you maintain a copy for your records.
10. Submit the completed form as instructed, either by mailing it to the Division of Child Welfare Licensing or through the online submission process if available.

Start filing your documents online today to ensure a smooth licensing process.