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Get MI RI-101 2015-2024

RI-101 05/2010 MICHIGAN STATE POLICE REQUEST FOR PUBLIC RECORDS MICHIGAN FREEDOM OF INFORMATION ACT Print or Type Your Request TO BE COMPLETED BY REQUESTOR METHOD OF ACCESS TO RECORD NAME OF PERSON MAKING REQUEST MAIL TO REQUESTER COMPANY REPRESENTING STREET ADDRESS CITY STATE MAIL TO If Different Than Requester ZIP CODE PHONE NUMBER DATE INSPECT COPIES SIGNATURE OF REQUESTOR YOUR CLIENT OR INSURED STATE POLICE WORK UNIT USE ONLY YOUR FILE NUMBER OFFICIAL RECEIVING REQUEST WORK UNIT DATE RECEIVED TYPE OF REPORT REQUESTED INCIDENT REPORT NUMBER UD-10 TRAFFIC CRASH REPORT Traffic Crash Reports are available on our website at www. michigan*gov/msp and clicking on TCPS* The cost for providing this record is 10. 00. CRIMINAL HISTORY RECORD Michigan Criminal History records are available by visiting our website at www. michigan*gov/msp and clicking on ICHAT. The cost for providing this record is 10. 00. ACTION TAKEN DOCUMENT PROVIDED AT WORK SITE COPY OF REQUESTED RECORD TO FOI UNIT REQUESTED RECORDS UNAVAILABLE AT WORK SITE* REQUEST FORWARDED TO FOI UNIT PHOTOS OTHER NAME REFERRED TO IN RECORD SID NUMBER FBI NUMBER DATE OF BIRTH DRIVER LICENSE NUMBER SOCIAL SECURITY NUMBER voluntary SEX MAILING ADDRESS MICHIGAN DEPARTMENT OF STATE POLICE CRIMINAL JUSTICE INFORMATION CENTER FREEDOM OF INFORMATION UNIT 333 S* GRAND AVE* P. O. BOX 30634 LANSING MI 48909-0634 FAX 517 241-1935 PRISON NUMBER If Any DATE OF EVENT Month/Day/Year LOCATION OF EVENT Street/City/ZIP Code SPECIFIC EVENT TO WHICH RECORD REFERS AUTHORITY 1976 PA 442 COMPLIANCE VOLUNTARY This information is confidential* Disclosure of confidential information is protected by the Federal Privacy Act. michigan*gov/msp and clicking on TCPS* The cost for providing this record is 10. 00. CRIMINAL HISTORY RECORD Michigan Criminal History records are available by visiting our website at www. michigan*gov/msp and clicking on ICHAT. The cost for providing this record is 10. 00. ACTION TAKEN DOCUMENT PROVIDED AT WORK SITE COPY OF REQUESTED RECORD TO FOI UNIT REQUESTED RECORDS UNAVAILABLE AT WORK SITE* REQUEST FORWARDED TO FOI UNIT PHOTOS OTHER NAME REFERRED TO IN RECORD SID NUMBER FBI NUMBER DATE OF BIRTH DRIVER LICENSE NUMBER SOCIAL SECURITY NUMBER voluntary SEX MAILING ADDRESS MICHIGAN DEPARTMENT OF STATE POLICE CRIMINAL JUSTICE INFORMATION CENTER FREEDOM OF INFORMATION UNIT 333 S* GRAND AVE* P. michigan*gov/msp and clicking on ICHAT. The cost for providing this record is 10. 00. ACTION TAKEN DOCUMENT PROVIDED AT WORK SITE COPY OF REQUESTED RECORD TO FOI UNIT REQUESTED RECORDS UNAVAILABLE AT WORK SITE* REQUEST FORWARDED TO FOI UNIT PHOTOS OTHER NAME REFERRED TO IN RECORD SID NUMBER FBI NUMBER DATE OF BIRTH DRIVER LICENSE NUMBER SOCIAL SECURITY NUMBER voluntary SEX MAILING ADDRESS MICHIGAN DEPARTMENT OF STATE POLICE CRIMINAL JUSTICE INFORMATION CENTER FREEDOM OF INFORMATION UNIT 333 S* GRAND AVE* P. O. BOX 30634 LANSING MI 48909-0634 FAX 517 241-1935 PRISON NUMBER If Any DATE OF EVENT Month/Day/Year LOCATION OF EVENT Street/City/ZIP Code SPECIFIC EVENT TO WHICH RECORD REFERS AUTHORITY 1976 PA 442 COMPLIANCE VOLUNTARY This information is confidential* Disclosure of confidential information is protected by the Federal Privacy Act.

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