LEIN Request 18414.pdf

This is a Michigan Department of Corrections (MDOC) Vendor/Contractor LEIN Request form (CAJ-1037, Rev. 03/15) used to initiate criminal history background checks for vendors and contractors seeking access to MDOC facilities. The form is associated with a project at Lakeland Correctional Facility for deaerator tank replacement (File #472/18414.SMD). The document requires vendors and contractors to provide personal identification information including driver's license or state identification card number, social security number, date of birth, race, and sex to facilitate completion of a criminal history check through the Michigan Law Enforcement Information Network (LEIN). This LEIN clearance is a mandatory requirement for any individual seeking to visit or conduct business with persons confined in Michigan Department of Corrections facilities.

The form serves as an administrative prerequisite rather than a procurement or pricing document. Vendors and contractors must authorize MDOC to conduct the background check as a condition of facility access. The applicant must provide at least two of three identification types (driver's license, state ID, or social security number). Upon completion, applicants may obtain copies of their Michigan criminal history through www.michigan.gov/ichat for a fee. The form includes space for staff documentation, including the name of the staff member requesting the LEIN check, the individual conducting the check, and completion date with initials.