LEIN Request 19496.pdf
PDF 41 KB Posted
- Solicitation number
- RFQ - 171 - 200000000185
- Issued by
- Gratiot County, Michigan
About this file
This document is a LEIN (Law Enforcement Information Network) request form for the Michigan Department of Corrections (MDOC) to conduct a criminal history check on a vendor or contractor. The purpose is to approve the individual for access to MDOC facilities for a project at the St. Louis Correctional Facility involving structural repairs and replacements. The form requests the individual's personal information, including date of birth, race, sex, and state-issued identification number, to complete the LEIN check. The contract opportunity is identified as file #472/19496.SDW for the St. Louis CF - Structural Repairs / Replacements project.
The contract opportunity document provides additional details, including instructions for submitting questions (via email, not through the online system), requirements for uploading bid attachments to SIGMA VSS, and guidelines for email submissions. Vendors are advised to check for any last-minute addenda and to verify if the pre-bid meeting has been postponed due to potential poor travel conditions.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Drawings 2020-02-21.pdf | ||
| Addendum 3 19496.pdf | ||
| Addendum No. 5.pdf | ||
| DTMB-0414 (Addendum 2) 19496.pdf | ||
| Addendum No. 1.pdf | ||
| Addendum No. 4.pdf | ||
| Advertisement 19496.pdf | ||
| Specifications 2020-02-21.pdf |
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Text version
MICHIGAN DEPARTMENT OF CORRECTIONS
VENDOR/CONTRACTOR LEIN REQUEST
CAJ-1037
REV. 04/18
Please provide the information requested below. This information will be used to complete a criminal history check in the Michigan Law Enforcement Information Network (LEIN).
Your Driver’s License Number or State Identification Card Number is needed to complete this LEIN. Also needed are your date-of-birth, race and sex. Potential entry into MDOC facilities require that this LEIN check be completed and cleared.
Profession Vendor Contractor
Last Name (Please Print) First Name Middle Name
Address
City State Zip Code
Date of Birth Sex Race
Please provide the number of one of the following types of identification:
Driver’s License # State issued by
State ID # State issued by
I authorize the Michigan Department of Corrections to conduct a criminal history check, so that I may be approved to visit/meet with persons confined in a Michigan Department of Corrections facility.
Signature Date
Staff Use Only
Reason for LEIN Check
Staff requesting LEIN Check
LEIN Checked by
LEIN Clear Yes No, You may obtain a copy of your Michigan criminal history at www.michigan.gov/ichat. There is a fee for this service.
LEIN Check completed by Initials Date http://www.michigan.gov/ichat hallt2 Text Box Facility/Project Name: St Louis Correctional Facility - Structural Repairs / Replacements File # 472/19496.SDW
File details come from the government source that posted it. Updated .