LEIN Request 22442.pdf
PDF 1 MB Posted
- Solicitation number
- RFQ - 171 - 240000000053
- Issued by
- Alger County, Michigan
About this file
This document is a LEIN Request form from the Michigan Department of Corrections. The form is used to request a criminal history check through the Michigan Law Enforcement Information Network (LEIN) for individuals seeking to enter the secure perimeter or property of an MDOC facility. The information required includes the individual's name, address, date of birth, sex, race, driver's license or state identification number, and authorization for the MDOC to conduct the criminal history and motor vehicle record checks.
The related state and local contract opportunity is for the MBP - Primary Electrical Infrastructure Upgrades project, which has the file number 472/22442.JBB. The project is located in Alger County, Michigan. The bid attachments must be uploaded to SIGMA VSS, and questions should be emailed to the project contact. If there are issues with the electronic submission, the bidder should contact the SIGMA Help Desk or notify the Office of Design and Construction. Emailed proposals may be accepted on a case-by-case basis if approved by the department.
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Other files
| File | Type | Posted |
|---|---|---|
| Addendum 2.pdf | ||
| Technical Specifications.pdf | ||
| Addendum 4.pdf | ||
| Drawings-2.pdf | ||
| DTMB-0415 Advertisement (Rev 10-22).pdf | ||
| Front End Specification.pdf | ||
| Addendum 3.pdf | ||
| Prevailing Wages 231024 Marquette County 22442.pdf | ||
| Addendum 1.pdf | ||
| Drawings-1.pdf |
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Text version
MICHIGAN DEPARTMENT OF CORRECTIONS
LEIN REQUEST
CAJ-1037.
REV. 09/19.
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, date-of-birth, race and sex is needed to complete this LEIN request.
Employment/Human Resources HR Personnel / Requesting
Contractor Visitor Contractor Agency Agency Representing
Volunteer Other Agency Representing Agency Representing
Are you entering the secure perimeter/property of a Michigan Department of Corrections (MDOC) facility? Yes No
Please print information below:
Last Name: 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 MDOC to conduct a criminal history check, so that I may be approved to enter the secure perimeter/property of an MDOC facility to perform work, visit, meet with or work with MDOC offenders.
For MDOC HR/Employment purposes only: I further authorize the Department to check my motor vehicle operator license record for the purposes of determining if I will be allowed to operate a motor vehicle while conducting Department business.
Signature: Date:
LEIN Completed By: Name: Date:
LEIN Cleared: Yes No (Does not apply to Human Resources)
MDOC Employment/HR purposes: Indicate the # of convictions:
Comment (Optional):
hallt2 Text Box Facility/Project Name: MBP - Primary Electrical Infrastructure Upgrades File # 472/22442.JBB
File details come from the government source that posted it. Updated .