LEIN Request 24055.pdf
PDF 174 KB Posted
- Solicitation number
- RFQ 171 260000000384 1
- Issued by
- Michigan
About this file
This is a LEIN (Law Enforcement Information Network) Request form issued by the Michigan Department of Corrections (MDOC) for the Gus Harrison Correctional Facility Smoke Purge System Repair/Replace project (File #472/24055.DPL). The form is used to initiate criminal history background checks for individuals requiring access to the secure perimeter or property of MDOC facilities. The form requests standard identifying information including driver's license or state identification number, date of birth, race, sex, and full name and address details. The requestor must authorize MDOC to conduct a criminal history check to gain approval for entering secure facility areas to perform work or conduct business related to the project. For MDOC employment and human resources purposes, the form also authorizes the Department to review motor vehicle operator license records to determine eligibility for operating vehicles during Department business activities.
The LEIN form does not contain pricing terms, funding sources, contract award dates, or specific project timelines. This document serves solely as a background clearance mechanism required for facility access as part of the procurement process for the smoke purge system repair project at Gus Harrison Correctional Facility. Completion and clearance of the LEIN request is a prerequisite administrative step rather than a document outlining contract terms, specifications, or financial details related to the repair and replacement work.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 100% CD DrawingsPart-2.pdf | ||
| 100% CD Specifications.pdf | ||
| DTMB0415 Advertisment.pdf | ||
| Service Disabled Veteran Owned Business Info Sheet 2025.pdf | ||
| 100% CD DrawingsPart-1.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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: Gus Harrison C.F. - Smoke Purge System Repair/ Replace
File # 472/24055.DPL
File details come from the government source that posted it. Updated .