Lein form 2026

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4.2 out of 5

139 votes

The document CAJ-193 is a form used by the Michigan Department of Corrections to collect personal information from non-employees for conducting criminal history checks. It requires details such as name, address, driver's license number, social security number, date of birth, race, and sex. The applicant authorizes the Department to check their criminal history and motor vehicle record. It also outlines hiring restrictions based on felony convictions, misdemeanors related to controlled substances, domestic violence involvement, and specifies a waiting period for misdemeanor convictions.

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Click ‘Get Form’ to open the lein form in the editor.
Begin by entering your last name, first name, and middle name in the designated fields. Ensure that all names are spelled correctly for accurate processing.
Fill in your complete address, including city, state, and zip code. This information is crucial for identification purposes.
Provide your driver's license number and social security number. These details are necessary for the criminal history check.
Enter your date of birth, race, and sex in the respective fields. This information helps in verifying your identity.
Review the authorization statement regarding the criminal history check and motor vehicle operator license record. Make sure you understand what you are consenting to.
Sign and date the form at the bottom to confirm your authorization. Your signature is essential for processing your request.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (120 Votes)
2006	4.2 Satisfied (139 Votes)

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