Personal Local Background Check

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Use this form to request a check of your own name for any prior criminal contact with our agency. If records are found, they will be provided, or a Letter of Clearance will be issued.

Note: This is not a criminal history check. For statewide criminal history, visit ICHAT Home Page - ICHAT Menu (https://apps.michigan.gov/)

Full Name (Last/First/Middle):

Email Address:

Call Back Number

Phone number to use to contact requestor with additional questions or follow ups

Reason for the request:

Additional Information

Please attach a copy of your identification:

Attachment

File attachments associated with the ticket.

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Acknowledgement of 10-day timeframe:

By submitting this request, I agree that the response time may take up to 10 business days.

Delivery: If records are returned, results may be delivered via...

Other Fields

Your name

Your email address

Verification Code