Licensing Record Clearance Request form (BCAL 1326A - FP) and Livescan Fingerprint Background Check Request (RI-030).

Livescan Fingerprints are required for an applicant licensee, licensee designee, and authorized representative (HFA Only).

The Adult Foster Care/Homes for the Aged Licensing Record Clearance Request (BCAL 1326A-FP) and the Livescan Fingerprint Background Check Request (RI-030) forms must be submitted to licensing unit together. To obtain a copy of the BCAL 1326A - FP and the RI-030 please contact the licensing unit at 1-866-685-0006.

Note: If you are fingerprinted prior to the filing of an application or prior to notifying your licensing consultant of a change in Licensee Designee, you may have to be re-fingerprinted at your additional expense.

Fingerprint Approved Vendor's Contact Information

Please note: For direct care staff and employees who work in licensed AFC & HFA settings fingerprinting is done through the Workforce Background Check (WBC) program. Please continue the criminal history background check process established for these individuals. 
 

Background Check Information

Licensing Record Clearance Request form (BCAL 1326A – NFP)

Adult household members are not fingerprinted. However, adult household members must complete the Adult Foster Care/Home for the Aged Licensing Record Clearance Request (BCAL-1326A-NFP) form and submit the form to licensing unit.

AFC/HFA Licensing Record Clearance Request, BCAL-1326A-NFP

Related Documents:

Background Checks for Adult Foster Care (AFC) MCL 400.734b
Background Checks for Home for the Aged (HFA) MCL 333.20173a