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2. LENAWEE COUNTY SHERIFFS OFFICE LEIN INFORMATION 

   REQUEST

   1. A pre-employment criminal conviction history (purpose code "J" only) check. "J" is used for background checks on Patrol Officers, Jail Staff, Dispatchers, IT, Vendors, Contractors, or Volunteers that ARE involved in the actual administration of Criminal Justice at the criminal justice agency. 
   2. A pre-employment driving record and status check.

   
   

4. Date:*
   Date:
6. First Name:*
7. Middle Name:
8. Last Name:*
10. D.O.B.
11. Driver's License #:
15. Person Making Request:*
17. Position of Requestor: *
21. Return Date:
23. Instructions:

    After running the CCH place this form, CCH paperwork and Driving History in the Dispatch Sgts tray.

Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field