Consent for Criminal Background Review through the Michigan State Police

REQUIREMENT FOR ALL PAID STAFF AND ALL VOLUNTEERS INTERACTING WITH A CLIENT
ELECTRONIC SIGNATURE DISCLOSURE AND CONSENT STATEMENT

(Applies to electronic submissions only.)

I understand that, at this time, Region VII AAA is using electronic signatures for on-line submissions of Criminal History Background Report Authorization forms instead of handwritten signatures. Both forms will be completed by me “on-line” and sent electronically to Region VII AAA.
I will use a keypad, mouse, or other computer device to select an item, button, icon, check box, or type any text required in order to confirm my acceptance and agreement to the terms and conditions in this document. By doing so, I consent and agree that my electronic signature on this form shall be acceptable as my authorization to the same degree as if I actually signed this form in writing.

It is my express intent that my electronic signature shall serve as my signature and authorization for the background check which shall include a review of my criminal history. I also agree that it is not necessary for Region VII AAA to independently verify (by itself or through a third party) the authenticity of my electronic signature. The lack of any independent verification shall not affect the effectiveness or enforceability of my electronic signature.

Please type your full name here. By typing your name, you agree to the terms below.
=