Use the link below to access the Security Form for the Credential Data Exchange (CDX).

The following forms may be typed online using Adobe Acrobat Reader (see below) and then printed. If forms are incomplete or illegible, processing time may be delayed. Fax completed and signed forms to CEPI at (517) 335-0488 (as indicated on the forms).

Security Form

Use the link below to access the Removal Request Form for CEPI and MDE applications

Removal Request Form

These forms require Adobe Acrobat Reader