| |
|
| |
Please be aware of the following:
- Complaints and inquiries become public records when they are
submitted to the Attorney General's office, and under the Michigan Freedom of
Information Act, copies may be subject to disclosure to anyone who asks for
them.
- A copy of the complaint may be sent to other governmental
agencies.
- Please be particularly cautious with information containing your
Social Security number, credit card account numbers, etc. for security purposes.
If you believe it is necessary to submit such information, you should mail that
information and the corresponding complaint instead of sending it
electronically.
- Do not use punctuation when providing names and addresses.
NOTE: Fields labelled in
RED are required values.
|
| |
Complaint
Information
|
| |
|
|
|
|
|
| |
Select Complaint issue:
|
*
|
| |
Have you requested assistance or contacted any state,county or local agencies in regard to this matter?:
|
|
|
|
| |
If so, please list them here:
|
| |
|
|
| |
Complainant/Victim Information
|
| |
Your
Last Name:
|
*
*
|
First
Name:
|
*
*
|
M.I.:
*
|
| |
Your
Street Address:
|
*
*
|
City:
|
*
*
|
|
| |
Your State:
|
*
|
Zip Code:
|
*
*
|
|
| |
Your County:
|
|
Your Cell Phone:
|
*
*
|
|
| |
E-mail
Address:
|
*
*
|
Your
Home Phone:
|
*
*
|
|
| |
Retype your E-mail:
|
*
|
Your Work
Phone:
|
*
*
|
*
Ext:
|
| |
|
|
Fax
Number:
|
*
|
|
| |
|
| |
|
| |
|
|
|
|
|
| |
Company or Person
|
*
|
| |
Complainee Last Name:
|
|
Complainee First Name:
|
|
|
| |
Company Name:
|
*
*
|
| |
Street
Address:
|
*
|
City:
|
*
|
|
| |
State:
|
|
Zip Code:
|
*
|
|
| |
County:
|
|
Phone:
|
*
|
|
| |
Fax
Number:
|
*
|
E-mail
Address:
|
*
|
|
|
|
| |
Web Site
Address:
|
*
|
|
|
|
| |
|
| |
Complaint Detail/Inquiry Information
*
* Limited to 24000 characters
|
| |
Describe your problem, what attempts you have made to correct it, and how you would like to have the problem resolved. You have approximately 8-10 typed pages and you may paste text from word processing documents.
|
| |
|
| |
|
|
|
|
|
| |
|
| |
|
| |
|
| |
|
| |
*
|
| |
|
*
Michigan Attorney General Privacy Policy
|
| |
|
|
|
|
| |
|