Attorney General Michigan.gov banner
Michigan.gov Home AG Home  |  Site Map
COMPUTER/INTERNET CRIME AGAINST CHILDREN COMPLAINT FORM
 
  (Only New Complaints May Be Filed On-Line)
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.
  • It is very important that you also send by regular mail, fax, or e-mail, copies of documents which relate to your complaint. Examples: Websites, e-mail messages, screen name(s). DO NOT SEND ORIGINALS. Please make certain your documents have the Web Complaint Number on them so that we are able to match your information with your complaint. All documents should be on 8-1/2" x 11" paper. 

NOTE: Fields labelled in RED are required values. 


 
           
  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:    
 
 
           
  Screen Name:   E-mail Address:     
  Web Site Address:        
           
         
  Complainee Last Name:   Complainee First Name:    
  Street Address:   City:    
  State: Zip Code:    
  County: Phone:     
  Fax Number:        
 
 
           
  Name of Child Victim:   Age of Child Victim:    
  Screen Name of Child Victim:        
  Incident Date:     Incident Time: :  
  Incident Location:      
  Is a court action pending?    
  Are you willing to testify in court regarding this complaint?    
  Was this complaint filed with any other agencies? If so, who?  
 
  Complaint Detail/Inquiry Information    
 

Please provide any additional relevant information. You have approximately 8-10 typed pages and you may paste text from word processing documents. Include screen names, email addresses or any websites that are involved.

 
           
 
 
 
 
 
   
   
Read the Privacy Policy
           
 

Michigan.gov Home |  AG Home  |  State Web Sites 
 Privacy Policy  |  Link Policy  |  Accessibility Policy  |  Security Policy  |  AG Privacy Policy  |  AG Web Disclaimer  | Michigan News | Michigan.gov Survey
NOTE: This page is provided for informational purposes only. The Michigan Department of Attorney General does not endorse or promote any of the products or sites listed on the following pages. All information provided was gathered from publicly available web sites, and the department assumes no responsibility for its accuracy.

State of Michigan   ·   Copyright © 2001 - 2017   ·   All Rights Reserved