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(Only New Complaints May Be Filed
On-Line)
Please be aware of the following:
- When your complaint has been submitted, you will be informed of
your Web Complaint Number in your confirmation. Please make an accurate record
of this number.
- 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.
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Complainant Information
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Your
Last Name:
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*
*
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First
Name:
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*
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M.I.:
*
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Your
Street Address:
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*
*
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City:
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*
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Your State:
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Zip Code:
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*
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Your County:
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Your
Home Phone:
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*
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E-mail
Address:
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*
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Your Work
Phone:
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*
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*
Ext:
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Retype your E-mail:
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*
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Fax
Number:
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*
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Company or
Person?
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Complainee Last Name:
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*
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Complainee First Name:
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*
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Company Name:
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*
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Street
Address:
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City:
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*
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State:
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Zip Code:
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*
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County:
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Phone:
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*
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Fax
Number:
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E-mail
Address:
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*
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Web Site
Address:
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*
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Incident Date:
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Incident Time:
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Incident
Location:
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*
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City or
Township:
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Zip Code:
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County:
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Lake/Stream:
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*
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Other Information
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Is a
court action pending?
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Do
you have an attorney representing you on this matter?
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Are you willing to
testify in court regarding this complaint?
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Did
you complain directly to the business?
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If so, who?
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*
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What was
the response from the business?
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If no
complaint was given to the business directly, why?
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Was this
complaint filed with any other agencies?
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If so, who?
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*
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Incident Detail
*
* Limited to 24000 characters
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Please provide any additional relevant information. You have approximately
8-10 typed pages and you may paste text from word processing documents.
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Read the Privacy Policy
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