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                    (Only New Complaints May Be Filed On-Line)
                         
                        Please be aware of the following: 
                    
                    
                          
                        
                          - This form is only for consumer complaints.Please visit the  robocall complaint form
					                       to submit robocall information.
                            
 
                        - 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 will be sent to the business against whom
                                the complaint is issued. An accurate company Fax number will expedite processing.
                                
 
                                - 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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                    Consumer Information
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                    Your Last Name:
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                    *
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                    First Name:
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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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                    Ext:
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                    Retype your E-mail:
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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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                    Street 
                    Address:
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                    City:
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                    State:
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                    Zip 
                    Code:
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                    County:
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                    Phone:
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                    Fax 
                    Number:
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                    E-mail 
                    Address:
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                    Web Site 
                    Address:
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                    *
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                    Product 
                    Offered:
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                    *
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                    Is This Company or Person:
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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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                    Street 
                    Address:
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                    City:
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                    State:
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                    Zip Code:
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                    County:
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                    Phone:
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                    Fax 
                    Number:
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                    E-mail 
                    Address:
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                    Web Site 
                    Address:
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                    Motor Vehicle Warranty Complaint Information
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                            If your complaint involves motor vehicle manufacturer warranties or non-dealer 
                            service contracts, please fill out this section. Most other auto-related 
                            complaints, including dealer complaints and complaints concerning automotive 
                            repairs and repair facilities, must be filed with the Department of States
                            Bureau of Regulatory Services: 1-888-767-6424
                         
                        
                     
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                    Vehicle 
                    Make, Model, and Year:
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                    Vehicle VIN No.:
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                    *
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                    Incident Date:
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                     Incident Time:
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                    : 
                    
                    
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                    Incident 
                    Location:
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                    *
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                    Approximate 
                    Monetary Value: 
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                    * 
                    ($1.50, 150, $1,500)
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                    Did you 
                    sign a contract?
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                    Where did you 
                    sign this contract?
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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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                    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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                    Complaint Detail/Inquiry Information
                    *
                    * Limited to 24000 characters
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                            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. 
                     
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                     Michigan Attorney General Privacy Policy
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