CRIMINAL COMPLAINT/INQUIRY FORM



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?:		YesNo
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:	*

Subject of Complaint

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.


Check if this referral is just to give us information and you do not need us to respond to you directly.
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I certify that the information on this form is true and accurate to the best of my knowledge. *
I consent to releasing to the Michigan Attorney General any information or document relative to the investigation of this complaint. By checking this box, I also certify that I have had the opportunity to review the Michigan Attorney General Privacy Policy before submitting this complaint.				* Michigan Attorney General Privacy Policy

CRIMINAL COMPLAINT/INQUIRY FORM
(Only New Complaints May Be Filed On-Line)
Some issues and complaints that are not initiated by this office and are more appropriate for other agencies. Not all consumer complaints are handled by the Attorney General. By law, many other state and federal agencies assist consumers. Consult the Complaint Directory to find the agency or division that can best help you. Before submitting a complaint Please refer to the Complaint Directory and the FAQ section posted Here to avoid unnecessary delays. Please understand that not all complaints submitted to this office will produce a response. If further information is deemed necessary, our office will contact you.


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