Michigan residents who had personally identifiable information compromised should review our website to determine the steps they should take before completing this form.  

This form is only to be filled out if you believe that you have completed the steps to recover your identity, outlined on the MITS website, and you still require further assistance.

Please do not submit multiple forms for the same issue. Additional submissions may increase your wait time to hear from our office. 

MITS cannot provide personal legal representation.

Question Title

* 1. Was your personally identifiable information compromised?

Examples of personally identifiable information include:
  • Credit Card or Financial Institution Account Numbers;
  • Social security number;
  • Driver's License or governmental identification number;
  • Health insurance identification number(s) or
  • Date of birth.

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