How to File a Complaint with MIOSHA - State of Michigan 2026

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The document is a MIOSHA Discrimination Complaint Form provided by the Michigan Department of Labor and Economic Opportunity. It is designed for employees to report discrimination related to workplace safety or health issues. The form collects personal information about the complainant, details regarding their employment status, and specifics about the alleged discrimination incident. It emphasizes the agency's commitment to non-discrimination based on various personal attributes and provides contact information for assistance.

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Click ‘Get Form’ to open it in the editor.
Begin by filling in your personal information in the 'Complainant' section, including your name, date of hire, address, and contact details.
Indicate your current employment status by selecting from options such as 'Still Employed', 'Laid Off', 'Discharged', or 'Suspended'.
Provide details about your employer, including their name, address, and contact number. Also, specify the number of employees and average hours worked.
Complete the sections regarding your job title, department, supervisor's name, and whether you have filed any grievances or complaints related to safety or health.
Detail the discrimination incident by entering the date and time it occurred and explaining why you believe you were discriminated against.
Summarize events related to your complaint in the designated area. If necessary, attach additional sheets for more information.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I do a formal complaint?

It is helpful if you can put your complaint in writing. If you dont feel comfortable doing that, you could ask a friend, carer, family member or an organisation like Citizens Advice to help you. Write complaint at the top of your letter or email, so there can be no doubt.

What are the three ways of making a complaint?

You can complain by phone, in person, or in writing by email or mail. Phone or email first to tell the company about the problem and to try to resolve it. You should be able to learn pretty quickly whether the problem will be resolved.

How to file a complaint against a medical facility in Michigan?

If you are not satisfied with the response you receive, or would like to register a complaint with the State of Michigan, you may do so in one of the following ways: Call the toll free Complaint Hotline at 800-882-6006. Complete a Health Facility Complaint Form (BHS-OPS-361)

How do I file a complaint with the State of Michigan?

If you are a consumer filing a complaint, please use the appropriate complaint form, available from .michigan.gov/difs or by calling DIFS toll-free at 877-999-6442. View the Business to Business Complaint Brochure for additional details on the complaint process.

What is the best way to file a complaint?

File a complaint with government or consumer programs File a complaint with your local consumer protection office. Notify the Better Business Bureau (BBB) in your area about your problem. The BBB tries to resolve complaints against companies. Report scams and suspicious communications to the Federal Trade Commission.

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How do I report a business to the health department in Michigan?

For complaints regarding a retail grocery store, convenience store, party store, processing facility or warehouse, please contact the Michigan Department of Agriculture and Rural Development (MDARD): Phone: 800-292-3939. Email MDARD your complaint. MDARD Online Complaint Report Form.

What does the Michigan Attorney General investigate?

The AG advises and supervises prosecuting attorneys throughout Michigan. The Attorney General also possesses certain investigative powers, including the power to investigate allegations of election fraud and complaints for the removal of public officials.

How do I file a complaint with OSHA in Michigan?

Visit the Workers Rights and Protections webpage to learn more about your rights. Online - Use the Online Complaint Form [Espaol] Fax/Mail/Email - Complete the OSHA Complaint Form [Espaol], or Send a Letter Describing Your Complaint. Telephone - Call Your Local OSHA Office or 800-321-6742 (OSHA)