Michigan Department of Treasury – Identity Theft Unit (Office of Privacy and Security / Disclosure Unit) fax number

Fax destination details

Department

Identity Theft Unit; Disclosure Unit (Office of Privacy and Security)

Purpose

Identity theft information inquiries; requests for disclosure of Michigan tax return information (Form 4095); processing of disclosures by the Disclosure Unit.

Form

Form 4095 — Request and Consent for Disclosure of Michigan Tax Return Information

Address

Office of Privacy and Security / Disclosure Unit, Michigan Department of Treasury, 430 W. Allegan Street, Lansing, MI 48922

Voice phone

517-636-4486

Website

Visit organization website

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Complete Form 4095 and submit to the Office of Disclosure; include required information and payment if applicable; specify the returns/information to disclose and the recipient.