Download a print version of the ACP Application Instructions (PDF)
Select NEW if applying for the Address Confidentiality Program for the first time or select RENEWAL if renewing participation in the ACP and please include the ACP ID number.
A person can apply on their own behalf or as parent or legal guardian applying on behalf of a minor (person under 18 years of age) or a ward. If applying on behalf of a minor or ward, you must have the legal authority to act on the person's behalf.
Include legal name, date of birth, gender, phone numbers, and email address.
Indicate any special accommodations that may be needed to receive or send communication to the ACP.
Provide a driver's license/state ID number to be issued a corrected driver's license/state ID card from the Secretary of State with the designated address.
Include the last 4-digits of the Social Security to be issued a corrected driver's license, state ID card, updated voter registration card or to register to vote.
Note: A driver’s license/state ID or social security number is not required to participate in the Address Confidentiality Program.
Select the check box to be exempt from state and local jury duty. ACP does not exempt an applicant from federal jury duty.
Include the name, date of birth, relationship to the applicant and driver's license or state ID (if applicable) of the minor or ward to be included in the ACP.
Complete this section if there are other adults in the household that will be enrolling in the ACP. Please include the name, email address, date of birth and relationship to the applicant. Providing this information will help the ACP link members in the same household.
Each adult must complete and sign a separate application. All adult members of the household are strongly encouraged to participate in the program to prevent accidental disclosure of the confidential address.
Complete this section. The actual physical address of the person applying for the ACP is required for participation.
If the applicant would like mail delivered to an address different than the actual physical address, please fill out the mailing address.
Some state departments, governmental agencies and law enforcement may receive information from the ACP, if a request is deemed a legitimate governmental purpose. If the offender’s occupation could receive access to information, it is especially important to complete this section.
The applicant must be changing their address to be eligible for the ACP.
Check all boxes that apply. One of the following criteria must be met to be eligible for the ACP.
A notarized statement must be included with the ACP application. The notarized statement can be downloaded from the ACP website at mi.gov/agacp.
How to get a document notarized:
Where to find notary services: City and county clerk’s office, banks, credit unions, UPS, FEDEX, your place of employment, colleges, and universities. A list of notaries is also found on the Secretary of State website at Michigan Department of State e-Services.
The Application Assistant or Victim Advocate’s organization may also have notary services.
Check the appropriate box related to voter registration.
To register to vote, complete the ACP Voter Registration Form if you have never been issued a Michigan driver's license or state ID card. The form can be downloaded from the ACP website or by contacting the ACP via email.
Check the box to confirm you have read and understand the acknowledgments and the ACP Privacy Statement.
The applicant or parent/guardian must sign and date the application before it can be submitted to the ACP.
The Application Assistant or Victim Advocate must complete and sign the Office Use Section before it can be submitted to the ACP.
