Please rate Fillable Uia 1772 Form Rev. 04-26
Information shown on this report is used to determine termination of liability under Section 24 of the Michigan Employment Security (MES) Act.
Parts II and III: complete Part II and Part III only if your business was sold or transferred.
If not provided: failure to provide this information may result in a determination being made based on information available to Unemployment Insurance.
Penalties: penalties may be imposed under Section 54(a) or 54(b) of the MES Act for an intentional failure to comply with State law.
Records: records describing the transactions in Part I Item 4, Part II and Part III should be kept available for examination by Unemployment Insurance for six years.
| Question | Answer |
|---|---|
| Form Name | UIA 1772 |
| Form Length | 3 pages |
| Fillable? | Yes |
| Fillable fields | 99 |
| Avg. time to fill out | 17 min |
| Edition | Rev 04-26 |
| Issuing agency | Unemployment Insurance Agency |
| Where to send | Unemployment Insurance, Tax Office, PO Box 8068, Royal Oak, Michigan 48068-8068 (if mailing) |
| Other names | UIA 1772, UIA-1772, Form 1772, Notice of Change, Michigan UIA 1772 |
| Official source | UIA 1772 (Rev 04-26), Unemployment Insurance Agency |
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Please rate Fillable Uia 1772 Form Rev. 04-26
