Form 5208C 1 PDF Details

In the dynamic landscape of business, the necessity for organizational adaptability can lead to various changes that are essential to be documented and reported appropriately. The Business Change Form, known officially as FORM 5208C-1, is a pivotal document designed specifically for this purpose. Businesses experiencing a shift in operational parameters, such as a change in the mailing address, a transformation in the principal physical location, adjustments in contact numbers, or even more significant transitions like a change in business activity, ownership, or entity type, find this form indispensable. It serves as a bridge of communication with the Employment Security Department, ensuring that all relevant changes are accurately reflected in the department’s records. Whether a business ceases operations without a successor, continues without employees, or simply updates its name or structure, completing and submitting FORM 5208C-1 becomes a critical step in maintaining compliance and facilitating a smooth transition. Additionally, this form provides a structured approach for businesses to update their federal and state identification numbers, ensuring that all legal and operational records are up-to-date. By addressing these diverse needs through a singular submission, the 5208C-1 form exemplifies the blend of regulatory compliance and operational flexibility, supporting businesses through periods of change.

QuestionAnswer
Form NameForm 5208C 1
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameswa esd business change form, washington state unemployment fillable 5208c 1, 5208 c1 form, suta form 5208c 1

Form Preview Example

Business Change Form

(FORM

5208C-1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USETHISPAGEONLY IFTHEREHASBEEN A BUSINESSCHANGEORIFYOU DO NOT HAVEAN ESREFERENCENUMBER

 

 

 

1) QTRENDING DATE

2) CURRENT FEDERAL ID NUMBER(9-DIGIT)

3) CURRENT UBI NUMBER(12-DIGIT)

4) ESREFERENCENUMBER(9-DIGIT)

M M D D

Y Y

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ENTERCORRECT FEDERAL ID NUMBER(9-DIGITS)

ENTERCORRECT UBI NUMBER(12-DIGITS)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5) IFTHEMAILING ADDRESSOFYOURBUSINESSHASCHANGED, PLEASEENTERNEW INFORMATION INTHEBOXESPROVIDED BELOW.

 

 

 

 

 

 

 

 

 

 

 

NEW MAILING ADDRESS / PO BOX

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CURRENT MAILING ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHECKHEREIFTHISISALSOTHE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHYSICAL LOCATION OFYOURBUSINESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6) CHANGEIN PRINCIPAL BUSINESSPHYSICAL LOCATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(IFYOU CHECKEDTHEBOX ABOVE, SKIPTO ITEM 6A)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STREET OR ROUTE NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6A) HASYOURPHONEORFAX NUMBERCHANGED?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IFYES, ENTERTHENEW NUMBERBELOW

CITY

 

 

 

STATE

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AREA

CODE

PHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BUSINESS E-MAIL ADDRESS

 

 

 

 

 

WEB SITE ADDRESS (URL)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AREA

CODE

FAX NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7)

8)

9)

10)

CEASED BUSINESS- NO SUCCESSOR, PLEASECLOSEACCOUNT (ENTER DATES)

LAST DATE

 

CLOSEACCOUNT

CONTINUING BUSINESS- NO EMPLOYEES, PLEASECLOSEACCOUNT (ENTER DATES)

WAGESPAID

 

ASOFWHAT DATE?

M

M

D

D

Y

Y

 

M

M

D

D

Y

Y

NO LONGERHAVEWASHINGTON EMPLOYEES- PLEASECLOSEACCOUNT (ENTER DATES)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHANGEIN BUSINESSACTIVITY (DESCRIBE)

______________________________________________________________________________________________

(COMPLETE NEW BUSINESS NAME AND UBI # BELOW)

11)

SOLD, LEASED OROTHERWISETRANSFERRED BUSINESS:

 

 

FULL SALE

 

PARTIAL SALE

 

 

 

% OF BUSINESS SOLD: ________ %

 

 

 

 

NEW BUSINESS NAME

 

 

DATE OF SALE

M M D D Y Y

LAST DATE WAGES WERE PAID

M M D D Y Y

NEW OWNER’S LAST NAME

FIRST NAME

 

AREA CODE

 

HOME PHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12)CHANGEIN BUSINESSENTITY

CORPORATION

PARTNERSHIP

ENTER NEW UBI NUMBER (12-DIGITS)

LIMITED LIABILITY COMPANY(LLC)

LIMITED LIABILITY PARTNERSHIP (LLP)

OTHER

NEW BUSINESS NAME

13) NAMECHANGEONLY:

14) CHANGEFORM PREPARED BY- LAST NAME

PREPARER’S E-MAIL ADDRESS

 

FIRST NAMEAREA CODE PHONENUMBER

FAXTHIS FORM TO360-902-9264

EMS 5208C-1 (REV. 3/11)

 

CC 7540-032-821

 

 

 

 

 

OFFICEUSEONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFICE NO.

STAFF ID

DATE

DTO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAIL THIS COMPLETED CHANGE FORM TO:

 

 

EMPLOYMENT SECURITY DEPARTMENT, EMPLOYER STATUS UNIT

PO BOX 9046, OLYMPIA, WASHINGTON 98507-9046

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1. Complete your wa esd business change form with a selection of essential blank fields. Note all of the important information and be sure absolutely nothing is omitted!

The right way to prepare form 5208 c1 step 1

2. Your next step is usually to fill in all of the following blank fields: CEASED BUSINESS NO SUCCESSOR, LAST DATE WAGES PAID, CLOSE ACCOUNT AS OF WHAT DATE, M M D D Y Y, M M D D Y Y, CHANGE IN BUSINESS ACTIVITY, COMPLETE NEW BUSINESS NAME AND UBI, SOLD LEASED OR OTHERWISE, DATE OF SALE, LAST DATE WAGES WERE PAID, FULL SALE, PARTIAL SALE OF BUSINESS SOLD, M M D D Y Y, M M D D Y Y, and NEW BUSINESS NAME.

CLOSE ACCOUNT AS OF WHAT DATE, DATE OF SALE, and PARTIAL SALE OF BUSINESS SOLD in form 5208 c1

3. This third part is generally simple - complete every one of the fields in FIRST NAME, AREA CODE, PHONE NUMBER, OFFICE USE ONLY, OFFICE NO, STAFF ID, DATE, DTO, EMS C Rev CC, FAX THIS FORM TO, and MAIL THIS COMPLETED CHANGE FORM TO in order to finish this segment.

How to fill out form 5208 c1 step 3

Concerning MAIL THIS COMPLETED CHANGE FORM TO and STAFF ID, make sure that you double-check them in this section. The two of these could be the most significant fields in this document.

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