Form Le 10 PDF Details

In the ever-evolving landscape of employment law and business administration, the state of Illinois has instituted specific forms to streamline processes related to unemployment insurance. Among these, the LE-10 form, officially titled "Power of Attorney for Representing Employer under the Illinois Unemployment Insurance Act," plays a crucial role. This document enables an employer to delegate authority to a representative, allowing them to act on the employer's behalf in dealings with the Illinois Department of Employment Security. This includes addressing matters of liability for contributions, interest, and penalties under the Illinois Unemployment Insurance Act. Additionally, the state provides a special mailing form, denoted as UI-1M, to notify the Department when an employer prefers correspondence to be sent to an alternative address, often involving a third-party or service bureau. This system not only ensures proper representation and streamlined communication but also highlights the state's effort to facilitate the administrative burden on employers, simultaneously safeguarding the integrity of the unemployment insurance system. The LE-10 and UI-1M forms exemplify how targeted administrative tools can support businesses in managing their obligations while ensuring compliance with state regulations.

QuestionAnswer
Form NameForm Le 10
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesides form le 10, il form le 10, Illinois, UI-1M

Form Preview Example

State of Illinois

Department of Employment Security 33 South State Street, Chicago, IL 60603-2802

Power of Attorney for Representing Employer under the Illinois Unemployment Insurance Act

FAX: 312-793-6296

Account No.

Employer

located at

(

)

 

 

 

 

(Street Address, City, State, Zip Code)

 

 

 

Telephone Number

E-mail Address

 

 

 

 

 

hereby authorizes

 

 

 

 

 

located at

(

)

 

 

(Street Address, City, State, Zip Code)

 

 

 

Telephone Number

E-mail Address

 

 

 

 

 

to represent the Employer before the Director in any and all matters, to act in the Employer’s stead with the same consequences as the Employer, and to receive any and all information requested by said Representative pertaining to the Employer’s liability for the payment of contributions, interest and penalties under the Illinois Unemployment Insurance Act, until such time as the appointment is terminated. I understand that my Representative shall be provided information only to the extent that it is requested for one of the purposes set forth in Section 1900 of the Illinois Unemployment Insurance Act [820 ILCS 405/1900].

Signature

Name of Employer

By

Title

Date

LE-10 (Rev. 3/13)

Page 1 of 1

UI-1M (Rev. 3/13)

STATE OF ILLINOIS

DEPARTMENT OF EMPLOYMENT SECURITY

33 SOUTH STATE STREET CHICAGO, IL 60603-2802

UNEMPLOYMENT INSURANCE SPECIAL MAILING FORM

The purpose of this form is to notify the Department of a request to have correspondence sent to an address other than your business address or to terminate a preexisting address. If the requested address being added is for a third party or service bureau, you must also complete the Power of Attorney (LE-10) form.

Employer Name

DBA Name

FAX: 312-793-6296

Illinois UI Account Number

Federal I.D. Number

Note: Each form can be directed to only one address. Therefore, check only once for each form. If your request cannot be contained in its entirety on this form because of multiple addresses, please provide additional copies OF THE FORM:

BIS-32 (Notice to Chargeable Employer)

UI-3/40 (Contribution & Wage Report)

Ben-118/118R Benefit Charge Notice

UI-5A/UI5B (Rate Notice)

Benefit Appeal Notice

SI-5 (Notice of Benefit Earnings Audit)

Effective Date

BIS-32 (Notice to Chargeable Employer)

UI-3/40 (Contribution & Wage Report)

Ben-118/118R Benefit Charge Notice

UI-5A/UI5B (Rate Notice)

Benefit Appeal Notice

SI-5 (Notice of Benefit Earnings Audit)

Effective Date

Signed by

Title

C/O (Name of Representative or Service Bureau)

Street Address

Unit or Suite

 

 

City, State, ZIP

 

 

 

Country

Telephone Number

 

 

E-Mail Address

 

Termination Date

C/O (Name of Representative or Service Bureau)

Street Address

Unit or Suite

 

 

City, State, ZIP

 

 

 

Country

Telephone Number

 

 

E-Mail Address

 

Termination Date

Date

Telephone Number

How to Edit Form Le 10 Online for Free

Using the online tool for PDF editing by FormsPal, you're able to fill in or alter UI-3 here. Our tool is consistently evolving to grant the very best user experience attainable, and that is because of our commitment to continuous development and listening closely to comments from users. Should you be seeking to begin, here's what it's going to take:

Step 1: First, access the tool by clicking the "Get Form Button" in the top section of this site.

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Filling out this document will require care for details. Make sure all required blanks are filled in correctly.

1. The UI-3 necessitates certain details to be entered. Make certain the following blanks are complete:

Stage # 1 for completing UI-1M

2. Just after completing the last part, head on to the next stage and fill in the necessary particulars in all these fields - to represent the Employer before, Signature, Name of Employer, Title, Date, LE Rev, and Page of.

Page of, LE Rev, and to represent the Employer before of UI-1M

3. Completing Employer Name, DBA Name, Illinois UI Account Number, Federal ID Number, Fax, Note Each form can be directed to, BIS Notice to Chargeable Employer, UI Contribution Wage Report, BenR Benefit Charge Notice, UIAUIB Rate Notice, Benefit Appeal Notice, SI Notice of Benefit Earnings Audit, CO Name of Representative or, Street Address Unit or Suite, and City State ZIP is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

UI-1M completion process described (portion 3)

4. This next section requires some additional information. Ensure you complete all the necessary fields - BIS Notice to Chargeable Employer, UI Contribution Wage Report, BenR Benefit Charge Notice, UIAUIB Rate Notice, Benefit Appeal Notice, SI Notice of Benefit Earnings Audit, CO Name of Representative or, Street Address Unit or Suite, City State ZIP, Country Telephone Number, Effective Date, Signed by, Title, EMail Address, and Termination Date - to proceed further in your process!

Step no. 4 of filling in UI-1M

Those who work with this form often make some mistakes when filling out Street Address Unit or Suite in this part. Be sure to revise whatever you enter here.

Step 3: Immediately after looking through the fields you've filled out, press "Done" and you are all set! Join FormsPal right now and instantly obtain UI-3, ready for download. All alterations made by you are saved , letting you modify the file later as needed. FormsPal ensures your data confidentiality with a protected system that never saves or shares any type of private information provided. Be assured knowing your docs are kept safe when you use our tools!

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