Michigan Form Uia 1025 PDF Details

For businesses operating within Michigan, maintaining accurate records with the State's Unemployment Insurance Agency (UIA) is crucial, especially when changes occur in their name or address. The UIA 1025 form, authorized by the Michigan Department of Labor & Economic Growth, is specifically designed for this purpose. This document facilitates the process for employers to inform the agency of any changes in their business name or address, ensuring that their account information remains current. It's essential for employers to submit this form when such modifications take place to guarantee seamless communication and compliance with state regulations. The form also outlines the necessity of including both the physical and mailing addresses of the business, highlighting the specific scenarios that may require the submission of additional documents, such as discontinuance, disposition of business, or changes in corporate structure. Additionally, it mentions the requirement for a Power of Attorney Authorization form if an employer representative's change of mailing address is requested, underlining the importance of proper authorization for such actions. By mandating a signature, title, and telephone number before any changes are accepted, the UIA 1025 form underscores the significance of accountability and proper verification in the update process. Employers are provided with contact information for further assistance, and the option to obtain forms via fax or the UIA website, facilitating easier access to necessary documentation.

QuestionAnswer
Form NameMichigan Form Uia 1025
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesE-Mail, MCL, DBA, gov

Form Preview Example

 

 

 

 

 

State of Michigan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Department of Labor & Economic Growth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UIA 1025

 

 

UNEMPLOYMENT INSURANCE AGENCY

 

 

 

 

 

 

 

 

 

 

 

 

 

Authorized by

 

 

Tax Office

 

 

 

 

 

 

 

 

 

 

 

 

 

(Rev. 03-04)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MCL 421.1, et seq.

 

 

P.O Box 8068 • Royal Oak, Michigan 48068-8068

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

www.michigan.gov/uia

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer Request For Address/Name Change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Employer Name: _________________________________________________________________________________

 

 

UIA Employer Account No.: _________________________

Federal Employer ID No. (FEIN): ________________________

 

 

New Employer Name: ___________________________________________________________________________________

 

 

DBA: _________________________________________________________________________________________________

 

 

E-Mail Address: ________________________________________________________________________________________

 

 

 

PLEASE DO NOT SUBMIT THIS FORM UNLESS THERE HAS BEEN A CHANGE IN NAME OR ADDRESS.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Physical Location of the Business

 

 

Mailing Address

 

 

 

 

 

 

No Post Office boxes, please.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Include both addresses, even if only one has changed.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street:

 

 

 

 

Street:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State:

 

Zip Code:

 

State:

 

Zip Code:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-Mail Address:

 

 

E-Mail Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address is:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer's Telephone Number: (

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Accountant/Employer Rep*

Corporate Office

Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*To request a change of mailing address to an employer representative (CPA, Service Bureau, Attorney, etc.) YOU MUST FILE A POWER OF ATTORNEY AUTHORIZATION FORM.

CHANGING ACCOUNT INFORMATION: If you have discontinued or ceased business activity, discontinued employment, sold or transferred ownership of all or part of your business, formed a new partnership or corporation, merged, or changed your status as a sole proprietorship or corporation, you must file a Report of Discontinuance or Disposition of Business, Form UIA 1772.

To request Form UIA 1772, check here

or call the number(s) listed below.

THE CORRECTION OF A PREVIOUSLY FILED REPORT (UIA 1020) MUST BE MADE ON AN Amended Quarterly Tax Report, Form UIA 1021. Other changes, including FEIN changes or bankruptcy filing, etc., must be submitted in writing with supporting documentation. YOU MUST sign and date this form, giving your title and telephone number, before changes will be accepted.

Preparer: _______________________________________ Title: ___________________________________________

Date: ____________________ Preparer Telephone No.: ( ________ ) _________________________

If you need assistance, telephone 1-800-638-3994, outside Michigan 1-313-456-2180.

Mail this form with your changes to the above address, or fax to (313) 456-2130. If known, indicate your Tax Team ____.

FORMS MAY BE FAXED TO YOU 24 HOURS A DAY BY CALLING: 1-800-638-3994 FORMS CAN ALSO BE OBTAINED ON

OUR WEBSITE: www.michigan.gov/uia.