Uia 1025 Form PDF Details

In the complex landscape of employment and business operations, the need for clear communication and accurate record-keeping with state agencies is paramount. Michigan's unemployment insurance system, overseen by the Department of Labor and Economic Opportunity, provides a structured approach to managing these interactions through various forms, one of which is the UIA 1025. This form serves a specific purpose, allowing businesses within the state to request changes to their name or address information on record with the Unemployment Insurance Agency. Designed with clarity in mind, it requires the submission of details such as the current and new employer names, employer account number, federal employer ID number, and both old and new addresses. Furthermore, it emphasizes the significance of updating these details in cases of significant business changes, like mergers, acquisitions, or shifts in operational status, which could also necessitate additional documentation through Form UIA 1772. It's worth noting that the form, while focused on administrative updates, underscores the broader responsibilities businesses have in maintaining up-to-date information with state agencies, ensuring that communication lines remain open and that compliance with legal requirements is upheld.

QuestionAnswer
Form NameUia 1025 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmichigan uia form 6347 printable, uia 1742, uia 1742 medical statement michigan, form uia 1025

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UIA 1025 (Rev.02-20)

RESET FORM

Authorized by

•

MCL 421.1 et seq.

 

TE OF MICHIGAN

 

GRETCHEN WHITMER

DEPARTMENT OF LABOR AND ECONOMIC OPPORTUNITY

SUSAN R. CORBIN

GOVERNOR

UNEMPLOYMENT INSURANCE AGENCY

ACTING DIRECTOR

EMPLOYER REQUEST FOR NAME/ADDRESS CHANGE

ONLY SUBMIT THIS FORM IF THERE IS A NAME OR ADDRESS CHANGE

Current

Former

Employer Name: _________________________________________________________

Employer Account No.:_______________________

Federal Employer ID No.: ______________________________

New Employer Name: ____________________________________________________

 

 

DBA: __________________________________________________________________

 

 

Email Address: ___________________________________________________________

 

 

The Power of Attorney on file is responsible for all mailing to a representative. The address of a representative should not be on this form.

 

Physical Michigan Location of the Business

 

Mailing Address

 

 

 

(No Post Office Boxes)

 

 

 

 

 

 

 

 

 

 

Street Address 1:

 

 

 

Street Address 1:

 

 

 

 

 

 

 

 

City

State

Zip Code

City

State

Zip Code

 

 

 

 

 

 

 

Street Address 2:

 

 

 

Street Address 2:

 

 

 

 

 

 

 

 

City

State

Zip Code

City

State

Zip Code

 

 

 

 

 

 

Employer's Telephone Number:

 

 

Mailing Address belongs to:

 

 

 

 

 

 

 Corporate Office 

 Owner

 

 

 

 

 

 

 

 

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 Form UIA 1772, Notice of Change. You may submit Form UIA 1772 through your Michigan Web Account Manager (MiWAM) or you may download and print the form. Mail the completed form with your changes to: Unemployment Insurance Agency, P.O. Box 8086, Royal Oak, MI 48086, or fax it to 1-517-636-0014.

You can also access your MiWAM account to change your address and other account information. 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.: _______________________

Direct any questions to the Office of Employer Ombudsman (OEO) through your MiWAM account at www.michigan.gov/uia. TTY service is available at 1-866-366-0004.

•

*010252002*

UIA is an equal opportunity employer/program.

 

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You have to fill in the City, State, Zip Code, City, State, Zip Code, Street Address, Street Address, City, State, Zip Code, City, State, Zip Code, and Employers Telephone Number space with the required details.

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