Uia 1025 Form – Fill Out and Use This PDF

Updated: Oct 31, 2026

The UIA 1025 form, authorized by Michigan legislation, is a critical document for employers seeking to update their name or address with the Michigan Department of Labor and Economic Opportunity's Unemployment Insurance Agency. It exclusively serves for changes in the employer's name or address, not for updates in ownership, business structure, or other significant administrative changes which require a different procedure. To ensure your business's information is current and compliant, consider filling out the UIA 1025 form by clicking the button below.

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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.

Question	Answer
Form Name	Uia 1025 Form
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	michigan uia form 6347 printable, uia 1742, uia 1742 medical statement michigan, form uia 1025

How to Fill Out Form UIA 1025

Form UIA 1025 at a glance

What it is: Form UIA 1025 is the Employer Request for Name/Address Change, authorized by MCL 421.1 et seq.

Who signs: You MUST sign and date this form, giving your title and telephone number, before changes will be accepted.

Only submit this form if there is a name or address change.

A filled-in Form UIA 1025 example: an employer reports a new name and address

Form UIA 1025 example filled out, example: an employer reports a new name and address — Maple Works LLC files Form UIA 1025 to report a new name. The business has one Michigan location, with a mailing address that belongs to the owner. The picture shows the filled form, and every value in it is made up. Because the owner is the mailing address holder, nothing goes in Corporate Office. The business has one street line for each address, so the second Street Address and City State Zip Code lines stay empty. The owner signs and dates the form with a title and telephone number.

How to fill out Form UIA 1025, box by box

Employer names, account number and email

Enter the Former Employer Name, the Employer Account No. and the Federal Employer ID No.

Enter the New Employer Name, the DBA and the Email Address.

Physical Michigan Location of the Business

Under Physical Michigan Location of the Business (No Post Office Boxes) and Mailing Address, enter Street Address 1, City State Zip Code, Street Address 2 and City State Zip Code.

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.

Mailing Address belongs to

Enter the Employer's Telephone Number. Mailing Address belongs to: Corporate Office or Owner.

Signing the form

You MUST sign and date this form, giving your title and telephone number, before changes will be accepted.

Enter Preparer, Title, Date and Preparer Telephone No.

More rules for Form UIA 1025

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.

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.

Sources

[1] Form UIA 1025 (Rev. 02-20), Employer Request for Name/Address Change, Michigan Unemployment Insurance Agency (the Official source link on this page).