Uia 1025 form is an important document for tax purposes. It is used to report income and deductions from specific types of businesses. The form must be completed accurately and filed with the IRS by the due date. There are penalties for not filing on time or for filing inaccurately. Familiarize yourself with the requirements of Uia 1025 so that you can complete the form correctly and file it on time.
Here is some data that may be handy in case you're seeking to find out how much time it will require you to fill out uia 1025 form and how many PDF pages it has.
| 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 | uia 1025, michigan uia form 6347 printable, unemployment medical statement form, uia 1742 medical statement michigan |
|
|
|
|
STATE OF MICHIGAN |
|
|
|
|
||
|
|
|
|
LICENSING AND REGULATORY AFFAIRS |
|
|
|
|
||
UIA 1025 |
|
UNEMPLOYMENT INSURANCE AGENCY |
|
Authorized by |
||||||
|
Tax Oice |
|
||||||||
(Rev. |
|
|
MCL 421.1, et seq. |
|||||||
|
P.O Box 8068 • Royal Oak, Michigan |
|
||||||||
|
|
|
|
|
|
|
|
|||
|
|
|
|
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: ______________________________________________________________________________________________________________ |
||||||||
|
|
|||||||||
|
|
|
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 Oice boxes, please. |
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
||
|
|
|
|
(Include both addresses, even if only one has changed.) |
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
Street: |
|
|
|
Street: |
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
City: |
|
|
|
City: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
State: |
Zip Code: |
- |
|
State: |
Zip Code: |
- |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Mailing Address is: |
|
|
|
|
|
|
Employer's Telephone Number: |
|
|
Accountant/Employer Rep* |
Corporate Ofice 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 trans- ferred 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 ile 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 iling, 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
Mail this form with your changes to the above address, or fax to (313)
FORMS MAY BE FAXED TO YOU 24 HOURS A DAY BY CALLING:
LARA is an Equal Opportunity Employer/Program.