Account Change Information

Document Number:  UCT-6491-E

Description:  This form is used by employers to report changes in name, address, telephone or business operations or to report a Federal Employer Identification Number (FEIN).

Comments:  This form is an electronic Microsoft Word template that can be filled out on your computer (if you have Microsoft Word).  If you do not have Microsoft Word, we are providing a .pdf (UCT-6491) which you can print and complete by hand.  Questions or comments regarding this form please contact the UI Tax & Accounting Staff

Content Contact:  UI Tax & Accounting Staff

Document Attachment: 

UCT-6491-E (Electronic Version - Word/64 KB)

UCT-6491 (Print Version - pdf/13 KB)

*** If you need to access this form in an alternate format, please send an email to the Content Contact listed above.

*** Should you require the necessary software to view the above attachment, please go to the DWD Viewers Download Page.  Links to each specific vendor's site have been provided for you.  Thank you.