Outdated or Unsupported Browser Detected
DWD's website uses the latest technology. This makes our site faster and easier to use across all devices. Unfortunatley, your browser is out of date and is not supported. An update is not required, but it is strongly recommended to improve your browsing experience. To update Internet Explorer to Microsoft Edge visit their website.
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
UCT-6491-E (Electronic Version - Word/61 KB)
UCT-6491 (Print Version - pdf/21 KB)
Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.