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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/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.