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How to use or fill out the Change of Employer Account Information form

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your EDD account number at the top of the form. This is essential for identifying your account.
  3. Fill in the Corporation/Owner’s Name and Business Name (DBA) fields accurately to reflect your current business details.
  4. Indicate any changes or corrections that apply to your business in section A-1. For example, if you have a new address, enter it in box 1, including city, state, and zip code.
  5. If applicable, mark the appropriate boxes for changes such as Business Name Change or Change of Ownership and provide additional information as required.
  6. Complete sections regarding ownership changes, including new FEIN (Tax ID#) if necessary. Ensure all dates are filled out correctly.
  7. Finally, certify the information by signing and dating at the bottom of the form before submitting it.

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