Uia form 1925-2026

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The document is a form from the Michigan Unemployment Insurance Agency for requesting a name and/or address change related to unemployment benefits. It outlines the necessary steps and documentation required for processing these changes, including legal proof for name changes and details for address updates. The form also includes a certification statement regarding the accuracy of the information provided.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your Social Security Number in the designated field at the top of the form.
Select the appropriate box for either a Name Change or Address Change.
If you are changing your name, print your new name and former name in the provided fields. Remember to attach legal documentation supporting your name change.
For an address change, fill in both your old and new addresses, including street, city, state, and zip code.
Provide your telephone number and indicate if you have relocated outside of Michigan for more than four weeks by selecting 'Yes' or 'No.'
Finally, certify that all information is true by signing and dating the form before submission.

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