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Ia 900 form pdf 2026
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- Click ‘Get Form’ to open the IA 900 form in the editor.
- Begin by filling out the Employer Information section. Enter the legal name, UI Employer Registration Number, mailing address, Federal Identification Number, city, state, and zip code.
- In the Power of Attorney (POA) information section, provide details for one POA. Include the firm name, contact name, mailing address, and telephone/fax numbers.
- Select the designated purposes for which you are granting power of attorney by checking the appropriate boxes. Ensure clarity on whether it covers all UI matters or is limited to specific areas.
- Complete the Retention/Revocation section by acknowledging that this new power of attorney revokes any previous ones for similar purposes.
- Sign and date the form in the Employer’s signature section. If applicable, include your title and affix a corporate seal.
- Ensure that a notary public witnesses your signature unless exempted. Complete any necessary acknowledgment sections as required.
- Finally, have your representative complete their declaration at the end of the form before submitting it.
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