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- Click ‘Get Form’ to open it in the editor.
- Begin with Part I if you are notifying about termination. Fill in the employer's name and UI account number at the top.
- Enter the effective date of termination in the specified format (Month/Day/Year).
- Select the reason for discontinuation from the provided options, ensuring clarity on your business status.
- If applicable, provide details about any successor in business and their address.
- For corrections, switch to Part II. Update your name, trade name, and business address as necessary.
- Ensure all changes are documented accurately and sign at the bottom before submission.
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