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Click ‘Get Form’ to open the Power of Attorney - Missouri Department of Labor in the editor.
Begin by filling in the Business/Taxpayer section. Enter the name, address, city, state, ZIP code, phone number, FEIN, and UI Tax Number accurately.
In the appointed representative section, provide the name of the representative (business name), their FEIN, phone number, and address details.
Indicate the matters for which you are granting power of attorney by checking the appropriate boxes: UI Tax Matters, UI Claim Matters, or Information Only.
If applicable, check the box for Multiple POA's if there are additional powers of attorney related to this matter.
Sign and date in both the Business Representative/Taxpayer and Appointed Representative sections. Ensure all names are printed clearly.
Finally, mail or fax your completed form to the Missouri Division of Employment Security at the provided address or fax number.

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