Uia 4101-2026

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Click ‘Get Form’ to open the UIA 4101 in the editor.
Begin by entering your Employer Name in the designated field. This ensures that your payment is correctly attributed to your account.
Next, input your Federal Employer ID Number. This number is crucial for identification purposes and must be accurate.
Enter your UI Employer Account Number carefully. Double-check this number to avoid any issues with crediting your payment.
Fill in the Quarter End Date using the MM/DD/YYYY format. This date indicates which quarter you are making a payment for.
Finally, specify the Payment Amount Enclosed. Ensure this amount matches what you intend to send.
Once all fields are completed, review your entries for accuracy before printing or saving the document for mailing.

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