Form modes 4444-2026

1. Click ‘Get Form’ to open it in the editor.
2. In Section I, enter your business or taxpayer information, including Name, Address, City, State, Phone Number, FEIN, UI Tax Number, and ZIP Code.
3. Proceed to Section II. Here, appoint your representative by filling in their Name, Phone Number, Address, City, State, and ZIP Code.
4. Select the type of representation by checking either 'UI Tax and Claim Matters', 'UI Tax Only', or 'UI Claim Only'.
5. Indicate if you want to change the employer’s official mailing address by checking the relevant boxes for UI Tax Matters and/or UI Claim Matters.
6. In Section III and IV, ensure that both the Business Representative/Taxpayer and Appointed Representative sign and date the form.
7. Finally, mail or fax the completed form to the Missouri Division of Employment Security at the provided address or fax number.

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