Uia 1019 form printable-2025

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The document is an Amended Wage Detail Report (UIA 1019) issued by the State of Michigan's Unemployment Insurance Agency. It is used by employers to amend previously submitted quarterly wage details, ensuring compliance with accuracy laws. The form requires information such as employer details, total gross wages, reasons for amendments, and employee wage corrections. Employers must file a separate report for each quarter being amended and may also need to submit an Amended Quarterly Tax Report (UIA 1021) for tax purposes.

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Click ‘Get Form’ to open the UIA 1019 form in the editor.
Begin by filling in the 'Employer Name & Address' and 'UIA Account No.' fields at the top of the form. Ensure that all information is accurate.
Next, provide the 'Federal Employer Identification No.' and 'Quarter Ending Date' for the reporting period.
In Part A, if you are correcting previously reported wages, enter the original Social Security Number from Form UIA 1017. If reporting new employees, leave this section blank.
In Part B, list each employee for whom you are making corrections. Fill in their names, correct Social Security Numbers, and gross wages paid this quarter.
Finally, certify your report by signing and dating it at the bottom of the form. Include your contact information for any follow-up.

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