Form UIA 1005, Registration for Client Level Reporting

Form UIA 1005, Registration for Client Level Reporting -- This form is for use by Professional Employer Organizations (PEOs) to register their clients in compliance with Section 13m of the MES Act (Public Act 383 of 2010). A form UIA 518, with Schedule A and Schedule B, should be completed for each client for whom a UIA employer account number is needed. If a client is involved in a business transfer, Schedule B must also be completed and filed. Any questions about this form should be directed to Tax Status at (313) 456-2080 or by email at TaxStatus@michigan.gov. The completed form should be submitted by any of the following methods to:

US Mail:

Unemployment Insurance Agency
Attn: Tax Status
3024 W Grand Blvd., Ste 11-500
Detroit, MI 48202

Email: TaxStatus@michigan.gov 

Fax: (313) 456-2131