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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). Instead of completing Form 518, a PEO should complete this form for each of their clients 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

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