Ui Form 11-Nc - Notice Of Change
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1NOTICE OF CHANGE
(RETURN THIS FORM ONLY IF THERE ARE CHANGES)
Unemployment insurance employer's account number:
Federal I.D. Number:
If Federal I.D. Number is zeros or if it is incorrect,
please print your correct I. D. number here.
-
CHANGED NAME TO:
CHANGED MAILING ADDRESS TO
SOLD BUSINESS;
All
Part
Effective Date:
Name & Address of Successor:
DISCONTINUANCE OF BUSINESS:
Date Last Wages Paid to Full or Part-Time Workers
Reason You No Longer Pay Wages:
Closed business - Date Closed:
Reason Closed:
Use Subcontractors: Name(s) & Address(es)
Operate Business Without Help. Explain:
Other
Do you anticipate employing workers in the foreseeable
Yes
No
future?
If answer is “YES”, explain:
Name and phone number of person completing this form:
Name
Phone
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Parent category: Financial