Edit, Download, and Sign the Request for Name and Address Change Form
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How do I fill this out?
To fill out this form, start by gathering your personal documents that verify your name or address change. Next, accurately input the requested information in the appropriate sections. Finally, review the completed form for any errors before submission.
How to fill out the Request for Name and Address Change Form?
1
Gather supporting documents for name or address changes.
2
Fill in your personal information in the required fields.
3
Indicate the reason for the change clearly.
4
Review the form for accuracy and completeness.
5
Submit the completed form to the appropriate department.
Who needs the Request for Name and Address Change Form?
1
Individuals who have legally changed their name and need to update records.
2
Residents who have moved to a new address and must provide this to the agency.
3
People requiring updates for legal documentation related to unemployment insurance.
4
Anyone who wants to ensure their contact information is current with the UIA.
5
Beneficiaries needing to confirm or change their personal details for claim processing.
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What are the instructions for submitting this form?
To submit this form, you can send it to the UIA's mailing address: UIA, P.O. BOX 169, Grand Rapids, MI 49501-0169. Alternatively, you can fax it to 1-517-636-0427. For further inquiries, you may call our Claimant Customer Relations Hotline at 1-800-638-3995.
What are the important dates for this form in 2024 and 2025?
There are no specific important dates for this form in 2024 and 2025. However, it’s advisable to submit your changes as soon as they occur to avoid complications with your unemployment benefits.
What is the purpose of this form?
The purpose of this form is to facilitate the updating of personal information for individuals receiving unemployment benefits in Michigan. It ensures that the Michigan Unemployment Insurance Agency has accurate contact details for effective communication. Correct information is crucial for processing claims and distributing benefits.
Tell me about this form and its components and fields line-by-line.
- 1. Your Name: Sections for entering first name, last name, and middle initial.
- 2. Social Security Number: Field to provide your social security number.
- 3. Old Address: Field for entering previous address information.
- 4. New Address: Field for entering new address information.
- 5. Telephone Number: Field to provide a contact telephone number.
- 6. Reason for Change: Options to select reasons for the name or address change.
- 7. Signature: Section for the applicant to sign and date the form.
What happens if I fail to submit this form?
If you fail to submit this form, your information with the unemployment agency may remain outdated. This can lead to miscommunication and delays in receiving your benefits. Accurate records are essential for timely processing.
- Outdated Records: Not submitting the form means your records won't reflect your current name or address.
- Benefit Delays: Incorrect information may delay the processing of unemployment benefits.
- Potential Penalties: Failure to provide accurate information may have legal implications.
How do I know when to use this form?
- 1. Name Change: To update your name officially with the agency.
- 2. Address Change: To inform the agency of a new living address.
- 3. Post-Divorce Update: Necessary change following a divorce regarding former names.
- 4. Marital Status Change: Update related to marriage affecting names.
- 5. Relocation: To notify the agency if you have moved out of state.
Frequently Asked Questions
What is this form used for?
The form is used to request a change of name or address for records with the Michigan Unemployment Insurance Agency.
How do I fill out this form online?
You can fill out this form by accessing it via PrintFriendly and using the PDF editor to input your information.
Can I edit this PDF?
Yes, you can edit this PDF using PrintFriendly's editing tools before downloading it.
How do I submit this form?
Submit the completed form by mailing it to the UIA address provided or via fax.
What happens if I don't submit this form?
Failure to submit the form may result in inaccurate records with the agency, affecting your benefits.
Is there a deadline for submission of this form?
While there are no specific deadlines, it is recommended to submit promptly after a name or address change.
Can I share this PDF with someone else?
Absolutely, you can share the edited PDF directly from PrintFriendly.
What if I need assistance with this form?
You can contact the Claimant Customer Relations Hotline for help with this form.
Is my information safe when I edit this PDF?
When using PrintFriendly, your information is secure during editing and sharing.
Can I print this form directly?
Yes, you can print the completed form directly from PrintFriendly after editing.
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