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Get MI UIA 1925 2012

NCE AGENCY www.michigan.gov/uia REQUEST FOR NAME AND/OR ADDRESS CHANGE Social Security Number: Complete using black or blue ink Do not use pencil. CHECK APPROPRIATE BOX: Name Change Address Change NAME CHANGE *FOR A NAME CHANGE, SUBMIT A COPY OF LEGAL PROOF THAT DOCUMENTS THE CHANGE *After you filed your claim for unemployment benefits, you reported your name had changed since you last claimed benefits. Your claim has been processed under your former name. To change your na.

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