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Get Nys Dol Ui Dd

Ntification Number City, village, town or post office State Zip code 2. Power of Attorney (POA) information (List only one POA per form) Firm name Contact name Mailing address Telephone and fax numbers I appoint the above named to represent me for the following designated purposes: a) All UI matters Check this box if you checked box a) above and want your mail sent to the POA address listed above b) UI matters limited to tax rates, elements used to calculate UI tax rates and under/overpa.

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