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Get Arizona Authorization To Change (uc-517) - State Legal Forms
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How to fill out the Arizona Authorization To Change (uc-517) - State Legal Forms online
The Arizona Authorization To Change (uc-517) is an essential form that allows businesses to update their legal mailing address, headquarters address, and email address. This guide provides step-by-step instructions for completing the form online, ensuring a smooth and efficient process for all users.
Follow the steps to fill out the Arizona Authorization To Change (uc-517) online.
- Click ‘Get Form’ button to access the Arizona Authorization To Change (uc-517) form and open it in the editor.
- Begin by entering the business name and current address of record in the designated fields.
- Indicate the date and employer number in the provided spaces.
- For changes in the business’ legal mailing address, fill out the ADDRESS, CITY, STATE, ZIP, and PHONE NUMBER fields.
- Next, fill out the details for the change in the business’ headquarters address, including ADDRESS, CITY, and STATE.
- If applicable, provide the new email address in the specified field.
- Indicate where to mail the Notice to Employer (UB-110) by filling out the corresponding ADDRESS, CITY, STATE, ZIP, and PHONE NUMBER fields.
- The form must be signed by an owner, partner, or corporate officer, indicating authorization for the address changes.
- After completing the form, ensure all details are accurate, then save your changes, and download or print the document for submission.
Complete your documents online now for a hassle-free experience.
You can report changes in the following ways: On-line at Health-e-Arizona Plus (HEAplus) for Medical Assistance. On-line at MyFamilyBenefits for Nutrition and Cash Assistance. By calling 1-855-432-7587 or 1-855-HEAplus. By completing the Change Report form and mailing, faxing, or submitting it to your local DES office:
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