Get Ac174 Form

Filling out the Ac174 Form online can streamline the process of requesting essential documents related to your legal account. This guide provides clear, step-by-step instructions to help users navigate each section efficiently.

Follow the steps to complete the Ac174 Form online.

1. Press the ‘Get Form’ button to acquire the Ac174 Form and open it in your preferred online editor.
2. Begin by filling out the 'Legal Account Name' section with the official name of your business.
3. In the 'Employer Federal ID#' field, enter your Federal Employment Identification Number. Remember to complete separate forms for any additional numbers you have.
4. Provide your business address in the designated address field clearly and accurately.
5. Complete the 'Billing Contact Information' section by including the name, title, and phone number of the responsible individual.
6. If applicable, indicate the name of any third-party payroll services company used by your organization.
7. In the 'Authorization for State Plan Experience' section, authorize James R. Nelligan & Associates, LLC. Sign your name, fill in your title, and provide a physical signature.
8. Once you have thoroughly completed each section, save your changes.
9. Finally, you can download, print, or share the Ac174 Form as needed.

Complete your documents online with confidence!