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Get MI LRA UIA 1718 2012

10. Clearly print or type your last name, first name and middle initial. If you worked under a different name or Social Security number, write that information in this box. Enter the employer account number, if available (one digit per box). Put your Social Security number in the boxes (one digit per box and no dashes). Enter the Name of the Company. Place the Federal Employer ID Number (FEIN) as shown on your W-2 in this box. Provide the complete address of the employer (address, city, state, .

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