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How do I fill this out?
To fill out this form, start by entering your employer name and identification number. Then, specify the quarter end date and the payment amount. Finally, ensure all information is accurate before mailing the form with your payment.

How to fill out the Employer's Quarterly Tax Payment Coupon?
1
Enter your employer name and identification number.
2
Specify the quarter end date in MM/DD/YYYY format.
3
Input the payment amount you are submitting.
4
Double-check all information for accuracy.
5
Mail the completed form along with your payment.
Who needs the Employer's Quarterly Tax Payment Coupon?
1
Employers submitting quarterly taxes to UIA.
2
Businesses seeking to maintain compliance with tax regulations.
3
HR departments managing employee payroll taxes.
4
Accountants preparing company tax submissions.
5
Financial officers overseeing company tax liabilities.
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What are the instructions for submitting this form?
To submit this form, mail it along with your payment to the Unemployment Insurance Agency at PO Box 33598, Detroit, MI 48232-5598. Ensure that you write your 10-digit UIA Employer Account Number on your check or money order to ensure proper credit. For any inquiries, you can contact the UIA at (855) 484-2636 for assistance.
What are the important dates for this form in 2024 and 2025?
In 2024, the due dates for this form will be April 25th, July 25th, October 25th, and January 25th for each quarter. For 2025, the dates will remain the same as they generally follow a consistent schedule each year. Always ensure to check for any updates from the Unemployment Insurance Agency.

What is the purpose of this form?
The purpose of the Employer's Quarterly Tax Payment Coupon is to facilitate timely tax payments made by employers to the Unemployment Insurance Agency. This form ensures that payments are properly credited to the employer's account, reducing the risk of penalties. By using this form, employers can maintain compliance with tax obligations.

Tell me about this form and its components and fields line-by-line.

- 1. Employer Name: The legal name of the employer submitting the payment.
- 2. Employer ID Number: Unique identification number assigned to the employer.
- 3. UIA Employer Account No: 10-digit account number to ensure correct payment processing.
- 4. Quarter End Date: The date representing the end of the quarter for which the payment is being made.
- 5. Payment Amount Enclosed: The total amount of money being submitted for payment.
What happens if I fail to submit this form?
If you fail to submit this form, your payment may not be credited to your account, leading to potential penalties. Additionally, the IRS may view this as an indication of non-compliance with unemployment insurance tax laws. It's crucial to submit all required forms accurately and on time to avoid these consequences.
- Penalties: Failure to submit may result in financial penalties imposed by the tax authority.
- Interest Charges: Late payments can accrue interest, increasing the total amount owed.
- Non-compliance Issues: Employers may face compliance issues leading to audits or further scrutiny.
How do I know when to use this form?

- 1. Quarterly Tax Submission: To remit taxes required for unemployment insurance for each fiscal quarter.
- 2. Employer Compliance: To ensure compliance with state and federal unemployment tax requirements.
- 3. Payment Processing: Facilitates the payment process for tax liabilities.
Frequently Asked Questions
What is this form used for?
This form is used by employers to submit quarterly tax payments to the Unemployment Insurance Agency.
How do I fill out the form?
You fill out the form by entering your employer details, quarter end date, and payment amount accurately.
What if I need to edit the PDF?
You can easily edit the PDF on PrintFriendly using our editing tools before submitting it.
How do I submit this form?
You submit the form by mailing it along with your payment to the specified address.
Are there deadlines for submitting this form?
Yes, there are specific due dates for each quarter.
Can I share the completed form?
Yes, you can share the completed form easily on PrintFriendly.
How do I sign the PDF?
You can add your signature directly in the PDF on PrintFriendly.
What information do I need to provide?
You need to provide your employer name, identification number, and payment amount.
Is there a charge for using this form?
Using the form itself is free, but ensure timely payment to avoid penalties.
What happens if I miss the submission date?
Missing the date may result in penalties and interest on your tax payment.
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