Edit, Download, and Sign the Montana Unemployment Insurance Third Party Form
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How do I fill this out?
Filling out this form is straightforward. Make sure to provide accurate information about both the employer and the third-party administrator. Proper authorization will ensure the TPA has access to necessary UI account information.

How to fill out the Montana Unemployment Insurance Third Party Form?
1
Complete the Employer section with accurate details.
2
Fill out the Third Party Administrator section carefully.
3
Select the relevant authorizations being granted.
4
Sign and date the form as required.
5
Submit the form via the provided methods.
Who needs the Montana Unemployment Insurance Third Party Form?
1
Business owners who require assistance managing unemployment insurance.
2
HR professionals handling employee benefit claims.
3
Accountants offering UI services to clients.
4
Lawyers representing employers in unemployment matters.
5
Third-party administrators managing UI claims for businesses.
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What are the instructions for submitting this form?
To submit the completed form, send it electronically through UI eServices at uieservices.mt.gov or mail it to: UI Contributions, PO Box 6339, Helena, MT 59604-6339. Alternatively, you can fax it to (406) 444-3834. It is advisable to keep a copy of the submitted form for your records.
What are the important dates for this form in 2024 and 2025?
Important dates for submission include annual deadlines for tax filings and benefit claim submissions. It's essential to stay updated on UI reporting dates to avoid penalties. Regularly check for any changes in the submission timeline.

What is the purpose of this form?
The primary purpose of this form is to grant authorization for a third-party administrator to act on behalf of an employer in matters related to unemployment insurance. This delegation can help streamline processes and ensure compliance with state regulations. By using this form, employers can effectively manage their UI responsibilities through qualified representatives.

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

- 1. Employer Details: Includes employer name, UI account number, and contact information.
- 2. Third Party Administrator Details: Captures details about the authorized TPA including their contact info.
- 3. Authorization Scope: Indicates the extent of the TPA's authority concerning UI matters.
- 4. Signatures: Requires the employer's and a witness's signature to validate the authorization.
What happens if I fail to submit this form?
Failing to submit this form can lead to unauthorized access to your UI account by third parties. Additionally, it may delay critical unemployment insurance matters such as claims processing or tax filing. It is important to ensure timely and accurate submission.
- Unauthorized Access: Without a submitted form, unauthorized parties may not be legally allowed to manage your UI matters.
- Claim Delays: Failure to authorize may result in delays in processing unemployment benefit claims.
- Compliance Issues: Incorrect or delayed submissions can lead to compliance problems with the Department of Labor.
How do I know when to use this form?

- 1. Hiring a TPA: When you engage a third-party service to manage your UI.
- 2. Changing Administrators: To switch TPA for ongoing services.
- 3. Facilitating Communication: To enable effective communication regarding claims and contributions.
Frequently Asked Questions
What is this form for?
This form is used to authorize a third party to manage unemployment insurance matters.
Who should fill out this form?
The employer or a person with legal authority to bind the employer should complete this form.
How do I submit the form?
Submit it electronically via UI eServices for Employers or via mail.
What if I need to change my TPA?
You will need to complete a new authorization form for the new third-party administrator.
Can I authorize multiple TPAs?
Yes, each TPA will require a separate authorization form.
What happens after I submit the form?
The authorized TPA will be granted access to your Unemployment Insurance account.
Is there a deadline for submission?
It is best to submit the form as soon as possible to avoid delays.
Can I edit this PDF after downloading?
Yes, you can edit the PDF using our editing tools before downloading.
How do I know if my submission was successful?
You should receive confirmation from the UI division once processed.
Where can I find additional resources?
Check the Montana Department of Labor & Industry website for more information.
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