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uia 1772
uia 1772

Fillable Form UIA 1772 - State of Michigan - michigan

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Michigan.gov/uia 855 484-2636 313 456-2300 UIA 1772 Rev. 8/12 Rick Snyder GOVERNOR Authorized By MCL 421. Employee Leasing companies must complete a separate Form UIA 1772 for each client entity terminating its contract. Michigan.gov/uia or you may send a completed UIA Form 1772 via fax to 313 456-2130 or email to EmployerLiability michigan.gov. If you are mailing this Form please send it to the following...
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