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Fillable Request for Form 1099-G Mail To: UIA 1099-G P.O. Box 169 Grand ... - michigan

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UIA 1920 (Rev 08-11) State of Michigan Department of Energy, Licensing and Regulatory Affairs Authorized by MCL 421.1, et seq UNEMPLOYMENT INSURANCE AGENCY Request for Form 1099-G Reset Form Mail To: UIA 1099-G P.O. Box 169 Grand Rapids, Michigan 49501-0169 Fax To: 1-517-636-0427 Need Help! Call our Inquiry Line at: 1-800-500-0017 (TTY customers use 1-866-366-0004) Form 1099-G reports the total taxable...
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