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UI-50A (Rev. 04/01) IL 427-00016 Stock No. 7193 STATE OF ILLINOIS DEPARTMENT OF EMPLOYMENT SECURITY 401 SOUTH STATE STREET CHICAGO ILLINOIS 60605-1229 NOTICE OF CHANGE Employer Name DBA Name ACCOUNT

How to fill out notice of change

How to fill out a notice of change:

1. Begin by obtaining the appropriate notice of change form. This form can typically be obtained from your local government agency or downloaded from their website.
2. Fill out the top section of the form with your personal information, including your name, address, and contact details. This is important to ensure that the agency can reach you if any further information is needed.
3. Next, specify the reason for the change. Whether it is a change of address, marital status, or any other relevant information, make sure to clearly indicate the specific change that is occurring.
4. Provide any supporting documentation that may be required. Depending on the nature of the change, you may need to include official documents such as marriage certificates, court orders, or proof of address.
5. Sign and date the notice of change form to confirm that the information provided is accurate and true.
6. Submit the completed form to the appropriate government agency. This may involve mailing it, dropping it off in person, or submitting it electronically through their online portal.
7. Keep a copy of the completed form for your records.

Who needs notice of change?

1. Individuals who have experienced a change in their personal information, such as change of address, name change, or change in marital status, may need to fill out a notice of change.
2. Businesses or organizations that have undergone significant changes, such as changes in ownership, management, or location may also need to submit a notice of change to relevant government agencies.
3. Various government agencies or departments may require individuals or organizations to submit a notice of change to ensure their records are up to date and accurate.

Note: The specific requirements and procedures for filling out a notice of change may vary depending on the jurisdiction and the type of change being reported. It is essential to refer to the instructions provided by the relevant government agency for accurate and detailed information.

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