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The UIA 1772 form, utilized by the State of Michigan’s Unemployment Insurance Agency, plays a crucial role in the reporting of employer termination and changes in business operations. This form is essential for businesses that may be discontinuing payroll or transferring assets, whether due to sales, reorganization, bankruptcy, or other reasons. Employers must provide detailed information, including their current name and address, employer identification numbers, and any relevant changes in business ownership or operations. It requires disclosure of the last payroll date and specific information about employees retained or the resumption of business activities. Furthermore, the form highlights the consequences of non-compliance, including potential penalties under the Michigan Employment Security Act. Completion of the UIA 1772 is required even if the business currently has no employees, emphasizing its importance in maintaining accurate records for unemployment insurance purposes.

Form Sample

UIA 1772

 

RESET FORM

 

 

(Rev. 04-18)

STATE OF MICHIGAN

 

GRETCHEN WHITMER

DEPARTMENT OF LABOR AND ECONOMIC OPPORTUNITY

GOVERNOR

UNEMPLOYMENT INSURANCE AGENCY

Authorized by

MCL 421.1 et seq.

SUSAN CORBIN

ACTING DIRECTOR

 

Notice of Change

Information shown on this report is used to determine termination of liability under Section 24 of the Michigan Employment Security (MES) Act. Completion of this report is required even though you may not be currently employing any workers. Failure to provide this information may result in a determination being made based on information available to Unemployment Insurance. Penalties may be imposed under Section 54(a) or 54(b) of the MES Act for an intentional failure to comply with State law.

PART I: EMPLOYER INFORMATION

1.Current name and address.

a.Employer Account Number (EAN): ____________ Federal Employer ID (FEIN): _________________

b.Employer Name: ___________________________________________________________________

c.Mailing Address: ____________________________________________________________________

d.Telephone: __________________________

2.Provide the following information concerning the owner(s), partners, corporate officers, LLC member(s), etc., of the organization and the person(s) who safeguard the company’s books and records. If necessary, please attach additional pages to provide information on all owners.

a.Name: _________________________________ SSN: _________________ Birth Date: ___________

Address: ___________________________________________________________________________

Title: ______________________________Telephone: ______________ Record Holder: Yes No

b.Name: _________________________________ SSN: _________________ Birth Date: ___________

Address: ___________________________________________________________________________

Title: ______________________________Telephone: ______________ Record Holder: Yes No

c.Name:_________________________________ SSN:__________________ Birth Date: ____________

Address: ___________________________________________________________________________

Title: ______________________________Telephone: ______________ Record Holder: Yes No

3.Reason(s) for discontinuance or transfer of payroll or assets in whole or part (check one or more).

Sale

 

Reorganization

 

New Partnerships

Lease

 

Bankruptcy

 

Incorporation

Foreclosure

 

Dissolution/Discontinuance

 

No Employees

Merger

 

Death

 

 

Other (explain): _____________________________________________________________

4.

Provide the following information:

 

 

 

a. Date of last payroll: ______________________

 

 

5.

Provide the following information:

 

 

 

a. Did you discontinue all employment in Michigan?

Yes

No

 

If no, how many employees were retained?

______

 

 

b. Have you continued or resumed business in Michigan?

Yes

No

UIA 1772 (Rev. 04 -18) Page 2

If you answered yes to question #5b, complete the section below if the information differs from what

was provided in question #1.

 

___________________________________

__________________________________________

Legal Name of Business

Address

___________________________________

__________________________________________

Nature of Business

Date(s) Resumed Business

Complete Part II and Part III only if your business was sold or transferred.

PART II: NEW OWNER INFORMATION

Please provide the name(s) of the person(s)who acquired the Michigan assets, Michigan organization, Michigan trade, or Michigan business. “Acquired” refers not only to assets purchased, but also assets acquired by rental, lease, use, inheritance, merger, mortgage, foreclosure, gift, or other transfer. If more than one individual or organization is involved, answer all parts of this question for each purchaser, using separate sheets. If preferred, additional forms will be supplied upon request.

New Owner’s Name

New Corporation Name or DBA

Current Street Address (No PO Box)

City, State, Zip Code

New Owner’s UI Account Number or FEIN, if known.

Area Code & Telephone Number

PART III: ACQUISITION INFORMATION:

Complete this section carefully. It might be necessary to consult your accountant, attorney, or financial advisor for a complete valuation of your entire business to accurately determine the percentage of transfer for each item below.

1.Did the above acquire all, part, or none of the assets of any former business?

a.Number of business location in Michigan:

b.Number of business location in Michigan that have been discontinued:

2.Did the above acquire all, part, or none of the organization (employees/payroll/personnel) of any former business?

a.If all or part, indicate the percent and date acquired

b.Did the above acquire all or part of the employees/payroll/personnel of any former business by leasing any of those employee/payroll/personnel?

 

All

Part

None

What

Date

 

 

 

 

 

 

 

 

 

Percentage

Acquired

 

 

 

 

 

 

 

 

 

________%

_______

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

All

Part

None

 

 

 

What

Date

 

 

Percentage

Acquired

 

 

________%

________

Yes

No

If yes, provide a copy of your

 

 

lease agreement.

 

3.Did the above acquire all, part, or none of the trade (customers/accounts/clients) of any former business?

4.Did the above acquire all, part, or none of the former owner’s Michigan business (products/services) of any former business?

5.Was your Michigan business described in 1-4 above being operated at the time of acquisition? If no, enter the date it ceased operation.

All

Part

None

What

Date

 

 

 

percentage

Acquired

 

 

 

_______%

________

All

Part

None

What

Date

percentage

Acquired

 

 

 

_______%

________

Yes

No

Date operation ended

 

 

__________________

 

UIA 1772

 

 

(Rev. 04-18)

 

 

Page 3

 

 

6. Is the above conducting/operating the Michigan business

Yes

No

acquired from you?

 

 

7.Is the above substantially owned, merged, or controlled in any way by the same interests who owned or controlled the organization, business or assets of your business?

8.Did the above hold any secured interest in any of the Michigan assets acquired from you?

9.Enter the reasonable value of the Michigan organization, trade, business or assets sold or transferred.

Yes

No

If Yes, complete this Form

and fill out Schedule B of

 

 

Form 518.

Yes

No

If Yes, enter balance owed

 

 

$______________

$______________

CERTIFICATION

I certify that the information contained in this report is accurate and complete to the best of my knowledge and belief. I understand that if I fail to provide accurate and complete information on this form, I may be subject to penalties of up to four times the amount of resulting unpaid unemployment taxes and imprisonment for up to five years.

____________________________________

______________________

Name

Date

____________________________________

_______________________

Title

Telephone Number

When a complete transfer of a Michigan business is involved:

Your final Quarterly Wage/Tax Report must be filed and paid within 15 days,

Your coverage will be terminated as of the transfer date,

If you have persons in your employ after the transfer date of your business, you need to notify Unemployment Insurance immediately to determine if you are liable for taxes on that payroll.

When a partial transfer of a Michigan business is involved:

You need to continue to report and pay taxes if you have Michigan workers in your employ or until your coverage is terminated.

All documents, agreements or records describing the transactions indicated in Part I Item 4, Part

IIand Part III above, should be kept available for examination by Unemployment Insurance for six years.

You may submit this Form through your Michigan Web Account Manager (MiWAM) account or via fax to 1-313- 456-2130. If you are mailing this form, please send it to Unemployment Insurance, Tax Office, PO Box 8068, Royal Oak, Michigan 48068-8068

If your address changes it is important to update it with Unemployment Insurance.

If you have any questions, contact the Office of Employer Ombudsman (OEO) through your MiWAM account or at 1-855-4UIAOEO (855-484-2636). TTY customers call 1-866-366-0004.

LEO is an equal opportunity employer/program.

Document Specifications

Fact Name Fact Description
Form Purpose The UIA 1772 form, also known as the Reset Form, is used by employers in Michigan to report changes in their employment status and business operations to the Unemployment Insurance Agency.
Governing Law This form is authorized by the Michigan Compiled Laws, specifically MCL 421.1 et seq., which outlines regulations surrounding unemployment insurance.
Mandatory Completion All employers must complete the UIA 1772, regardless of whether they currently have any employees. Failure to do so may result in penalties.
Key Information Required Employers must provide detailed information such as business name, address, and reasons for changes regarding payroll or assets, including any acquisitions.
Potential Penalties Penalties may be imposed for deliberate non-compliance with state laws. These could include severe fines or legal repercussions.
Submission Methods The form can be submitted online through the Michigan Web Account Manager (MiWAM), by fax, or mailed to the designated Unemployment Insurance office.

Steps to Filling Out Uia 1772

Filling out the UIA 1772 form is an essential step for employers who need to report changes in their business status. Being precise with the information is crucial to avoid penalties related to compliance. Once completed, you can submit the form through various methods, including online submission, fax, or mail.

  1. Provide Employer Information:
    • Enter your Employer Account Number (EAN) and Federal Employer ID Number (FEIN).
    • Fill in the Employer Name and Mailing Address.
    • Provide the contact Telephone Number.
  2. List Ownership Details:
    • For each owner or key individual in your organization, enter their Name, Social Security Number (SSN), Birth Date, Address, Title, and Telephone Number. Indicate whether they are a Record Holder.
    • If more than three owners are involved, attach additional pages as necessary.
  3. Indicate Reason for Discontinuance or Transfer:
    • Check one or more reasons for the discontinuance or transfer of payroll or assets.
  4. Last Payroll Date:
    • Enter the Date of Last Payroll.
  5. Employment Status:
    • Indicate whether you discontinued all employment in Michigan. If no, specify how many employees were retained.
    • State if you continued or resumed business in Michigan and provide the new business name, address, and nature of business if applicable.
  6. New Owner Information (if applicable):
    • Provide the name(s) of the new owners and their contact information.
    • If there are multiple owners, duplicate the information for each as necessary.
  7. Acquisition Information (if applicable):
    • Answer questions regarding the percentage of assets, payroll, and trade acquired.
    • Indicate if the new owner is conducting business with the acquired assets and if they have a secured interest in the assets.
    • Include the reasonable value of the Michigan organization or trade.
  8. Certification:
    • Sign and date the form, providing your Name, Title, and Telephone Number.

After completing the form with accurate information, ensure you keep all related documents accessible for possible review by Unemployment Insurance for a duration of six years. It's recommended to use your Michigan Web Account Manager (MiWAM) for submission to streamline the process. Alternatively, fax the form or mail it to the designated address provided in the instructions.

More About Uia 1772

What is the UIA 1772 form?

The UIA 1772 form is used in Michigan to report changes to unemployment insurance information. It is required even when a business is not currently employing workers. This form helps the Unemployment Insurance Agency determine if you continue to be liable for unemployment taxes under state law.

When should I complete the UIA 1772 form?

You should complete and submit the UIA 1772 form whenever your business experiences certain changes, such as discontinuing payroll, transferring assets, or changing ownership. It is also necessary when you have equity transfers, mergers, or reorganizations that affect your unemployment insurance status.

What information do I need to provide on the form?

On the UIA 1772 form, you will need to provide your employer account number, federal employer ID, mailing address, and telephone number. Additionally, you must disclose details about the owners or corporate officers, reasons for discontinuing or transferring payroll, and the latest payroll date. If applicable, details regarding new ownership and acquisition information will also be needed.

What happens if I don’t submit the UIA 1772 form?

If you fail to submit the UIA 1772 form when required, the Unemployment Insurance Agency may make determinations based on available information, which might not be accurate. This could lead to penalties under state law for not complying with reporting requirements.

Is there a deadline for submitting the UIA 1772 form?

There isn't specifically a "due date" for the UIA 1772 form, but it should be submitted promptly upon any change that impacts your unemployment tax liability. Delays can complicate your status and may lead to penalties.

How do I submit the UIA 1772 form?

You can submit the UIA 1772 form through your Michigan Web Account Manager (MiWAM) account. If you prefer faxing, you can send it to 1-313-456-2130. If mailing is necessary, send the form to the Unemployment Insurance Tax Office at the designated postal address in Royal Oak, Michigan.

What penalties might I face for not providing accurate information?

If the information on your UIA 1772 form is not accurate, you may face significant penalties. These can include fines up to four times the amount of any unpaid unemployment taxes and possible imprisonment for up to five years, depending on the severity of the inaccuracies.

Can I ask for help with filling out the UIA 1772 form?

Yes, if you have questions or need assistance with the UIA 1772 form, you can contact the Office of Employer Ombudsman (OEO) through your MiWAM account or call them directly. They are available to help clarify any aspects of the form or process that may be confusing.

Common mistakes

  1. Incomplete Employer Information: Failing to fill out all sections in the employer information part can lead to delays. It's crucial to provide the complete name, address, and Employer Account Number (EAN).
  2. Incorrect or Missing Identification Numbers: Entering the wrong Federal Employer ID Number (FEIN) or failing to include it can cause confusion and processing issues.
  3. Omitting Contact Information: Not providing a telephone number or ensuring it's incorrect makes it difficult for the agency to reach out for any clarifications or follow-ups.
  4. Inaccurate Ownership Details: When reporting owners or corporate officers, be sure to include accurate Social Security Numbers (SSNs) and birth dates. Any errors here will complicate the verification process.
  5. Improper Reason for Discontinuance: Selecting vague or inaccurate reasons for discontinuing payroll can lead to misunderstandings regarding your submission.
  6. Ignoring Additional Information Needs: If there are multiple owners or significant details regarding the business transfer, failing to attach additional pages can prevent a full understanding of the situation.
  7. Forgetting to Certify the Information: If you neglect to sign and date the certification at the end of the form, the submission may be deemed incomplete.
  8. Submitting Without Reviewing: Sending the form without thoroughly reviewing for typos or missing entries can lead to significant delays or complications.

Filling out the UIA 1772 form requires careful attention to detail. Each section serves a specific purpose, and providing correct information is essential for a smooth process. Ensuring accuracy can save time and prevent potential penalties associated with inaccurate submissions.

Documents used along the form

The UIA 1772 form is used in Michigan to document changes in employer information, particularly regarding the discontinuance or transfer of a business's payroll or assets. Numerous other forms and documents may be relevant when completing or filing the UIA 1772. Below is a list of commonly used forms and documents that often accompany the UIA 1772 form.

  • UIA 1028: This form is the Quarterly Wage/Tax Report, detailing wages paid to employees and taxes withheld. It must be submitted regularly to report any changes in employee compensation.
  • UIA 518: This is a Transfer of Ownership form, which is used when there is a change in ownership of the business. It provides information necessary for the UIA to track responsibility for unemployment insurance taxes.
  • Form 1050: The Employer Registration form collects information from new employers wishing to establish an unemployment insurance account. It is critical for initiating tax liabilities.
  • Form 301: The Employee Notification of Employment Status form informs current employees about their rights and responsibilities regarding unemployment benefits, especially during transitions.
  • MIWAM: The Michigan Web Account Manager is an online portal where businesses can manage their unemployment insurance account, file reports, and submit forms electronically.
  • Tax Payment Schedule: This document outlines due dates for tax payments required under the unemployment insurance program, ensuring compliance with state laws.
  • Business Transfer Agreement: This legal document details the terms of the transfer of ownership or assets between parties and provides a record for both the buyer and seller.
  • Lease Agreement: If part of a business's assets involves a rental or leasing arrangement, this document details the terms under which property or equipment is leased, impacting the overall business valuation.

Understanding the purpose of these additional documents can assist in ensuring compliance with unemployment insurance regulations in Michigan. Keeping all related paperwork organized is advisable to facilitate smooth transactions and responses to any inquiries from the Unemployment Insurance Agency.

Similar forms

The UIA 1772 form can be compared to the IRS Form 941, which is the Employer's Quarterly Federal Tax Return. Both documents require employers to provide comprehensive information about their payroll activities. Specifically, the IRS Form 941 reports wages paid, tips received, and federal income taxes withheld. Like the UIA 1772, it serves to ensure compliance and is a crucial part of managing payroll tax liabilities accurately. Failure to file either form on time can result in penalties, emphasizing the importance of proper tax reporting for employers.

An additional document similar to the UIA 1772 is the State Unemployment Tax Act (SUTA) form, which states require employers to fill out annually. This form captures information about wages paid and the unemployment taxes due. Much like the UIA 1772, SUTA forms are designed to gather information necessary for assessing and determining a business's unemployment insurance liabilities. Both forms are intended to mitigate the risk of fraud or inaccuracies in reporting, and not filing could lead to administrative penalties.

The Employment Status Report (ESR) issued by various states aligns closely with the UIA 1772 form in terms of its purpose. The ESR requires businesses to detail their employment levels, including any changes like reductions in workforce or business closures. As the UIA 1772 documents changes in employer status, the ESR serves to inform state employment offices about the current status of the business and its ongoing obligations regarding unemployment insurance. Both reports aim to maintain updated records for state authorities.

A Comparison can also be drawn between the UIA 1772 and the Worker Adjustment and Retraining Notification (WARN) Act notice, which employers must file in cases of mass layoffs or plant closings. Both documents are intended to inform state agencies and workers about significant employment changes, including business transfers or terminations. The WARN Act notice, like the UIA 1772, emphasizes transparency regarding employment status, helping to navigate potential unemployment benefits for affected individuals.

The final payroll report submitted by businesses also shares similarities with the UIA 1772. This report summarizes payroll data for a specific period, detailing wages, withholdings, and other relevant information about employee remuneration. Both documents serve to report critical payroll information that affects unemployment insurance eligibility and potential tax obligations. Clear reporting is essential in maintaining compliance and avoiding penalties related to inaccuracies.

The Certificate of Incorporation or Certificate of Formation resembles the UIA 1772 form in that it requires business owners to provide detailed information about business structure changes. This document is essential for formally establishing a business entity and typically includes information about ownership and structure. Similarly, the UIA 1772 collects data regarding ownership and organizational changes, establishing a clear record for the state.

The Business Sale Agreement can also be considered in the same vein as the UIA 1772. This document outlines the terms of a business sale, including asset transfers and obligations of the buyer and seller. In situations where a business is sold, completing the UIA 1772 becomes necessary to record changes in ownership and liability under Michigan law, effectively linking the two documents in transaction-related matters.

Lastly, the Employment Confirmation Letter serves a parallel purpose in validating employment status. While the UIA 1772 focuses on broader business operational changes, an Employment Confirmation Letter is targeted toward individual employees, confirming their current employment status, wages, and job descriptions. Both documents help clarify employment circumstances to facilitate appropriate unemployment insurance assessments.

Dos and Don'ts

When filling out the UIA 1772 form, attention to detail is essential. Here are some guidelines on what to do and what to avoid:

  • Do: Carefully read all instructions before starting the form.
  • Do: Complete all required sections completely and accurately.
  • Do: Double-check your information for any possible errors.
  • Do: Keep a copy of the completed form for your records.
  • Do: File the form promptly to prevent any delays in processing.
  • Don't: Leave any sections blank unless instructed to do so.
  • Don't: Provide inaccurate or incomplete information.
  • Don't: Rush through the form without reviewing your entries.
  • Don't: Forget to notify Unemployment Insurance of any changes in your address.
  • Don't: Hesitate to seek help from a financial advisor if you need clarification.

Misconceptions

Here are common misconceptions about the UIA 1772 form:

  • It's optional to submit this form. Some believe that the UIA 1772 form is not mandatory. In reality, its completion is required even if no workers are currently employed.
  • Only businesses with employees need to file. Many think that if they have no employees, they do not have to submit the form. However, the information is used to verify the termination of liability under Michigan law.
  • Filing late has no consequences. Some people assume they can file the UIA 1772 form whenever they want. Late filings can result in penalties and complications in determining unemployment insurance liability.
  • No need to include all owners on the form. It’s a common misunderstanding that only the primary owner needs to be listed. All owners, partners, and relevant personnel must be disclosed.
  • Information can be provided verbally. Some believe they can simply call with information instead of completing the form. Accurate information must be submitted in writing as specified.
  • The form only applies to business dissolutions. Many think the UIA 1772 form is only for businesses shutting down. It also applies to transfers and changes in business ownership, among other situations.
  • Failure to report isn’t a big deal. Some underestimate the importance of reporting changes. Not reporting can incur serious penalties under Michigan law.
  • It doesn’t matter how you submit the form. Many believe it’s fine to submit the form in any way. However, there are specific methods outlined for submission, including online and by fax.

Key takeaways

Here are important points to consider when filling out and using the UIA 1772 form:

  1. Complete the form even if you are not currently employing anyone. This is essential for determining your liability under Michigan law.
  2. Provide accurate employer information, including your Employer Account Number and Federal Employer ID. Incorrect details may lead to processing delays.
  3. List all business owners and relevant parties. Ensure that names, Social Security Numbers, and contact information are correct.
  4. Clearly state the reasons for discontinuing or transferring payroll. Select all that apply—accuracy matters.
  5. If business operations have ceased, report the last payroll date. This information is critical for administrative purposes.
  6. Your business activities in Michigan influence filing requirements. Clearly indicate whether you have retained employees or resumed business.
  7. Consult professionals if your business is complex. You may need assistance to accurately report acquisitions or transfers of assets.
  8. Keep all relevant documents related to the business transaction for six years. They must be available for review by Unemployment Insurance.
  9. Submit the completed form via your MiWAM account, fax, or mailing address. Ensure that it is sent to the correct location to prevent losses.

Following these guidelines will help ensure a smoother process and compliance with regulations. If you have questions, reach out to the Office of Employer Ombudsman for assistance.