Power Of Attorney - Alabama Unemployment Compensation Agency printable pdf download

Power Of Attorney - Alabama Unemployment Compensation Agency

POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

THAT

ACCOUNT NO.

(Corporation, partnership, individual, etc.)

FEDERAL ID NO.

having its principal office at

does

hereby constitute and appoint

its true and lawful attorney in fact with full power and authority to represent the said

before the

Alabama Unemployment Compensation Agency until further notice in the following matter(s), to

wit:

(Check appropriate box)

[ ] TAX ----

The filing of reports, payment of contributions, Cost Statements (quarterly),

Tax Rate Notices (annually), and any legal documents, i.e., assessments,

garnishments, etc., or obtaining other account information as is permissible,

(employer reporting data, rates and liability dates).

[ ] BENEFITS ---

Requests for separation, 1

notice of payment of benefits for charge

purposes, employer’s protest of benefit claims and information relative

thereto.

[ ] TAX AND BENEFITS --- As described above.

This authorization cancels and supersedes all prior authorizations.

IN WITNESS WHEREOF, the said

has caused this instrument to be duly attested by the signature of its duly qualified officer this

day of

Duly Qualified Officer

[NOTARY SEAL]

B y

Title

Notary Public

Witness

Power Of Attorney - Alabama Unemployment Compensation Agency