Form De 48 - Power Of Attorney (Poa) Declaration Page 2
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2Instructions for Completing the Power of Attorney (POA) Declaration, DE 48
General Information
This DE 48 is your written authorization for an individual or other entity to act on your
behalf in tax and/or benefit reporting matters, and will remain in effect until it is rescinded
or revoked. When a new POA is filed with the Employment Development Department
(EDD), the new POA will automatically revoke any prior declaration(s) on file unless you
attach a copy of each POA that you want to remain in effect. In addition, if you need to
limit the term of a POA, you must specify the date it will expire as outlined in Section III
below. For general information, call the Account Services Group at 916-654-7263.
I.
EMPLOYER/TAXPAYER INFORMATION - Enter your California Employer
Payroll Tax Account Number (if applicable), Taxpayer Identification Number,
Federal Employer Identification Number, Owner or Corporation Name, Owner(s)
Social Security Number or Corporate Identification Number, Business
Name/Doing Business As (DBA), mailing address, business phone and fax
number(s), and business location if different than the mailing address.
II. REPRESENTATIVE DESIGNATION - Enter the representative’s business,
representative’s name, phone number, fax number, and address.
III. AUTHORIZED ACT(S) - If you want to authorize your representative to perform
any and all acts on your behalf, check the “General Authorization” box. If you
want to limit this authorization, check the boxes that apply under “Specific
Declaration.” Enter the beginning and ending dates of each interval/period for
which you are making the declaration.
IV. SIGNATURE AUTHORIZING POWER OF ATTORNEY - The POA must be
signed and dated by the business owner, partner, or corporate officer (i.e.,
President, Vice President, CEO, or CFO). Please submit an updated list of
corporate officers/owners with this document, if applicable. If the declaration is
submitted without a signature or with an unauthorized signature, it will be
returned.
Please return your completed DE 48 to the EDD at:
Employment Development Department
Account Services Group, MIC 28
PO Box 826880
Sacramento, CA 94280-0001
Fax 916-654-9211
You can also electronically submit a POA using e-Services for Business at
If you have questions or need assistance completing this form, please call the Account
Services Group Agent Line at 916-654-7263.
DE 48 Rev. 8 (5-17) (INTERNET)
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