Payment Voucher Iowa Workforce Development
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1Payment Voucher
68-0434 (07-13)
Iowa Workforce Development
Attn: UI Tax - Scan 2
1000 East Grand Ave
Des Moines IA 50319-0209
Phone: 888-848-7442 option #3 then option #7
Make payment online at
UI Account #:
FEIN:
Legal Business Name:
Address 1:
Address 2:
City:
State:
Zip+4/Postal Code:
Country:
Messages
Follow these instructions to complete the payment process:
-If your payment is not postmarked by
1. Do not send cash. Do not include payment for other IWD services.
the due date, you may accrue
additional interest.
2. Make check or money order payable to Iowa Workforce Development.
-Do not staple your check or money
order to the payment voucher.
3. Write your UI account # on the memo line of your check or money order.
-Do not send cash.
4. Enter the amount of your payment on the amount remitted line.
-Do not send a copy of your report
5. Return this form with your payment to:
Iowa Workforce Development
with this voucher.
Attn: UI Tax -
Scan 2
1000 East Grand Ave
-Mailing payments to a different
Des Moines IA 50319-0209
address may cause a delay in posting
the payment to your account.
Date:
Amount Due: $
Amount Remitted: $
Payment Method:
Money Order
Check
When you provide a check as payment, you authorize us either to use information from your check to make a one-time electronic fund transfer from
your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds
may be withdrawn from your account the same day we receive your payment, and you will not receive your check back from your financial institution.
Equal Opportunity Employer/Program
Auxiliary aids and services are available upon request to individuals with disabilities.
For deaf and hard of hearing, use Relay 711.
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