Form IA900 Power of Attorney - New York

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form IA900 for the current year.

Form IA900 Power of Attorney - New York

What Is Form IA 900?

Form IA 900, Power of Attorney , is used in matters relating to Unemployment Insurance for an employer in the state of New York. Once the form is completed you will need to mail or fax the form to the New York State Department of Labor, Unemployment Insurance Division, and will allow the person listed to act on your behalf for Unemployment Insurance matters. Each representative will need to have a separate form completed.

The form is currently still in use and was last revised on September 1, 2015 . It is issued by the New York State Department of Labor, Unemployment Insurance (UI) Division . A fillable IA 900 Form is available for download below.

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Form IA 900 Instructions

The IA 900 Form is divided into 6 sections across two pages. For the Official Instructions to this form please see here.

  1. The first section asks for the employer's information, including the UI Employer Registration Number and the Federal Identification Number (FIN).
  2. The second section asks for the person or firm listed as the Power of Attorney followed by a series of checkboxes detailing what the Power of Attorney will be responsible for.
  3. The third section discusses the retention and revocation of a power of attorney and that by completing this form any previous person or firm acting as Power of Attorney for the same employer will be revoked.
  4. The fourth section asks for the employer's signature or a person who is a partner or corporate officer of the company.
  5. The fifth section is an acknowledgment of the Power of Attorney and only one of the four sections will be completed, depending on the type of company (individual, company, limited liability company, or partnerships/LLP).
  6. The sixth section is to be completed by the representative and is a declaration of what their duty will be to the employer completing this form, and will require a date and signature of confirmation.

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