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THE COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF LABOR AND WORKFORCE DEVELOPMENT
DEPARTMENT OF UNEMPLOYMENT ASSISTANCE
REGISTRATION TO PAY DUA TAXES VIA ACH CREDIT
y Name: ______________________________________________________________________
Company Name: _____________________________________________________________________________
* DUA Employer Account Number: _________________________________________________________________
Federal Identification Number: ____________________________________________________________________
Street: ______________________________ City: ___________________ State: _________ Zip: _______________
**Agent/Professional Tax Preparer/Third Party? ID Number: ___________________________________________
Contact Person: _______________________________________________________________________________
Email: _______________________________________________________________________________________
(Please print clearly – you will only receive confirmation via email)
Phone: _______________________________________ Fax: ___________________________________________
Em ail form to: UIEmployerReports@DETMA.ORG
eFax: (617)626-6850
Customer Service: ( 617)626-5075
Note: After submittal of this registration, if approved, you will be provided via email with the DUA mandated ACH credit record layout and DUA bank account and routing transit numbers.
*Employers must have a DUA Employer Account Number (EAN) to apply.
**Agent/Professional Tax Preparer/Third Party computing their client’s amount owed and/or filing this form on behalf of their clients must register with DUA UI Online system as a TPA and receive a TPA ID number. This TPA ID number must be included on this form as part of the registration for ACH Credit Processing. To apply for a TPA ID number, go to: www.mass.gov/uima , and click on: Third Party Administrator (TPA) UI Online login.
If you want to pay online, please via UI Online and select to pay via ACH Debit.
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