Alabama Department of Labor 
                         Unemployment Compensation Division
                                       649 Monroe Street
                                      Status Unit Room 4201 
                                 Montgomery, Alabama 36131 
                         Phone: 334-954-4730 Fax: 334-954-4731 

                                 Report of Employer Account Changes 

Employer Account Number                       Federal ID Number 

Business Name   

New Mailing Address:                         New Physical Location: 

Telephone #:                                 Corporate Name Change: 
                                             *Articles of Amendment must be attached.
(  )            - 

                                     Close/Inactivate SUI Account 

Please close account effective:  /   / for the reason listed below: 

1) Ceased employment.

2) Discontinued business.

3) *Leasing employees.

4) *Entire business sold.

5) *Portion of business sold. Number of employees transferred:      . 

6) _ *Merger.

*If yes to 3, 4, 5 or 6 please provide the new owner/company’s name, address and phone# below:

If there has been a change in Federal ID number it will be necessary to register as a successor. You may 
register at www.Labor.Alabama.Gov . If there was no change to the FEIN but there has been a change in 
partners or type of entity download the paper Form SR-2 for a new account number. 

Signature                              Title:                         Date:          /        / 

This form must be signed and dated by an authorized person, including their title or the changes will 
not be processed. If signed by an independent accountant we must have a current Power of Attorney 
on file. This form may be emailed to Status@Labor.Alabama.Gov .