Alabama Department of Labor 
                                 Unemployment Compensation Division 
                                        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 .