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Authorized by
MCL 421.1 et seq.
STATE OF MICHIGAN
GRETCHEN WHITMER DEPARTMENT OF LABOR AND ECONOMIC OPPORTUNITY JEFF DONOFRIO
GOVERNOR UNEMPLOYMENT INSURANCE AGENCY DIRECTOR
Reset Form
Report and Agreement on Partial Transfer of Business Certification
UI Employer Account Number: Mail Date:
Section 22 of the Michigan Employment Security (MES) Act reads in part:
(a) If an employer subject to this MES Act transfers subsequent to June 30, 1954 any of these
assets of his business by any means otherwise than in the ordinary course of trade, such
transfer shall be deemed a “transfer of business” for the purpose of this section.
(b) Notwithstanding the provisions of subsection a), a transfer of assets to a transferee which
involves less than 75% of transferor’s assets shall not be deemed a transfer of business
unless all of the following occur:
(1) UIA is notified of the transfer of assets by the transferor or transferee within 30 days after
the end of the quarter in which the transfer occurred.
(2) UIA receives within 30 days after the request therefore a written approval by the transferor
and transferee of a rating account transfer determined in accordance with provisions of
subsection d) of this section.
(3) In case of a transferee who elects under Section 25 to become subject as of the transfer
date, UIA receives the election within 30 days after the mailing of a notice of his right to
elect.
Because UIA has received timely notification indicating that you (the transferor) transferred less than 75% of your assets
to the individual, individuals or other legal entity (the transferee), the initial requirement to effect a partial rating account
transfer has been met [Section 22(b)(1)].
To comply with the provisions of Section 22(b)(2) and (3), UIA must have authorization from both you (the transferor) and
the transferee that a partial rating account transfer has been agreed upon. Your signatures in the spaces provided below
are certification to UIA that:
1) The transferee has used the assets acquired from you (the transferor) in the continuation of
part of your business operation;
2) The payroll information requested on the reverse of this report is correct to the best of your
knowledge and should be used to determine the amount of money which will be deducted from
your rating account and credited to the transferee’s account.
3) The transferee, if not a liable employer on the date of transfer, is electing to become a liable
employer under Section 25 of the MES Act, effective as of the date of transfer, for the purpose
of obtaining a partial rating account transfer; and lastly,
4) That you (the transferor) and the transferee have agreed to this partial account transfer.
TRANSFEROR TRANSFEREE
____________________________________ _________________________________
Signature Signature
____________________________________ _________________________________
Print Name Print Name
____________________________________ _________________________________
Title Title
____________________________________ _________________________________
Date Date
UIA is an equal opportunity employer/program.
Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities.
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