Form UIA4101 "Employer's Quarterly Tax Payment Coupon" - Michigan

What Is Form UIA 4101?

Form UIA4101, Employer's Quarterly Tax Payment Coupon, is a quarterly tax form issued by the Michigan Department of Labor and Economic Opportunity. In Michigan, state unemployment insurance tax (aka the "UI tax") is just one of several taxes that employers must pay.

Alternate Name:

  • Michigan Form UIA4101.

Download a fillable PDF version of Form UIA4101 through the link below or find it on the official Michigan government website. Form MI-1040ES, Michigan Estimated Income Tax for Individuals, is a related form used for making estimated tax returns if you expect your tax return for the current year to be over $500Amount may change annually..

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Michigan Employer's Quarterly Tax Payment Coupon

Each calendar quarter, the Unemployment Insurance Agency (UIA) mails Form UIA 1028, Employer's Quarterly Wage/Tax Report (currently unavailable online), to American contributing employers. Wage detail information is provided for every covered employee who received wages during the calendar quarter. This form is mailed about a month before the completed form is due back to the UIA. Form UIA 4101 is used as a payment transmittal when mailing a quarterly payment.

Your Michigan employer taxes are paid by checks or money orders payable to the state of Michigan (UI). In order to ensure your account is credited, include your 10-digit UI employer account number on your check. To avoid penalties and late payments, your tax return must be received by the following due dates:

  1. 1st Quarter (January through March) - Due on April 25th.
  2. 2nd Quarter (April through June) - Due on July 25th.
  3. 3rd Quarter (July through September) - Due on October 25th.
  4. 4th Quarter (October through December) - Due on January 25th.

The form (with the attached payment) should be mailed to Unemployment Insurance, PO Box 33598, Detroit, Michigan 48232-5598. If you have questions about your filing reports, you can contact the Office of Employer Ombudsman at 1-855-4UIAOEO (855-484-2636), 8:30 A.M. to 4:30 P.M. weekdays or via email at OEO@michigan.gov.

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UIA 4101
Authorized by
Reset Form
(Rev. 10-18)
MCL 421.1 et seq.
STATE OF MICHIGAN
DEPARTMENT OF LABOR AND ECONOMIC OPPORTUNITY
GRETCHEN WHITMER
SUSAN R.CORBIN
UNEMPLOYMENT INSURANCE AGENCY
GOVERNOR
ACTING DIRECTOR
Employer’s Quarterly Tax Payment Coupon
Use this payment transmittal when mailing your quarterly payment.
Make your check/money order payable to: Unemployment Insurance Agency. In order to
ensure your account is properly credited, include your 10-digit UIA Employer Account Number on
your check or money order. In order to avoid penalties and interest, your tax return and payment
must be received by the following due dates:
1st Quarter (January – March) Due April 25th
2nd Quarter (April – June) Due July 25th
3rd Quarter (July – September) Due October 25th
4th Quarter (October – December) Due January 25th
Complete the section below and mail this entire form along with your payment to:
Unemployment Insurance, P.O. Box 33598, Detroit, MI 48232-5598.
Employer Name: ___________________________________
Federal Employer ID Number: ________________________
UI Employer Account No: ____________________________
Enter Correct Employer Account Number
Quarter End Date [mon dd, yyyy]: ______________________
Payment Amount Enclosed: $_________________________
____________________________________________________________________________
For UI Use Only. Do Not Write Below Line.
*041011810*
UIA is an equal opportunity employer/program.
UIA 4101
Authorized by
Reset Form
(Rev. 10-18)
MCL 421.1 et seq.
STATE OF MICHIGAN
DEPARTMENT OF LABOR AND ECONOMIC OPPORTUNITY
GRETCHEN WHITMER
SUSAN R.CORBIN
UNEMPLOYMENT INSURANCE AGENCY
GOVERNOR
ACTING DIRECTOR
Employer’s Quarterly Tax Payment Coupon
Use this payment transmittal when mailing your quarterly payment.
Make your check/money order payable to: Unemployment Insurance Agency. In order to
ensure your account is properly credited, include your 10-digit UIA Employer Account Number on
your check or money order. In order to avoid penalties and interest, your tax return and payment
must be received by the following due dates:
1st Quarter (January – March) Due April 25th
2nd Quarter (April – June) Due July 25th
3rd Quarter (July – September) Due October 25th
4th Quarter (October – December) Due January 25th
Complete the section below and mail this entire form along with your payment to:
Unemployment Insurance, P.O. Box 33598, Detroit, MI 48232-5598.
Employer Name: ___________________________________
Federal Employer ID Number: ________________________
UI Employer Account No: ____________________________
Enter Correct Employer Account Number
Quarter End Date [mon dd, yyyy]: ______________________
Payment Amount Enclosed: $_________________________
____________________________________________________________________________
For UI Use Only. Do Not Write Below Line.
*041011810*
UIA is an equal opportunity employer/program.