Form POA "Power of Attorney" - Alabama

What Is Form POA?

This is a legal form that was released by the Alabama Department of Labor - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2018;
  • The latest edition provided by the Alabama Department of Labor;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form POA by clicking the link below or browse more documents and templates provided by the Alabama Department of Labor.

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Download Form POA "Power of Attorney" - Alabama

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POA
ALABAMA DEPARTMENT OF LABOR
rev. 09/2018
UNEMPLOYMENT COMPENSATION DIVISION
EXPERIENCE RATING SECTION, ROOM 4215
MONTGOMERY, AL 36131
PHONE: (334) 954-4741/FAX: (334) 956-7496
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
THAT _____________________________________________ ACCOUNT NO.______________________,
a
___________________________________________FEDERAL ID NO._____________________________
,
(Corporation, partnership, individual, etc.)
having its principal office at ________________________________________________________, does hereby
constitute and appoint: ____________________________________________________
(Name of Representative Company)
(Rep ID No.)
____________________________________________________
(Mailing Address of Representative Company)
____________________________________________________
(City, State, and Zip of Representative Company
Representative’s Contact Name: ___________________________
Telephone: __________________ its
true and lawful attorney in fact with full power and authority to represent the said_____________________,
before the Alabama Unemployment Compensation Agency until further notice in the following matter(s), to
wit: (Check appropriate box)
[
]
TAX
----
The filling of reports, payment of contributions, Cost Statements (quarterly),
(Limited)
Tax Rate Notices (annually), and any legal documents, i.e. assessments, garnishments, etc.,
obtaining other account information as is permissible, (employer reporting data, tax rate
information and liability dates).
[
]
BENEFITS
----
Requests for separation, 1st notice of payment of benefits for charge purposes,
(Limited)
employer’s protest of benefit claims and information relative thereto.
[
]
TAX AND BENEFITS
----
As described above in the first and second blocks.
(Unlimited)
[
]
TAX REPORTS ONLY
---
The filing of quarterly reports and payment of contributions only.
(Limited)
This authorization cancels and supersedes all prior authorizations associated with the above action checked.
IN WITNESS WHEREOF, the said______________________________________ has caused this instrument to
be duly attested by the signature of its duly qualified officer this
day of
,
.
By:
_______________________________________
Duly Qualified Officer
[NOTARY SEAL]
_______________________________________
Title
Notary Public
POA
ALABAMA DEPARTMENT OF LABOR
rev. 09/2018
UNEMPLOYMENT COMPENSATION DIVISION
EXPERIENCE RATING SECTION, ROOM 4215
MONTGOMERY, AL 36131
PHONE: (334) 954-4741/FAX: (334) 956-7496
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
THAT _____________________________________________ ACCOUNT NO.______________________,
a
___________________________________________FEDERAL ID NO._____________________________
,
(Corporation, partnership, individual, etc.)
having its principal office at ________________________________________________________, does hereby
constitute and appoint: ____________________________________________________
(Name of Representative Company)
(Rep ID No.)
____________________________________________________
(Mailing Address of Representative Company)
____________________________________________________
(City, State, and Zip of Representative Company
Representative’s Contact Name: ___________________________
Telephone: __________________ its
true and lawful attorney in fact with full power and authority to represent the said_____________________,
before the Alabama Unemployment Compensation Agency until further notice in the following matter(s), to
wit: (Check appropriate box)
[
]
TAX
----
The filling of reports, payment of contributions, Cost Statements (quarterly),
(Limited)
Tax Rate Notices (annually), and any legal documents, i.e. assessments, garnishments, etc.,
obtaining other account information as is permissible, (employer reporting data, tax rate
information and liability dates).
[
]
BENEFITS
----
Requests for separation, 1st notice of payment of benefits for charge purposes,
(Limited)
employer’s protest of benefit claims and information relative thereto.
[
]
TAX AND BENEFITS
----
As described above in the first and second blocks.
(Unlimited)
[
]
TAX REPORTS ONLY
---
The filing of quarterly reports and payment of contributions only.
(Limited)
This authorization cancels and supersedes all prior authorizations associated with the above action checked.
IN WITNESS WHEREOF, the said______________________________________ has caused this instrument to
be duly attested by the signature of its duly qualified officer this
day of
,
.
By:
_______________________________________
Duly Qualified Officer
[NOTARY SEAL]
_______________________________________
Title
Notary Public