Fillable OKLAHOMA EMPLOYMENT SECURITY COMMISSION POWER OF ATTORNEY TAX (ADP)

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OKLAHOMA EMPLOYMENT SECURITY COMMISSION POWER OF ATTORNEY TAX (ADP)

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OES-190T (Rev.4-07)
OKLAHOMA EMPLOYMENT SECURITY COMMISSION
POWER OF ATTORNEY – TAX
I, ___________________________________, am the owner or officer with authority to contract for
__________________________________________________________________________________________,
Oklahoma Account #_____________________________, Federal ID #_________________________________.
I hereby appoint:
Name: ____________________________________
Address: ____________________________________
City, State, and Zip: ____________________________________
Telephone No.: ____________________________________
Fax No.: ____________________________________
As attorney-in-fact to represent the above-named taxpayer before the Oklahoma Employment Security
Commission with respect to all unemployment insurance tax matters and issues arising pursuant to Article III of
the Employment Security Act of 1980. This Power of Attorney shall be effective immediately and shall remain in
effect until the Oklahoma Employment Security Commission receives notice of its revocation. A notice of a
revocation of a Power of Attorney or a notice of change of address must be in a separate writing and mailed to the
Oklahoma Employment Security Commission at P.O. Box 52003, Oklahoma City, OK 73152-2003. The attorney-
in-fact is authorized to receive all confidential information pertaining to the taxpayer’s unemployment insurance
tax account. This Power of Attorney removes all earlier Powers of Attorney previously granted by the taxpayer for
unemployment insurance tax purposes.
____________________________________ ________________________________________
Date Signature
________________________________________
Printed Name
________________________________________
Title
ACKNOWLEDGMENT
State of __________________)
) SS.
County of ________________)
Before me, the undersigned, a notary public in and for this county and state, personally appeared
___________________________ and acknowledged to me that he/she executed the above instrument in his/her
official capacity as the free and voluntary act and deed of himself/herself and the taxpayer.
In witness of this fact, I signed this document and affixed my official seal on
________________________________, ________.
Official Seal with Commission Number
And Expiration Date:
_____________________________________________
Notary Public
0190
400 West Covina Blvd
San Dimas, California 91773
(877) 706-0510
(909) 592-6515
RESET FORM
ADP Tax Services, Inc. a wholly owned subsidiary of ADP, Inc.
Oklahoma Employment Security Commission
Form OES-190T Power of Attorney
Completion Guidelines
The Oklahoma Employment Security Commission requires an original POA form that is signed, dated and notarized. It is necessary to obtain an
original Oklahoma Employment Security Commission Power of Attorney Form OES-190T when there are employees in this state. Employer must
use the latest version of the POA. Older versions are not acceptable.
· Mail the completed and original POA form to your ADP representative.
· ADP will forward the POA and cover letter to the agency:
Oklahoma Employment Security Commission
Status Unit
P.O. Box 52003
Oklahoma City, OK 73152-2003
POAs are rejected for the following reasons:
· Outdated from used. Must submit most recent version of OES-190T for tax purposes.
· Information missing or incorrect in each line.
· SUI ID# on POA is terminated or closed at agency. Client must submit application form.
· OES-1 Form to either reinstate the account number or reapply for a new SUI ID#
· Notary seal or signature is missing on POA OES-190T. Agency does not allow a second notary page providing a “Certificate” or proof of notary.
· Notary seal and signature must be provided directly on the POA notary section of the OES-190T.
· Notary seal must be legible.
· Date owner signed POA is different that notary signed date. This is based on the agency rule that the notary did in fact witness the employer’s
signature on the form on the day the employer completed the form.
· Employer signature invalid. Employer signature must be owner, officer, or agent with authority to contract for said company. Signature from
office manager, office supervisors, and office secretaries are not acceptable.
· More than one employer entity on the form. Each employer account must be on separate POA.
Name of taxpayer or
business as registered in
Oklahoma
*Oklahoma ID number
and/or FEIN of taxpayer or
business in Oklahoma.
*If no Oklahoma ID
number, call 405-521-3160
and ask for Status Unit or
have employer submit
Form OES-1, Oklahoma
Employment Security
Commission, Employer
Status Report Form.
*Signature of authorized
representative or owner
of the employer
*Print name of authorized
representative or owner
of the employer
*Title of above authorized
representative or owner
of the employer
Date of POA was signed
*State and County of
notary public
*Name of authorized
representative at the
company (provide name
after the statement,
“…personally appeared”)
*Sworn date
Print name of authorized
representative or owner
of the employer
ADP Tax Services, Inc. a wholly owned subsidiary of ADP, Inc.
ADP Tax Services, Inc. a wholly owned subsidiary of ADP, Inc.
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OKLAHOMA EMPLOYMENT SECURITY COMMISSION POWER OF ATTORNEY TAX (ADP)

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Completed 8 February 2021

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