Who Must Sign the Declaration?
1. Sole Proprietor - Must be signed by individual owner
2. Corporation or Association - Must be signed by an
officer of the corporation or association having
authority to legally bind the corporation or association.
The corporation or association must certify that the
officer has such authority.
3. Trust or Conservator - Must be signed by fiduciary
authority
4. Partnership - Must be signed by all partners, or if
executed in the name of the partnership, by the
partner or partners duly authorized to act for the
partnership, who must certify that the partner(s) has
such authority.
5. Limited Liability Corporation - Must be signed by a
member of the LLC
Duration of Authority, Canceling or Withdrawing a
Declaration
The Declaration will remain in effect until revoked. The
employer can do this by logging into their account on www.
myIowaUI.org, select assign agent option, select the agent
you want to revoke and enter an end date. The employer,
Power of Attorney, or Authorized Representative can also
revoke the Declaration by notifying IWD in writing.
Submitting a New Declaration
A new Declaration revokes a prior Declaration for the
specified transactions. The Declaration becomes effective the
date it is received by IWD.
Submission Options:
On-line Submission: www.myIowaUI.org - Log into your
account, select assign agent option,
enter agent R number, assign roles
Email completed form: iwduitax@iwd.iowa.gov
Mail Completed Form: Iowa Workforce Development
Unemployment Insurance Tax Bureau
1000 E Grand Ave
Des Moines, Iowa 50319-0209
Iowa Workforce Development (IWD) will only discuss
confidential Unemployment Insurance (UI) information with
authorized parties. An employer must have a signed
Declaration of Power of Attorney or Authorized
Representative (herein after called Declaration) on file with
IWD.
Purpose of Declaration
A Declaration is a legal document authorizing someone else
to act on an employer's behalf.
Who Can Be Declared a Power of Attorney or
Authorized Representative?
• Attorney or Law Firm
• Accountant or Accounting Firm
• Tax preparer or Tax Firm
or
• Any individual acting on behalf of an employer
Privileges of Both Power of Attorney and Authorized
Representative
Both are allowed to perform one or more of the following on
behalf of any employer:
• Sign and file reports for UI matters
• Make deposits and payments for UI
• Receive UI information, notices and other
communication regarding authorization granted
• Access electronic records specific to the employer
• Represent the employer in any formal or informal
meeting, hearing, decision or appeal, final or
otherwise
Additional Privileges for Power of Attorney Only
The Authorized Representative cannot be granted the
following privileges:
• Enter into any compromise with IWD
• Execute any release from liability required by IWD as
a prerequisite to divulge otherwise confidential
information concerning the employer
• Other acts as expressly stipulated in writing by the
employer
Assign Agent Roles
As the true and lawful agent, you are able to represent the
employer in all roles or only the specific roles selected in this
section. See page 2 for description of roles.
Instructions
(Declaration of Power of Attorney or Authorized Representative)
Power of Attorney or Authorized Representation may be assigned on-line at: www.myIowaUI.org
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