Power of Attorney Forms

For your convenience, below are the most recent state POA forms in PDF format.

Important: Only POAs with original signatures will be accepted.

Please mail to:

myPay Solutions
Thomson Reuters
7322 Newman Blvd.
Dexter, MI 48130

Also, please include a copy of your registration/application for any state withholding or unemployment accounts in "Applied For" status. "Applied For" means that you have registered with, but have not yet received, a tax account ID for this taxing entity.

Federal Forms

Form 8655 - Reporting Agent Authorization

State Forms

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Alaska

AK UI POA - UI Appointment of Agent (MUST BE NOTARIZED)

AK WH POA - There is no state WH tax.

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Alabama

AL WH POA - WH Power of Attorney and Declaration of Representative

AL UI POA - UI Power of Attorney (MUST BE NOTARIZED)

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Arizona

AZ WH POA - WH Disclosure Authorization Form

AZ APOA - UI Limited Power of Attorney

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Arkansas

AR WH POA - WH Power of Attorney

AR UI POA - UI Limited Power of Attorney

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California

CA BOE-392 - CA EDD Power of Attorney

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Colorado

CO Aurora OPT - Aurora Occupational Tax Registration

CO Denver OPT - Denver Occupational Tax Application

CO WH POA - WH Power of Attorney

CO Greenwood Village OPT - Greenwood Village Occupational Privilege Tax

CO UI POA - UI Power of Attorney

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Connecticut

CT WH POA - WH Power of Attorney

CT UI POA - Generic UI Power of Attorney

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Delaware

DE WH POA - WH Auth to Release Tax Info

DE UI POA - UI Power of Attorney

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District of Columbia

DC WH POA - WH Power of Attorney

DC UI POA - UI Power of Attorney

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Florida

FL UI POA - UI Power of Attorney

FL WH POA - There is no state WH tax.

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Georgia

GA WH POA - WH Power of Attorney (MUST BE NOTARIZED)

GA UI POA - UI Limited Power of Attorney

GA WH EFT Authorization - Registration/Authorization form for electronic processing (REQUIRED)

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Hawaii

HI Form N-848 - WH Power of Attorney

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Idaho

ID SUTA POA - UI Power of Attorney (MUST BE NOTARIZED)

ID WH POA - WH Power of Attorney

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Illinois

IL WH POA - WH Power of Attorney (MUST BE NOTARIZED)

IL-2848-E - Power of Attorney for Electronic Processing

IL UI POA - UI Power of Attorney

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Indiana

IN WH POA - WH Power of Attorney

IN UI POA - UI Power of Attorney (MUST BE NOTARIZED)

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Iowa

IA Form IA 2828 - WH Power of Attorney

IA UI POA - UI Power of Attorney

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Kansas

KS WH POA - WH Power of Attorney

KS UI POA - UI Employer Representative Authorization

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Kentucky

KY UI POA - UI Power of Attorney (MUST BE NOTARIZED)

KY WH POA - There is no POA required.

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Louisiana

LA WH POA - WH Power of Attorney (MUST BE NOTARIZED)

LA UI POA - UI Power of Attorney

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Massachusetts

MA UI POA - UI Power of Attorney (MUST BE NOTARIZED)

MA WH POA - WH Power of Attorney and Declaration of Representative (MUST BE NOTARIZED)

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Maine

ME UI POA - UI Power of Attorney

ME WH POA - WH Power of Attorney and Declaration of Representative

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Maryland

MD WH POA - The state accepts Federal Form 8655.

MD UI POA - There is no POA required.

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Michigan

MI UI POA - UI Power of Attorney Authorization

MI WH POA - WH Power of Attorney Authorization

MI Form W-4 - Employee's Michigan Withholding Exemption Certificate

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Minnesota

MN WH POA - WH Power of Attorney

MN UI POA - There is no POA required. The client must go to the MN DOL website and authorize myPay Solutions access to their account to pay their taxes.

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Mississippi

MS WH POA - There is no POA required.

MS UI POA - The state accepts Federal Form 8655.

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Missouri

MO WH POA - WH Power of Attorney

MO UI POA - UI Power of Attorney

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Montana

MT WH POA - WH Power of Attorney

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Nebraska

NE WH POA - WH Power of Attorney

NE UI POA - Generic UI Power of Attorney

Nevada

NV SUTA POA - SUTA Power of Attorney

NV WH POA - There is not state WH tax.

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New Hampshire

NH POA Request - UI Power of Attorney Authorization Request

NH WH POA - There is no state WH tax.

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New Jersey

NJ WH POA - WH Power of Attorney

NJ UI POA - UI Power of Attorney (MUST BE NOTARIZED)

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New Mexico

NM SUTA POA - SUTA Power of Attorney

NM WH POA - WH Power of Attorney (MUST BE NOTARIZED)

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New York

NY WH POA - WH Power of Attorney

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North Carolina

NC WH POA - WH Power of Attorney and Declaration of Representative

NC UI POA - UI Power of Attorney and Declaration of Representative (MUST BE NOTARIZED)

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North Dakota

ND WH POA - WH Authorization to Disclose Tax Info

ND UI POA - The state accepts Federal Form 8655.

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Ohio

OH WH POA - WH Declaration of Tax Representative

OH UI POA - UI Employer's Representative Authorization

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Oklahoma

OK WH POA - WH Power of Attorney

OK UI POA - UI Power of Attorney (MUST BE NOTARIZED)

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Oregon

OR WH POA - WH Tax Information Authorization

OR UI POA - UI Tax Authorization Representative

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Pennsylvania

PA UI POA - UI Power of Attorney

PA WH POA - WH Power of Attorney

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Rhode Island

RI WH POA - WH Power of Attorney (MUST BE NOTARIZED)

RI UI POA - There is no POA required.

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South Carolina

SC WH POA - WH Power of Attorney and Declaration of Representative

SC UI POA - UI Power of Attorney (MUST BE NOTARIZED)

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South Dakota

SD WH POA - There is no POA required.

SD UI POA - The state accepts Federal Form 8655.

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Tennessee

TN UI POA - UI Power of Attorney

TN WH POA - There is no state WH tax.

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Texas

TX UI POA - UI Written Authorization (MUST BE NOTARIZED)

TX WH POA - There is no state WH tax.

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Utah

UT WH POA - WH Power of Attorney

UT UI POA - Generic UI Power of Attorney

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Virginia

VA UI POA – UI Power of Attorney

VA WH POA - WH Power of Attorney and Declaration of Representative

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Vermont

VT WH POA - WH Special Power of Attorney

VT SUTA App - SUTA Application

VT SUTA POA - SUTA Power of Attorney

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Washington

WA WH POA - There is no state WH tax.

WA UI POA - Generic UI Power of Attorney (MUST BE NOTARIZED)

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West Virginia

WV WH POA - WH Power of Attorney

WV UI POA - Generic UI Power of Attorney

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Wisconsin

WI WH POA - WH Power of Attorney

WI UI POA - UI Power of Attorney

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Wyoming

WY UI POA - UI Limited Power of Attorney

WY WH POA - There is no state WH tax.

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