Power of Attorney & State Forms
For your convenience, below are links to the most recent POA and state 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
Note: Adobe® Reader® is required to open PDFs. If you do not have Adobe
Reader installed on your computer, you can download it for free from the Adobe website.
Select a state to quickly find the forms you need:
Alaska
AK SUTA POA - SUTA 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 SUTA POA - SUTA Power of Attorney (MUST BE NOTARIZED)
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Arizona
AZ WH POA - WH Disclosure Authorization Form
AZ POA - SUTA Limited Power of Attorney
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Arkansas
AR WH POA - WH Power of Attorney
AR SUTA POA - SUTA 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 SUTA POA - SUTA Power of Attorney
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Connecticut
CT WH POA - WH Power of Attorney
CT SUTA POA - Generic SUTA Power of Attorney
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Delaware
DE WH POA - WH Auth to Release Tax Info
DE SUTA POA - SUTA Power of Attorney
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District of Columbia
DC WH POA - WH Power of Attorney
DC SUTA POA - SUTA Power of Attorney
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Florida
FL SUTA POA - SUTA 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 SUTA POA - SUTA Limited Power of Attorney
GA WH EFT Authorization - Registration/Authorization form for electronic processing (REQUIRED)
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Hawaii
HI SUTA POA - SUTA Power of Attorney (MUST BE NOTARIZED)
HI Form N-848 - WH Power of Attorney
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Idaho
ID SUTA POA - SUTA 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 SUTA POA - SUTA Power of Attorney
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Indiana
IN WH POA - WH Power of Attorney
IN SUTA POA - SUTA Power of Attorney (MUST BE NOTARIZED)
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Iowa
IA Form IA 2828 - WH Power of Attorney
IA SUTA POA - SUTA Power of Attorney
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Kansas
KS WH POA - WH Power of Attorney
KS SUTA POA - SUTA Employer Representative Authorization
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Kentucky
KY SUTA POA - SUTA Power of Attorney (MUST BE NOTARIZED)
KY WH POA - There is no POA required.
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Louisiana
LA SUTA POA - SUTA Power of Attorney
LA WH POA - WH Power of Attorney (MUST BE NOTARIZED)
Assigning myPay Solutions as Agent on Louisiana Workforce Commission website - Setup Guide
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Massachusetts
MA SUTA POA - SUTA 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 SUTA POA - SUTA Power of Attorney
ME WH POA - WH Power of Attorney and Declaration of Representative
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Maryland
MD SUTA POA - SUTA Power of Attorney Authorization
MD WH POA - The state accepts Federal Form 8655.
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Michigan
MI SUTA POA - SUTA 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 SUTA 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 SUTA POA - The state accepts Federal Form 8655.
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Missouri
MO WH POA - WH Power of Attorney
MO SUTA POA - SUTA 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 SUTA POA - Generic SUTA 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 - SUTA 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 SUTA POA - SUTA 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 SUTA POA - SUTA 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 SUTA POA - The state accepts Federal Form 8655.
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Ohio
OH WH POA - WH Declaration of Tax Representative
OH SUTA POA - SUTA Employer's Representative Authorization
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Oklahoma
OK WH POA - WH Power of Attorney
OK SUTA POA - SUTA Power of Attorney (MUST BE NOTARIZED)
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Oregon
OR WH POA - WH Tax Information Authorization
OR SUTA POA - SUTA Tax Authorization Representative
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Pennsylvania
PA SUTA POA - SUTA 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 SUTA POA - There is no POA required.
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South Carolina
SC WH POA - WH Power of Attorney and Declaration of Representative
SC SUTA POA - SUTA Power of Attorney (MUST BE NOTARIZED)
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South Dakota
SD WH POA - There is no POA required.
SD SUTA POA - The state accepts Federal Form 8655.
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Tennessee
TN SUTA POA - SUTA Power of Attorney
TN WH POA - There is no state WH tax.
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Texas
TX SUTA POA - SUTA 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 SUTA POA - Generic SUTA Power of Attorney
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Virginia
VA SUTA POA – SUTA 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 SUTA POA - SUTA Power of Attorney
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West Virginia
WV WH POA - WH Power of Attorney
WV SUTA POA - Generic SUTA Power of Attorney
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Wisconsin
WI WH POA - WH Power of Attorney
WI SUTA POA - SUTA Power of Attorney
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Wyoming
WY SUTA POA - SUTA Limited Power of Attorney
WY WH POA - There is no state WH tax.
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