South Carolina Department of Employment and Workforce Written Authorization (UCE-1010)

South Carolina Department of Employment and Workforce Written Authorization (UCE-1010)

For questions, please contact Morning Sun Financial Services at 1-844-450-5444
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South Carolina Department of Employment and Workforce Written Authorization (UCE-1010)

For questions, please contact Morning Sun Financial Services at 1-844-450-5444
Please read the instructions following this form before completing. By completing this form, you are authorizing the South Carolina Department of Employment and Workforce (DEW) to disclose/discuss Unemployment Insurance (UI) related matters to your chosen agent. This form is only to be used to designate an agent.

If you are attempting to add or remove authorized contact persons, do not complete this form. Please refer to the attached instructions for more information.
Instructions*
South Carolina Program*

SCDHHSSCDDSN
Employer Legal Name*

Legal First NameLegal Last Name
Employer Email*
example@example.com
Employer Phone Number*
Employer Address*

Street Address

Apartment or Unit Number

CityState

Zip Code
HIDE- Agent Name and Address*
Morning Sun Financial Services of South Carolina 9400 Golden Valley Road Golden Valley, MN 55427
HIDE- Contact Name*
HIDE- Agent FEIN*
HIDE- Agent SUITS*
HIDE- Agent Phone*
HIDE- Agent Fax*
HIDE- Agent Fax*
HIDE- Select Authorization*

GENERAL AUTHORIZATION: Authorizes my agent to: (1) submit wage reports, (2) submit payments and enter into payment agreements, (3) perform account maintenance updates, (4) submit and receive information related to UI benefits. This authorization applies to all tax and benefit related matters.
I understand that any information or records obtained by DEW in the administration of the Unemployment Insurance program is generally private and confidential pursuant to S.C. Code Ann. § 41-29-160 and 20 CFR Part 603, and may only be released for the purpose specified in this Written Authorization in accordance with state and federal law. By signing this Written Authorization, I am authorizing DEW to release the information specified to the authorized agent. I understand state government files will be accessed to obtain the information disclosed to the authorized agent. I further understand that I am authorizing the appointed agent to act on behalf of the business to the fullest extent to which I could act if I were personally present in connection with the transactions authorized in Part 3 of this Written authorization. I further declare the information submitted has been examined by me and I specifically authorize agent(s) to transact the above specified UI business with DEW.
Signatures

I understand and accept that my electronic signature will be as valid as a handwritten signature and considered original to the extent allowed by applicable law. Please see the Consumer Consent Disclosure at https://www.jotform.com/consumer-consent-disclosure/
Employer Legal Name*

Legal First NameLegal Last Name
Signature

Clear
Date of Signature*

MonthDayYear
Date
HIDE- Title*
HIDE- Employer Social Security Number
HIDE- Employer Phone Number*
Please verify that you are human*
Should be Empty:

South Carolina Department of Employment and Workforce Written Authorization (UCE-1010)

South Carolina Department of Employment and Workforce Written Authorization (UCE-1010)

Signatures