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Revocation of Written Authorization to Represent Employing Unit (Form C-43)

Purpose of This Form

This form is used to revoke a written authorization for representation previously granted and on file with the Texas Workforce Commission (TWC).

 

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Who Can Use This Form

Any business or employer that wants to revoke previously granted authority for an individual or service company to represent them in matters before TWC, can use this form. Also, the authorized representative or “grantee” may revoke their own authority to represent an employer in matters before TWC.

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Requirements

The revocation of written authorization must be signed by the:

  • Individual, if the grantor is a sole proprietor
  • Owner or an officer of an organization or a partner of a partnership
  • Fiduciary or trustee for a trust or estate
  • Grantee with Written Authorization (Form C-42) on file with TWC

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Where to Mail Your Form

Mail completed forms, inquiries, or corrections:

TWC Tax Department
P.O. Box 149037
Austin, TX 78714-9037

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Open Records

Individuals may receive and review information that TWC collects about the individual by emailing open.records@twc.state.tx.us or writing to:

TWC Open Records
101 E 15th St, Rm 266
Austin, TX 78778-0001

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Forms

Revocation of Written Authorization to Represent Employing Unit (Form C-43) & InstructionsRevocation of Written Authorization to Represent Employing Unit (Form C-43) & Instructions MS Word or Revocation of Written Authorization to Represent Employing Unit (Form C-43) & Instructions PDF