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Employer Certification U. S. Department of Labor Work Opportunity Tax Credit Employment and Training Administration (OPTIONAL)OMB No. 12050371 Expiration Date:1. NAME/ADDRESS OF CERTIFYING AGENCY
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How to fill out nameaddress of certifyingagency and

01
Start by writing the name of the certifying agency in the designated space.
02
Below the name, write the complete address of the certifying agency, including the street address, city, state, and ZIP code.
03
Make sure to use the correct spelling and format for the agency's name and address.
04
Double-check the information to ensure accuracy and legibility.
05
If there are any additional instructions or requirements for filling out the name and address of the certifying agency, follow those as well.

Who needs nameaddress of certifyingagency and?

01
Anyone who is required to submit a certification or document that includes the name and address of the certifying agency needs to include this information.
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This could include individuals applying for licenses or permits, students applying for scholarships or educational programs, professionals submitting credentials, or anyone else who needs to provide proof of certification.

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Certifying agency name and address refers to the entity responsible for verifying the accuracy and authenticity of the information provided.
Any individual or organization required to provide verified information to a regulatory body or government agency.
Fill out the form provided by the certifying agency with the accurate and up-to-date information.
The purpose is to ensure that the information provided is accurate and can be verified by the certifying agency.
The required information typically includes the name and contact details of the certifying agency.
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