Certification Request

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8850
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8850 Pre-Screening Notice and Certification Request for the Work Opportunity...
ETA Form 9061
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(See instructions on reverse). 2. .... breaks in employment (see pages III-12...
ETA Form 9062
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Conditional Certification Work Opportunity Tax Credit U. S. Department of...
ETA Form 9175
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U.S. Department Labor Employment and Training AdministrationOMB Control No....

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Forms description

Purpose of Form Employers use Form 8850 to pre-screen and to make a written request to the state workforce agency (SWA) of the state in which their business is located (where the employee works) to certify an individual as a member of a targeted group for purposes of qualifying for the work opportunity credit.

This form is used together with IRS Form 8850 to help state workforce agencies (SWAs) determine eligibility for the Work Opportunity Tax Credit (WOTC) Program.

CONDITIONAL CERTIFICATION (CC) ETA FORM 9062. When a SWA or participating agency (PA) determines that a job-ready applicant is, TENTATIVELY ELIGIBLE as a member of a target group under WOTC, it shall use this required form, without modification, to show that eligibility pre-determination was made for this person.

What Is ETA Form 9175? ETA Form 9175, Long-term Unemployment Recipient Self-Attestation Form, is a legal document completed by a new hire if this employee was a job seeker with employment barriers. This is one of the documents needed to apply for the Work Opportunity Tax Credit (WOTC).

Certification Request FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
CMS Says: The Work Opportunity Tax Credit (WOTC) is voluntary program that has been around since 1978. An employee may refuse to complete the WOTC forms 8850, and 9061 with no adverse impact to them.
Purpose of Form Employers use Form 8850 to pre-screen and to make a written request to the state workforce agency (SWA) of the state in which their business is located (where the employee works) to certify an individual as a member of a targeted group for purposes of qualifying for the work opportunity credit.
INSTRUCTIONS FOR COMPLETING THE INDIVIDUAL CHARACTERISTICS FORM (ICF), ETA 9061. This form is used together with IRS Form 8850 to help state workforce agencies (SWAs) determine eligibility for the Work Opportunity Tax Credit (WOTC) Program. by the individual completing the form.
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