ETA FORM 9062 PDF

Items 16 – 22 Submit the bottom portion of the ETA Form instead of Form , State agency use only-ETA Form , Conditional Certification Form. Federal Forms and Information. ETA Form – Individual Characteristics Form – Work Opportunity Tax Credit; ETA Form – Conditional Certification. April – Individual Characteristics Form; ETA Form , Rev. April – Conditional Certification; ETA Form , Rev. April – Employer Certification.

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How Does an Employer Apply for WOTC?

The Work Opportunity Tax Credit WOTC is from Federal tax credit incentive that employers may receive for hiring individuals from certain target groups who have consistently faced significant barriers to employment. The main objective of this program is to enable the targeted employees to gradually move from economic dependency into self-sufficiency as they earn a steady income and become contributing taxpayers, while participating employers are compensated by being able to reduce their federal income tax liability.

Employers make the hiring decision, and there is no limit to the number of new hires who can qualify the employer for the tax savings, but individuals must be identified as members of one of these targeted groups before a job offer is made.

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The amount of the tax credit is based on a percentage of qualified wages paid to the new employee for dorm first year of employment only with the exception of the long term TANF recipient.

Both the percentage and the cap on qualifying wages vary based on which target group the new employee falls into.

For more details on WOTC benefit amounts, go to www. The first step is pre-screening to determine eligibility. The job seeker or the employer must complete the following forms:.

The employer and the job seeker must sign the Formunder penalty of perjury, attesting that the job seeker is a member of a target group.

The employer then forwards the forms to the Department of Career Services no later than the 28th day after the job seeker fofm work at the following address:. For more information and additional filing options fax, email, onlinecontact the Department of Career Services at If you need to report child abuse, any other kind of abuse, or need urgent assistance, please click here. Executive Office of Labor and Workforce Development.

Amount of the Credit The amount of the tax credit is based on a percentage of qualified wages paid to the new employee for the first year of employment only with the exception of the long term TANF recipient. Application Process The first step is pre-screening to determine eligibility.

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The job seeker or the employer must complete the following forms: Employers can obtain copies of IRS by visiting www. The employer then forwards the forms to the Department of Career Services no later than the 28th day after the job seeker begins work at the following address: Feedback Did for find what you were looking for on this webpage?

WOTC – Forms and Publications

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