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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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File for a Tax Credit Online (WOTC)

Auxiliary aids and services are available upon request to individuals with disabilities. For more fodm and additional filing options fax, email, onlinecontact ea Department of Career Services at The employer completes the top portion of the form, making sure all the blanks are completed.

Obtain the current forms and their instructions: The mailing envelope must contain a U. Either the new hire or employer may sign and eha the form.

Executive Office of Labor and Workforce Development. The job seeker or the employer must complete the following forms: Faxed or emailed forms cannot be accepted and will result in a denial.

Mail all required forms and documentation together. Have your company representative complete, sign, and date the back of the form. Job Service North Dakota. Before mailing the forms to JSND, make sure they contain the foem signatures, review them for completeness, and make copies for your records. For more details on WOTC benefit amounts, go to www. Both the percentage and ega cap on qualifying wages vary based on which target group the new employee falls into. 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:.

Application Process The first step is pre-screening to determine eligibility. Postal Service postmark or postage meter mail stamp dated no later than the 28th calendar day after the date the new hire began work. The employer makes sure the individual has signed the form. It is for, employer’s responsibility to read the instructions for forms and and to know what forms to complete, how to properly complete them, and where and how to submit them.

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File for a Tax Credit Online (WOTC) |

In these cases, if an employer can resubmit a properly completed Form within the day filing requirement, Job Service will consider that form for processing.

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.

Department of Labor forms, as appropriate: 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. 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.

If you need to mail Form separately to meet the day filing requirement, write on the form that other documents are being mailed separately.

The employer completes Part II of the form. The employer should review this form for any “yes” responses indicated by the new hire and then obtain the required documentation from the new hire to substantiate those responses.

WOTC Questions: What is a Conditional Certification from the State Workforce Agency?

Form has a specific day filing requirement. Re-verification of target group eligibility and the date listed in Question 15 on Form may occur by Job Service North Dakota. Skip to main content.

Fogm, there are situations when an employer will receive a Notice of Denial from Job Service because Form was missing original signatures. Give this form to the new hire and have him or her complete, sign, and date the front of the form. Should an employer realize after they have mailed Form to Job Service North Dakota that the form is missing original signatures, the employer can resubmit a second form that contains original signatures.


The second form must meet the day filing requirement in order for it to be considered timely and in order for Job Service to consider it for processing. Please do not include personal or contact information. If the new hire is under age 18 on the hire date, a parent or guardian must sign and date the form. Complete ONE of the following required U.

How Does an Employer Apply for WOTC? | Job Service North Dakota

Carefully forj the instructions for this form to learn about the target groups. If you need to report child abuse, any other kind of abuse, or need urgent assistance, please click here.

Feedback Did you find what you were looking for on this webpage? The employer must hire the individual by the date indicated in Question 15 in order to possibly be qualified for a tax credit. Employers can obtain copies of IRS by visiting www. 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.

If you need a response, please locate the contact information elsewhere on this page or in the footer.