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Benefit Your Business

The following forms are presented in Adobe Corporation's PDF Format. The PDF viewer is available for free at Adobe's website.

Click on the forms below for a downloadable version.

Work Opportunity Tax Credit (WOTC)

  • WOTC Employer Mail-In Instructions (PDF, 15KB)
  • Instructions for Form 8850 (Rev. 3/2016)
  • Form 8850 - Pre-Screening Notice and Certification Request for the Work Opportunity Credit (Rev. 3/2016) (PDF, 66KB)
  • Form ETA-9061 - Individual Characteristics Form (Expiration Date March 31, 2023)
  • Form JS-182 - Authorization for Disclosure of Information (PDF, 6KB)
  • ETA Form 9175: For new WOTC target group, Long-Term Unemployment Recipients, complete Long-Term Unemployment Recipient Self-Attestation Form when there is an absence of UI wage records. (Expiration Date March 31, 2023)

WOTC Brochures and Other Information

WOTC | Tax Credit Home Page

WOTC Phone Number: 1-860-263-6060

200 Folly Brook Boulevard, Wethersfield, CT 06109 / Phone: 860-263-6000

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