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  • Eta 9062 Form

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21. DATE 20. EMPLOYER S NAME AND SIGNATURE Page of 1 of 3 ETA Form 9062 Rev. June 2007 CONDITIONAL CERTIFICATION CC ETA FORM 9062.

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The CC serves as an official record of the pre-certification, alerts prospective employers to the availability of the tax credit if this individual is hired, and provides a means for employers to request a WOTC certification for this person.

CMS Says: Your employer will provide the WOTC forms to you online or on paper as part of your onboarding (new hire) paperwork. To complete the paperwork, provide your name, address (no PO Box), date of birth and social security number. You will then be asked a series of questions which will determine eligibility.

The Work Opportunity Tax Credit (WOTC) can help you get a job. If you are in one of the “target groups” listed below, an employer who hires you could receive a federal tax credit of up to $9,600.

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.

IRS form 9061 The employer's state workforce agency is required to make conditional certification decisions, and Form 9062 acts as an official record of pre-certification. Form 9061 or 9062 needs to be submitted by the employer after they send in Form 8850.

The Work Opportunity Tax Credit (WOTC) is a Federal tax credit available to employers for hiring and employing individuals from certain targeted groups who have faced significant barriers to employment.

The Conditional Certification serves as an official record of prequalification and alerts prospective employers to the availability of the tax credit if this person is hired. It is not the actual certification, which can only be issued by the State Work Opportunity Tax Credit (WOTC) Coordinator's office.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232