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WOTC DISCONNECTED YOUTH SELF-ATTESTATION FORM Please complete this form. It will be used to determine if your employer would qualify for employment based tax credits under the federal Work Opportunity Tax Credit. NAME EMPLOYMENT START DATE SOCIAL SECURITY NUMBER DATE OF BIRTH Please check the statement that applies to you and sign where indicated below I am a youth at least 16 but not yet 25 on the hiring date school for more than an average of 10 hours per week not counting periods during which the school is closed for scheduled vacations during the 6-month period preceding the hiring date basic skills. Youth does not have a certificate of graduation from a secondary school or a GED Certificate. Youth has a certificate of graduation from a secondary school or a GED Certificate that was awarded no less than 6-months preceding his or her hiring date and has not held a job or been admitted to a technical school or post-secondary school since receiving the certificate. I certify that the ....

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One attestation form must be filled out for each passenger age 2 years or older who is not a U.S. citizen, U.S. national, lawful permanent resident, or an immigrant (“Covered Individual”), and who is seeking to enter the United States by air travel.

I do hereby attest that this information is true, accurate and complete to the best of my knowledge and I understand that any falsification, omission, or concealment of material fact may subject me to administrative, civil, or criminal liability.”

One attestation form must be filled out for each passenger age 2 years or older who is not a U.S. citizen, U.S. national, lawful permanent resident, or an immigrant (“Covered Individual”), and who is seeking to enter the United States by air travel.

Regardless of the status shown on the VeriFLY app, mandated documents must be printed and filled out in its entirety for acceptance.

Regardless of the status shown on the VeriFLY app, mandated documents must be printed and filled out in its entirety for acceptance.

The United States Attestation Form is available to complete your flight in advance. Airlines offer electronic attestation, and partner apps such as VeriFLY can also allow you to submit your form in advance.

An Attestation template is a special kind of an append that is used when an additional person signs the transcription, usually someone with a higher authority.

Under United States federal law, the applicable portion of the attestation must be completed for each passenger age two or older and the attestation must be provided to the airline or aircraft operator prior to boarding a flight to the United States from a foreign country.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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