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Get WORK OPPORTUNITY TAX CREDIT WOTC SURVEY

Ed on information provided by job applicants and new employees. The information provided will only be used for WOTC purposes and will NOT affect your taxes on your new job. Thank you for your cooperation. Work Start Date: Name: First Last / Month / Day Year Address: Street City State Social Security Number: Zip Code Date of Birth: / Month / Day Year Employer: Hourly Rate of Pay: Job Title: Please read each statement below and check the 'YES' box to any statement that applies to.

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