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                Get Dol Eta Form 9062 2023-2025
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How to fill out the DOL ETA Form 9062 online
The DOL ETA Form 9062 is a vital document for employers seeking certification for the Work Opportunity Tax Credit. This guide provides a clear, step-by-step approach to completing the form online, ensuring you meet all necessary requirements.
Follow the steps to complete the DOL ETA Form 9062 accurately.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In the first section labeled 'Participating Agency/State Workforce Agency Information', input the initiating agency code in Box 1, and the control number in Box 2. Remember to enter the date completed in Box 3, and provide the name and address of the SWA in Box 4.
- Next, fill in the contact number in Box 5 and sign the form in Box 6, ensuring that the authorized official’s signature is present.
- Proceed to Part I, 'Applicant’s Information and Conditional Certification'. Enter the applicant’s name in Box 7, followed by their address and telephone number in Box 8.
- In Box 9, enter the applicant’s Social Security Number, and input the targeted group code in Box 10. If the applicant is a qualified veteran, indicate the specific category in Box 11 by checking the appropriate box.
- For any ex-felon targeted group details, complete Boxes 12a to 12d with the required conviction and release information.
- Ensure to add the applicant's signature in Box 14 and the date of signature.
- In Part II, provide the name of your firm in Box 15, the applicant's employment start date in Box 16, and the position or job title in Box 17.
- Record the starting wage in Box 18, your name as the employer in Box 19, and then sign in Box 20 before entering the date signed in Box 21.
- Once all sections are completed, you can save changes, download, print, or share the form as required.
Start completing your DOL ETA Form 9062 online today to ensure you meet all necessary requirements and deadlines.
The first, ETA Form 9061, or the Individual Characteristics Form (ICF), provides specific information about how an applicant answered the WOTC questionnaire. The second, ETA Form 9062, is the Conditional Certification Form for applicants who have been pre-screened for WOTC by an SWA.
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