Work Opportunity Tax Credit – Forms and Publications
Download the following forms to use for qualifying for the Work Opportunity Tax Credit. You may need Adobe Reader open and print these forms. Acrobat Reader is free to download.
Federal Forms and Information
- Individual Characteristics Form (ETA 9061) (PDF)
- Individual Characteristics Form — Spanish (ETA 9061) (PDF) — to be used for reference only
- Conditional Certification Form (ETA 9062) (PDF)
- Long-Term Unemployment Recipient Self-Attestation Form (ETA 9175) (PDF)
- Employer Representative Declaration Form (ETA 9198) (PDF)
- Pre–Screening Notice and Certification Request for the Work Opportunity Credit (IRS Form 8850) (PDF)
- Instructions for Form 8850 (IRS Form 8850 Instructions) (PDF)
- Work Opportunity Credit (IRS Form 5884) (PDF) — Use this form to report Work Opportunity Tax Credit on your tax return