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WOTC Forms

Update on Renewal of WOTC Forms

The Office of Management and Budget (OMB) has officially approved the Department of Labor's (DOLs) request to extend WOTC forms (such as the ETA 9061, 9062, and 9063) without revisions for three years, giving the existing forms a new expiration date of August 31, 2018. You can find all extended WOTC forms here on this web page. Employers and their representatives can use the above referenced forms with the August 31, 2018 expiration date, or use form versions with an expired 2015 date, which SWAs should accept, since the forms have been extended without revisions. DOL will publish a Training and Employment Notice announcing the OMB approval under the Paperwork Reduction Act (PRA) as soon as possible. The Information Collection Request (ICR) Reference Number 201502-1205-006 reviewed and approved by OMB review was for OMB Control Number 1205-0371, and can be found at:

Certification Request Forms for Employers

    Employers should follow the following steps to apply for the certification to receive the Work Opportunity Tax Credit.

  1. Complete IRS Form 8850 by the day the job offer is made.
  2. Complete ETA Form 9061 or ETA Form 9062 if the employee has been conditionally certified as belonging to a WOTC target group by a state workforce agency, Vocational Rehabilitation agency, or another participating agency.
  3. Submit the completed and signed IRS and ETA forms to your state workforce agency . Forms must be submitted within 28 calendar days of the employee's start date.

    States may accept applications via mail, fax, or e-mail or may have an automated WOTC process that accepts electronic submissions. If you are not sure how your state accepts applications, contact your state WOTC coordinator, or view our chart on state submission processes.

Spanish Language Forms

Forms for Employers after they Receive Certification from the SWA

  • Once your request for certification is approved by the SWA, then you may file with the IRS to claim the tax credit. See Instructions for Filing with IRS to download a copy of Form 5884 (or Form 5884-C for non-profits) and Form 3800.

Forms for Employer Representatives

To submit a WOTC request for certification on behalf of an employer, a completed power of attorney (POA) form must be signed and submitted to the state workforce agency (SWA).