How to File a Certification Request
To verify whether a job applicant is a first time, qualifying member of a target group, employers are required to submit IRS Form 8850 together with ETA Form 9061 or ETA Form 9062 to the state workforce agencies in which the employer's business is located (where the employee works) within 28 calendar days after the new hire's start date.
- IRS Form 8850, Pre-Screening Notice and Certification Request for the Work Opportunity Credit, available at: https://www.irs.gov/forms-pubs/form-8850-pre-screening-notice-and-certification-request-for-the-work-opportunity-credit; AND
- ETA Form 9061 (OR) ETA Form 9062 must be completed and submitted to the state workforce agency to complete the application. The Spanish - ETA Form 9061 is available for translation purposes only.
Additional forms required for other target groups:
ETA Form 9175: For Qualified Long-Term Unemployment Recipients, complete Long-Term Unemployment Recipient Self-Attestation Form.
Submission instructions can be found on your state workforce agency's website. See the state workforce agency directory for additional information at: https://www.doleta.gov/business/incentives/opptax/contact/state-workforce-agencies.cfm. Do not send application forms to the U.S. Department of Labor, or any other federal agency.