Work Opportunity Tax Credit (WOTC) Packet

Automation-generated from SWTA eligibility workflow. Review before submission.

Generated

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Employer

Name: —

Address: —

Contact Email: —

Employee / New Hire

Name: —

Start Date: —

Target Groups: —

Compliance Clock (Form 8850)

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Days remaining

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Packet Contents

IRS Form 8850 (prefill data attached below)
ETA Form 9061 (prefill data attached below)
Signature & authorization page

Form 8850 — Prefill

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ETA 9061 — Prefill

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Authorization & Signatures

By signing, the employer and employee attest that the information provided is true and complete to the best of their knowledge. MSP staff should confirm required attachments and the correct submission destination.

Employer Authorized Signer

Name / Title

Date

Employee / Applicant

Name

Date

Note: This packet is generated for workflow efficiency. It is not legal advice.

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