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  1. CONDITIONAL CERTIFICATION (CC) ETA FORM 9062. When a SWA or participating agency (PA) determines that a job-ready applicant is, TENTATIVELY ELIGIBLE as a member of a target group under WOTC, it shall use this required form, without modification, to show that eligibility pre-determination was made for this person. Note.

  2. Page 1 of 3 ETA Form 9062 (Rev. May 2023) Work Opportunity Tax Credit Conditional Certification Form (CC) INSTRUCTIONS FORM EMPLOYERS: This form must be accompanied by IRS Form 8850. If you do not have IRS Form 8850, download it from

  3. Purpose. This Training and Employment Guidance Letter (TEGL) informs State Workforce Agencies (SWA), partnering agencies, employers, and other stakeholders of the Office of Management and Budget (OMB) approval of the extension, with revisions, of the Work Opportunity Tax Credit (WOTC) information collection under OMB Control number 1205-0371.

  4. The Work Opportunity Tax Credit (WOTC) is a federal tax credit available to employers for hiring and employing individuals from certain targeted groups who have faced significant barriers to employment.

  5. 30 sty 2024 · To claim the credit, a taxable business will include Form 5584, Work Opportunity Credit with their federal return. This form lists the eligible wages and calculates the company's total WOTC credit. Eligible tax-exempt organizations will use IRS form 5584-C to claim any credit.

  6. Usually, the PA determines the control number (CN). However; SWAs may, for internal control purposes, develop their own CN system. It may be a case number or some other appropriate designation (e.g., alpha-numeric code), which permits easy filing, certification and retrieval of forms.

  7. If an employee has already been conditionally certified, which means they've been tentatively designated as a member of a target group, the employer can use DOL Form 9062 instead. The employer's state workforce agency makes conditional certification decisions, and Form 9062 serves as an official record of pre-certification.

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