Work Opportunity Tax Credit – Forms and Publications

Download forms for use in qualifying for the Work Opportunity Tax Credit (WOTC). You may need to download the no-cost Adobe Reader to view and print linked documents.

Federal Forms and Information

• Individual Characteristics Form (ETA 9061) (PDF)
• Conditional Certification (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 Tax Credit (IRS Form 8850) (PDF)
• Instructions for Form 8850 (IRS Form 8850 Instructions) (PDF)
• Work Opportunity Tax Credit (IRS Form 5884) (PDF) – Use this form to report Work Opportunity Tax Credit with your tax return

En español

• Individual Characteristics Form – Spanish  (ETA 9061) (PDF) – to be used for reference only