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Information To Claim Certain Credits After Disallowance OMB No. 1545-0074
Form 8862 Earned Income Credit (EIC), Child Tax Credit (CTC), Refundable Child Tax Credit (RCTC), Additional Child
(Rev. December 2021) Tax Credit (ACTC), Credit for Other Dependents (ODC), and American Opportunity Tax Credit (AOTC) Attachment
Department of the Treasury ▶ Attach to your tax return. ▶ Go to www.irs.gov/Form8862 for instructions and the latest information. Sequence No. 43A
Internal Revenue Service
Name(s) shown on return Your social security number

You must complete Form 8862 and attach it to your tax return to claim the EIC, CTC/RCTC/ACTC/ODC, or AOTC if both of the
following apply.
✓ Your EIC, CTC/RCTC/ACTC/ODC, or AOTC was previously reduced or disallowed for any reason other than a math or clerical error.

✓ You now want to claim the credit that was previously reduced or disallowed and you meet all the requirements for the credit.
Part I All Filers
1 Enter the tax year for which you are filing this form (for example, 2021) . . . . . . . . . . ▶

2 Check the box(es) that applies to the credit(s) you are claiming and complete the part(s) that matches the box(es) you marked.
Child Tax Credit (nonrefundable or
refundable)/Additional Child Tax
Earned Income Credit Credit/Credit for Other Dependents American Opportunity Tax Credit
(Complete Part II) (Complete Part III) (Complete Part IV)

Part II Earned Income Credit
3 If the only reason your EIC was reduced or disallowed was because you incorrectly reported your earned
income or investment income, check “Yes.” Otherwise, check “No.” . . . . . . . . . . . ▶ Yes No
Caution: If you checked “Yes,” do not complete the rest of Part II. Attach this form to your tax return to
claim the EIC. If you checked “No,” continue.

4 Could you (or your spouse if filing jointly) be claimed as a qualifying child of another taxpayer for the year
entered on line 1? . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶ Yes No
Caution: See the instructions before answering. If you (or your spouse if filing jointly) answer “Yes” to
question 4, you cannot claim the EIC.

If you are claiming the EIC with a qualifying child, continue to Section A. Otherwise, go to Section B.

Section A: Filers With a Qualifying Child or Children

✓ Answer questions 5, 7, and 8 for each child for whom you are claiming the EIC.
✓ Enter the name(s) of the child(ren) you listed as Child 1, Child 2, and Child 3 on Schedule EIC for the year entered on line 1 above.

5a Child 1 b Child 2

c Child 3

6 Does your completed Schedule EIC for the year entered on line 1 show that you had a qualifying child for the EIC? ▶ Yes No
Caution: If you checked “No,” you do not need to complete Part II, Section A. Go to Part II, Section B.

7 Enter the number of days each child lived with you in the United States during the year entered on line 1.
Child 1 ▶ Child 2 ▶ Child 3 ▶
Caution: If you enter less than 183 (184 if the year on line 1 is a leap year), you cannot claim the EIC for that child.

8 If the child was born or died during the year entered on line 1, enter the month and day the child was born and/or died as
month (MM)/day (DD). Otherwise, skip this line.
Child 1 date of birth (MM/DD) / Child 1 date of death (MM/DD) /
Child 2 date of birth (MM/DD) / Child 2 date of death (MM/DD) /
Child 3 date of birth (MM/DD) / Child 3 date of death (MM/DD) /
Only one person may claim the child as a qualifying child for the EIC and certain other child-related benefits. If the child meets
the conditions to be a qualifying child of any other person (other than your spouse if filing jointly), complete Part V. If you
cannot treat any of the children listed above as a qualifying child and have no other qualifying children, go to Part II, Section B.

For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 25145E Form 8862 (Rev. 12-2021)

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Form 8862 (Rev. 12-2021) Page 2
Section B: Filers Without a Qualifying Child or Children
9a Enter the number of days during the year entered on line 1 that your main home was in the United States . . . ▶
b If married filing jointly, enter the number of days during the year entered on line 1 that your spouse’s main home was
in the United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶
Caution: Members of the military stationed outside the United States during the year entered on line 1, see the instructions
before answering. If you enter less than 183 (184 if the year on line 1 is a leap year) on either line 9a or 9b (if filing jointly), you
cannot claim the EIC.

10a Enter your age at the end of the year on line 1 . . . . . . . . . . . . . . . . . . . . . . . .
b Enter your spouse’s age at the end of the year on line 1 . . . . . . . . . . . . . . . . . . . .
Caution: If your spouse died during the year entered on line 1 or you are preparing a return for someone who died during the
year entered on line 1, see the instructions before answering. If neither you (nor your spouse if filing jointly) met the applicable
minimum or maximum age requirement at the end of the year on line 1, you cannot claim the EIC. See the Instructions for Form
8862 for more information.
11a Can you be claimed as a dependent on another taxpayer’s return? . . . . . . . . . . . . ▶ Yes No
b Can your spouse (if filing jointly) be claimed as a dependent on another taxpayer’s return? . . . . ▶ Yes No
Caution: If either you (or your spouse if filing jointly) answer “Yes” to question 11, you cannot claim the EIC.

Part III Child Tax Credit (nonrefundable or refundable)/Additional Child Tax Credit/Credit for Other
Dependents
12 Enter the name(s) of each child for whom you are claiming the child tax credit/refundable child tax credit/additional child tax
credit (CTC/RCTC/ACTC). If you are claiming the CTC/RCTC/ACTC for more than four qualifying children, attach a statement
also answering questions 12 and 14–17 for those children.
a Child 1 b Child 2

c Child 3 d Child 4

13 Enter the name(s) of each person for whom you are claiming the credit for other dependents (ODC). If you are claiming the credit
for more than four dependents, attach a statement answering questions 13, 16, and 17 for those dependents.
a Other dependent 1 b Other dependent 2

c Other dependent 3 d Other dependent 4

14 For each child listed in response to question 12, did the child live with you for more than half of the year or meet an exception
described in the instructions?
Child 1 Yes No Child 2 Yes No Child 3 Yes No Child 4 Yes No

15 For each child listed in response to question 12, did the child meet the requirements to be a qualifying child for the CTC/RCTC/
ACTC?
Child 1 Yes No Child 2 Yes No Child 3 Yes No Child 4 Yes No

16 For each person claimed as a qualifying child or other dependent for the CTC/RCTC/ACTC/ODC, is that person your dependent?
Child 1 Yes No Child 2 Yes No Child 3 Yes No Child 4 Yes No
Other dependent 1 Yes No Other dependent 2 Yes No
Other dependent 3 Yes No Other dependent 4 Yes No

17 For each person claimed as a qualifying child or other dependent for the CTC/RCTC/ACTC/ODC, is that person a citizen,
national, or resident of the United States? See Pub. 519 for more information on when a person is a resident of the United States
or is treated as a resident of the United States.
Child 1 Yes No Child 2 Yes No Child 3 Yes No Child 4 Yes No
Other dependent 1 Yes No Other dependent 2 Yes No
Other dependent 3 Yes No Other dependent 4 Yes No
Caution: If the answer is “No” for questions 14, 15, 16, or 17, you cannot claim the CTC/RCTC/ACTC/ODC for that
child or other dependent.
Only one person can claim the child as a qualifying child for the CTC/RCTC/ACTC/ODC. If the child meets the conditions to be
a qualifying child of any other person (other than your spouse if filing jointly), complete Part V. If you cannot treat any of the
children listed above as a qualifying child and have no other qualifying children, you cannot claim the CTC/RCTC/ACTC or the
ODC based on having a qualifying child. If you are a noncustodial parent who is entitled to treat the child as a qualifying child,
you do not need to complete Part V.
Form 8862 (Rev. 12-2021)

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Form 8862 (Rev. 12-2021) Page 3
Part IV American Opportunity Tax Credit
✓ Answer the following questions for each student for whom you are claiming the AOTC. If you have more than three students,
attach a statement also answering questions 18 and 19 for those students.
✓ Enter the name(s) of the student(s) as listed on Form 8863.

18a Student 1 b Student 2

c Student 3

19 a Did the student meet the requirements to be an eligible student for purposes of the AOTC for the year entered on line 1? See
Pub. 970 for more information.
Student 1 Yes No Student 2 Yes No Student 3 Yes No

b Has the Hope Scholarship Credit or AOTC been claimed for the student for any 4 tax years before the year entered on line 1?
Student 1 Yes No Student 2 Yes No Student 3 Yes No
Caution: If you answered “No” to question 19a or “Yes” to question 19b, you cannot claim the credit for that student.

Part V Qualifying Child of More Than One Person
✓ Answer the following questions for each child who meets the conditions to be a qualifying child of any other person (other than
your spouse if filing jointly). If you have more than four qualifying children, attach a statement also answering questions 20–22 for
those children.

20a Child 1 b Child 2

c Child 3 d Child 4

21 Enter the address where you and the child lived together during the year entered on line 1. If you lived with the child at more
than one address during the year, attach a list of the addresses where you lived.

Child 1 ▶ Number and street
City or town, state, and ZIP code

Child 2 ▶ If same as shown for Child 1, check this box ▶ Otherwise, enter below.

Number and street
City or town, state, and ZIP code

Child 3 ▶ If same as shown for Child 1, check this box ▶ Otherwise, enter below.

Number and street
City or town, state, and ZIP code

Child 4 ▶ If same as shown for Child 1, check this box ▶ Otherwise, enter below.

Number and street
City or town, state, and ZIP code

Form 8862 (Rev. 12-2021)

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Form 8862 (Rev. 12-2021) Page 4
Part V Qualifying Child of More Than One Person (continued)

22 Did any other person (except your spouse, if filing jointly, and your dependents claimed on your return)
live with Child 1, Child 2, Child 3, or Child 4 for more than half the year? . . . . . . . . . . . Yes No
If “Yes,” enter the relationship of each person to the child on the appropriate line below.

Other person living with Child 1: Name
Relationship to Child 1

Other person living with Child 2: If same as shown for Child 1, check this box ▶ Otherwise, enter below.

Name
Relationship to Child 2

Other person living with Child 3: If same as shown for Child 1, check this box ▶ Otherwise, enter below.

Name
Relationship to Child 3

Other person living with Child 4: If same as shown for Child 1, check this box ▶ Otherwise, enter below.

Name
Relationship to Child 4
To determine which person can treat the child as a qualifying child for the EIC and CTC/RCTC/ACTC, see Qualifying Child of More
Than One Person in Pub. 501.
Note: The IRS may ask you to provide additional information to verify your eligibility to claim each credit.
Form 8862 (Rev. 12-2021)

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