Home
Forms Library
Self attestation

Self attestation form 2026

See details

4.9 out of 5

413 votes

The document is a Youth Self-Attestation Form for the Work Opportunity Tax Credit Program, issued by the U.S. Department of Labor's Employment and Training Administration. It requires new hires to provide personal information and confirm their eligibility based on specific criteria related to education and employment history. The form must be completed and submitted by employers to the State Workforce Agency alongside Form ETA 9061 for tax credit certification.

Here's how it works

01. Edit your self attestation online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send self attestation form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out the self attestation form

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by entering your New Hire Name in the designated field. Ensure that you provide your full legal name for accurate processing.
Next, input your Social Security Number and Date of Birth. This information is crucial for identification purposes.
Fill in the Employer Name and Employer Federal ID (EIN) Number. This connects your self-attestation to the correct employer.
Review the statements provided and check all that apply to you. This section is essential for determining eligibility under the Work Opportunity Tax Credit Program.
Finally, sign and date the form at the bottom. Your signature confirms that all information provided is true and correct.

Start using our platform today to complete your self attestation form online for free!

See more self attestation form versions

We've got more versions of the self attestation form form. Select the right self attestation form version from the list and start editing it straight away!