ETA Form 9061 - Employment & Training Administration-2025

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  1. Click ‘Get Form’ to open the ETA Form 9061 in the editor.
  2. Begin by filling out the Employer Information section (Boxes 3-5). Enter the employer's name, address, telephone number, and Federal ID Number (EIN). Ensure accuracy as this information is crucial for certification.
  3. Proceed to the Applicant Information section (Boxes 6-11). Input the applicant's name and Social Security Number. Indicate if they have previously worked for this employer and provide the last date of employment if applicable.
  4. In the Applicant Characteristics section (Boxes 12-22), carefully read each question and answer accordingly. Provide additional details where requested, especially regarding eligibility for various programs.
  5. Complete Box 23 by listing sources used to document eligibility. This may include letters from agencies or other relevant documentation.
  6. Finally, sign in Box 24(a) and indicate who signed in Box 24(b). Enter the date in Box 25 before submitting your form.

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2016 4.9 Satisfied (39 Votes)
2015 4.4 Satisfied (117 Votes)
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2011 4 Satisfied (45 Votes)
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Should I fill out the WOTC questionnaire? If you are a job applicant who may be eligible, you can fill out the questionnaire to determine your eligibility. This will help your employer determine if they can claim the credit for hiring you.
IRS form 8850 and IRS form 9061 are required to verify that a potential employee is a member of a targeted group to claim the work opportunity tax credit. Form 8850 needs to be signed by both the employer and the employee before the employer files the form with the employers state workforce agency.
An employer also must submit a Department of Labor Employment and Training Administration (ETA) Form 9061 (Individual Characteristics Form) or 9062 (Conditional Certification) to the DLA. Section 51(d)(12) of the Code provides that a DLA means a State employment security agency established in accordance with 29 U.S.C.
Qualified SSI Recipient: People receiving Supplemental Security Income (SSI). Qualified Long-Term Family Assistance Recipient: People who have received TANF for at least 18 months. Qualified Long-Term Unemployment Recipient: People unemployed for at least 27 weeks and receiving unemployment benefits.
Does WOTC mean I got the job? Not necessarily. Being eligible for WOTC or being asked to fill out the questionnaire doesnt guarantee youll get the job. Its simply one step in the hiring process.