Submitting a WOTC-Eligible employee
By completing this form, you are providing WOTC Solutions with all the information we need  to create and complete your paperwork and manage your Certification process. You will receive an email confirmation from a Certification Department representative team upon your submission.  If you are not sure if your employee is WOTC eligible, please complete the form and we will assist you in screening for their eligibility.

Please don't delay. This process is strictly time-limited by law -- you have just 28 days from the employee's Hire Date to have all the paperwork completed and submitted to your state's WOTC Coordinator's Office.  Email us at StephanieF@wotcsolutions.com with any questions.

We prepare and submit all the forms required for you to obtain the credit.  As part of our service we also handle appeals should there be an initial denial of the credit which frequently occurs. The IRS allows the credit to be claimed for the next 20 years.

Our fee for these services is 25% of the actual credit received.  (This is reduced to 20% for employers who submit multiple employees.) No fee is charged if you don't receive a credit, and we don't invoice until we deliver the WOTC Certificate issued by your state's WOTC Coordinator along with the completed forms required to be filed with your taxes.

The information you submit in this form is securely transmitted to us and is stored securely using state-of-the-art encryption tools. We take the security and confidentiality of our clients' information very seriously.

                                                                 Thank you for choosing WOTC Solutions!
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Employer Information
DBA
Company Name *
Street Address (No P.O. Box) *
City *
State *
Zip Code *
Telephone Number *
Your Name *
Your Title *
Your Email Address *
FEIN (Your federal tax id number) *
(New hire's) first name, middle initial, last name *
Street Address *
City *
State *
Zip Code *
County (not Country) *
Telephone Number *
Date of Birth *
Social Security Number *
Job Title *
Hourly Wage *
Average number of hours worked per week *
Date Hired *
Date Started Working *
Worked for this employer before? *
WOTC Target Group *
Notes:
How did you hear about WOTC Solutions? *
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