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Understanding the IRS Form 8850 is essential for job seekers and employers alike, particularly in relation to accessing the Work Opportunity Credit, a valuable tax incentive designed to encourage the hiring of individuals from specific groups that face significant barriers to employment. This form serves as a pre-screening notice and certification request, allowing prospective employees to indicate their eligibility based on various criteria, such as receiving government assistance or having recently been unemployed. Filling it out involves providing personal details, including name and social security number, along with checking relevant boxes that indicate one's eligibility status, such as being a veteran or a member of a family that has received certain benefits. Employers play a crucial role in this process, as they must sign off on the information provided and send the completed form to the appropriate state workforce agency for further validation. Hence, both job applicants and employers benefit from a clear understanding of the form's requirements and processes, facilitating a smoother path to securing the employment-related benefits offered by federal programs.

Irs 8850 Example

Form 8850

(Rev. March 2016)

Department of the Treasury

Internal Revenue Service

Pre-Screening Notice and Certification Request for

the Work Opportunity Credit

Information about Form 8850 and its separate instructions is at www.irs.gov/form8850.

OMB No. 1545-1500

Job applicant: Fill in the lines below and check any boxes that apply. Complete only this side.

Your name

 

Social security number

 

 

 

Street address where you live

City or town, state, and ZIP code

County

 

Telephone number

 

 

 

If you are under age 40, enter your date of birth (month, day, year)

1

2

3

4

5

6

Check here if you received a conditional certification from the state workforce agency (SWA) or a participating local agency for the work opportunity credit.

Check here if any of the following statements apply to you.

I am a member of a family that has received assistance from Temporary Assistance for Needy Families (TANF) for any 9 months during the past 18 months.

I am a veteran and a member of a family that received Supplemental Nutrition Assistance Program (SNAP) benefits (food stamps) for at least a 3-month period during the past 15 months.

I was referred here by a rehabilitation agency approved by the state, an employment network under the Ticket to Work program, or the Department of Veterans Affairs.

I am at least age 18 but not age 40 or older and I am a member of a family that:

a.Received SNAP benefits (food stamps) for the past 6 months; or

b.Received SNAP benefits (food stamps) for at least 3 of the past 5 months, but is no longer eligible to receive them.

During the past year, I was convicted of a felony or released from prison for a felony.

I received supplemental security income (SSI) benefits for any month ending during the past 60 days.

I am a veteran and I was unemployed for a period or periods totaling at least 4 weeks but less than 6 months during the past year.

Check here if you are a veteran and you were unemployed for a period or periods totaling at least 6 months during the past year.

Check here if you are a veteran entitled to compensation for a service-connected disability and you were discharged or released from active duty in the U.S. Armed Forces during the past year.

Check here if you are a veteran entitled to compensation for a service-connected disability and you were unemployed for a period or periods totaling at least 6 months during the past year.

Check here if you are a member of a family that:

Received TANF payments for at least the past 18 months; or

Received TANF payments for any 18 months beginning after August 5, 1997, and the earliest 18-month period beginning after August 5, 1997, ended during the past 2 years; or

Stopped being eligible for TANF payments during the past 2 years because federal or state law limited the maximum time those payments could be made.

7 Check here if you are in a period of unemployment that is at least 27 consecutive weeks and for all or part of that period you received unemployment compensation.

Signature—All Applicants Must Sign

Under penalties of perjury, I declare that I gave the above information to the employer on or before the day I was offered a job, and it is, to the best of my knowledge, true, correct, and complete.

Job applicant’s signature

 

Date

 

 

 

For Privacy Act and Paperwork Reduction Act Notice, see page 2.

Cat. No. 22851L

Form 8850 (Rev. 3-2016)

Form 8850 (Rev. 3-2016)

 

 

 

 

 

 

Page 2

 

 

 

 

For Employer’s Use Only

 

 

 

 

Employer’s name

 

Telephone no.

 

EIN

 

 

 

 

 

 

 

 

 

 

 

Street address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City or town, state, and ZIP code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Person to contact, if different from above

 

 

 

Telephone no.

Street address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City or town, state, and ZIP code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If, based on the individual’s age and home address, he or she is a member of group 4 or 6 (as described under Members of

Targeted Groups in the separate instructions), enter that group number (4 or 6) . . .

. . . . . . . . . . .

Date applicant:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gave

 

Was

 

Was

 

Started

information

 

offered job

 

hired

 

 

job

 

Under penalties of perjury, I declare that the applicant provided the information on this form on or before the day a job was offered to the applicant and that the information I have furnished is, to the best of my knowledge, true, correct, and complete. Based on the information the job applicant furnished on page 1, I believe the individual is a member of a targeted group. I hereby request a certification that the individual is a member of a targeted group.

Employer’s signature

Title

 

Date

 

 

 

 

 

Privacy Act and

criminal litigation, to the Department of

The time needed to complete and file

Paperwork Reduction

Labor for oversight of the certifications

this form will vary depending on

 

performed by the SWA, and to cities,

individual circumstances. The estimated

Act Notice

states, and the District of Columbia for

average time is:

 

 

 

 

 

 

 

 

use in administering their tax laws. We

Recordkeeping

. .

6 hr., 27 min.

Section references are to the Internal

may also disclose this information to

Learning about the law

 

 

Revenue Code.

other countries under a tax treaty, to

 

 

Section 51(d)(13) permits a prospective

federal and state agencies to enforce

or the form

.

. 24 min.

federal nontax criminal laws, or to

Preparing and sending this form

employer to request the applicant to

federal law enforcement and intelligence

complete this form and give it to the

to the SWA

.

. 31 min.

agencies to combat terrorism.

prospective employer. The information

If you have comments concerning the

You are not required to provide the

will be used by the employer to

accuracy of these time estimates or

complete the employer’s federal tax

information requested on a form that is

suggestions for making this form

return. Completion of this form is

subject to the Paperwork Reduction Act

simpler, we would be happy to hear from

voluntary and may assist members of

unless the form displays a valid OMB

you. You can send us comments from

targeted groups in securing employment.

control number. Books or records

www.irs.gov/formspubs. Click on “More

Routine uses of this form include giving

relating to a form or its instructions must

Information” and then on “Give us

it to the state workforce agency (SWA),

be retained as long as their contents

feedback.” Or you can send your

which will contact appropriate sources

may become material in the

comments to:

 

 

 

to confirm that the applicant is a

administration of any Internal Revenue

 

 

 

 

 

 

 

member of a targeted group. This form

law. Generally, tax returns and return

Internal Revenue Service

 

 

may also be given to the Internal

information are confidential, as required

Tax Forms and Publications

 

Revenue Service for administration of

by section 6103.

1111 Constitution Ave. NW, IR-6526

the Internal Revenue laws, to the

 

Washington, DC 20224

 

 

Department of Justice for civil and

Do not send this form to this address.

 

 

Instead, see When and Where To File in

 

the separate instructions.

Form 8850 (Rev. 3-2016)

File Breakdown

Fact Name Description
Purpose Form 8850 is used to pre-screen individuals for the Work Opportunity Credit, which provides tax incentives to employers who hire individuals from certain targeted groups.
Eligibility Criteria Applicants can qualify based on several criteria, such as being a veteran, receiving government assistance like TANF or SNAP, or having a felony conviction within the past year.
State Involvement Employers need to send this form to a state workforce agency (SWA) to confirm the applicant's membership in a targeted group. State-specific forms and regulations may apply uniquely depending on the state.
Filing Requirement Completing Form 8850 is voluntary for job applicants, but it must be submitted to the employer before a job offer is made to qualify for the credit.
Time Investment It typically takes around 6 hours and 27 minutes to complete the recordkeeping requirements associated with this form, according to IRS estimates.

Guide to Using Irs 8850

Completing Form 8850 is essential for job applicants seeking the Work Opportunity Credit. This is a straightforward process, requiring accurate and complete information. The following steps provide guidance on how to fill out the form correctly.

  1. Start by providing your personal details. Write your name, social security number, and street address. Fill in your city or town, state, and ZIP code, as well as your county and telephone number.
  2. If you are under 40 years old, enter your date of birth in the format of month, day, and year.
  3. Check the box if you received a conditional certification from the state workforce agency (SWA) or a participating local agency.
  4. Review the list of eligibility statements. Check any boxes that apply to your situation, such as being a veteran or receiving benefits from various assistance programs.
  5. If relevant, check the box indicating if you are a veteran unemployed for 6 months, or other applicable conditions related to unemployment.
  6. Affirm your understanding and provide your signature and the date in the designated area. This confirms that the information you provided is truthful and correct.

Once the form is completed, ensure that it is submitted to the employer or appropriate agency as instructed. Keep a copy for your records, as it may be needed for future reference or follow-up.

Get Answers on Irs 8850

What is Form 8850?

Form 8850, titled "Pre-Screening Notice and Certification Request for the Work Opportunity Credit," is used by job applicants to determine their eligibility for the Work Opportunity Credit. This credit provides tax incentives to employers who hire individuals from specific targeted groups, including veterans and low-income individuals.

Who needs to fill out Form 8850?

Both job applicants and employers are involved in completing this form. The job applicant must provide relevant information on the first page, while the employer needs to complete the second page after offering the job. It is important that only eligible job seekers fill out this form to maximize the chances of securing the credit for the employer.

What information is required on the form?

The form collects basic personal details from the job applicant, including:

  • Name
  • Social Security Number
  • Address
  • Date of Birth (if under 40)
  • Telephone Number

Additionally, the applicant must check off any boxes that apply to their situation, which pertain to their eligibility under various targeted group categories.

How does one check for eligibility?

Eligibility is assessed based on specific criteria outlined on the form, such as participation in government assistance programs, veteran status, or recent unemployment due to certain circumstances. The applicant should carefully review each statement to determine whether they meet any of the listed qualifications.

Where should Form 8850 be submitted?

The completed Form 8850 should not be sent directly to the IRS. Instead, the employer must submit it to the appropriate State Workforce Agency (SWA) within 28 days of the individual's job offer. This submission allows the SWA to verify the applicant's eligibility and request certification on behalf of the employer.

What happens after submitting Form 8850?

Once submitted, the State Workforce Agency will process the form. They will determine whether the job applicant qualifies as a member of a targeted group. If approved, the SWA will issue a certification, which the employer can then use when filing for the Work Opportunity Credit on their tax return.

Is there a deadline for submitting Form 8850?

Yes, the form must be submitted within 28 days of the applicant receiving a job offer. If missed, the employer may lose out on the tax credit opportunity. It's crucial to adhere to this timeline to ensure eligibility remains intact.

Common mistakes

When filling out the IRS Form 8850, many applicants make common mistakes that can lead to delays or issues with their submission. One of the most prevalent errors is failing to provide accurate **personal information**. Essential details such as the applicant’s name, social security number, and address must be filled out correctly. Any discrepancies can create significant problems for processing the form.

Another frequent mistake is neglecting to check the appropriate boxes regarding eligibility. Each applicant must indicate if they have received certain benefits, such as Temporary Assistance for Needy Families or Supplemental Nutrition Assistance Program benefits. Overlooking these boxes can result in the form being incomplete and rejected.

Many individuals also fail to sign and date the form. The signature must affirm that all provided information is true and accurate to the best of the applicant's knowledge. Not signing the document can invalidate it, which means that the application cannot be processed.

Additionally, applicants often do not submit the form on time. This form should be submitted to an employer on or before the date of receiving a job offer. If it is handed in late, the work opportunity credit may not apply.

A lack of attention to detail regarding the certifications and supporting documents can lead to complications. Some applicants forget to include conditional certifications they received from state workforce agencies, which can provide evidence of eligibility. Not including these certifications may hinder the approval process.

Another issue arises from failing to keep copies of the submitted form. Keeping a personal copy for future reference is advisable for any follow-up or verification needed later. This oversight may complicate matters if there are questions about the information provided.

Some applicants also mistakenly use outdated versions of the form. Always ensure that you are using the most recent version, as tax forms and regulations can change. Submitting an outdated form can lead to significant processing delays.

Moreover, misunderstanding the eligibility criteria can result in errors. Each applicant should carefully read the instructions and confirm that they qualify under one of the specified targeted groups. Misassessing eligibility can lead to an incorrect submission, affecting the ability to claim the benefit.

Finally, many people rush through the application without double-checking their entries. Spelling mistakes or incorrect entries in the identification numbers can cause headaches. It’s crucial to review the form thoroughly before submission to avoid any errors that could hinder the processing of the application.

Documents used along the form

The IRS Form 8850 is a crucial document for employers seeking to obtain the Work Opportunity Credit. It requires additional documentation to support claims and facilitate the application process. Below is a list of commonly associated forms and documents that are often used alongside Form 8850.

  • IRS Form 5884: This form is utilized by employers to calculate the Work Opportunity Credit they are eligible to claim. It lays out the specifics of the credit and requires information regarding the qualified wages paid to eligible employees.
  • Contractual Employment Agreement: This document outlines the terms of employment, including job responsibilities, compensation, and duration of employment. It can help establish the context of the employment for which the credit is being sought.
  • Veterans’ Documentation: For employees qualifying as veterans, documentation such as discharge papers or service records are necessary. This proves eligibility for specific targeted groups under the Work Opportunity Credit program.
  • State Workforce Agency (SWA) Certification: This is a conditional certification issued by the SWA that confirms an applicant's eligibility for the Work Opportunity Credit. Employers must maintain this record to substantiate their claims.
  • IRS Form 941: Employers need this form to report quarterly payroll taxes, including wages subject to the Federal Insurance Contributions Act (FICA). It helps track the payroll details that may correspond with the employment situations described in Form 8850.
  • Documented Evidence of Benefits Claimed: Employers should keep detailed records of any public assistance benefits claimed by applicants. These records can include documentation proving eligibility for programs like Temporary Assistance for Needy Families (TANF) or Supplemental Nutrition Assistance Program (SNAP).
  • Cover Letter: A cover letter can accompany Form 8850 and the related documentation, summarizing the applicant's qualifications and the purpose of the submission. This helps clarify the intent of the application to the agency or auditors.

Employers seeking the Work Opportunity Credit should ensure that all necessary documents are accurately completed and submitted. This will aid in the approval process and enhance understanding of eligibility requirements. It is advisable to consult with professionals if any uncertainties arise regarding these forms and documents.

Similar forms

Form 8850 is a request for the Work Opportunity Credit, aimed at helping eligible job applicants secure employment. Below are six documents that share similarities with Form 8850, along with explanations of those similarities.

  • Form 706: Like Form 8850, Form 706 serves to report information necessary for claiming benefits. It is the United States Estate (and Generation-Skipping Transfer) Tax Return that allows the executor of an estate to apply for a tax credit.
  • Form 1040: Both forms require personal and financial information from individuals. Form 1040 is used for individual income tax reporting, while Form 8850 focuses on qualifications for employment-related tax credits.
  • Form W-4: This form, like Form 8850, deals with employment. Employees use Form W-4 to determine how much tax should be withheld from their paychecks, while Form 8850 assists in qualifying for specific tax benefits based on employment status.
  • Form 941: Employers complete both Forms 941 and 8850 as a part of their payroll reporting responsibilities. Form 941 is used for quarterly federal tax returns, while Form 8850 seeks a tax credit based on specific employee eligibility.
  • Form 8862: Form 8862 is related to claiming the Earned Income Tax Credit (EITC). Like Form 8850, it is designed for individuals who are seeking to benefit from specific tax credits based on eligibility criteria.
  • Form I-9: Although serving different functions, both forms require information pertaining to employment status. Form I-9 is used to verify both identity and employment authorization, while Form 8850 aims to identify individuals eligible for targeted tax credits.

Dos and Don'ts

Do's:

  • Complete the form accurately with your personal information, including your name, social security number, and address.
  • Check all relevant boxes that apply to your situation to ensure you receive the appropriate benefits.
  • Sign and date the form to declare that the information provided is true and correct.
  • Submit the form to the prospective employer on or before the day a job is offered.

Don'ts:

  • Do not leave any required fields blank, as this may delay processing.
  • Avoid providing false information, as this can lead to penalties for perjury.
  • Do not submit the form directly to the IRS; follow the instructions for filing with your employer.
  • Do not forget to keep a copy of the completed form for your records.

Misconceptions

Understanding Form 8850, which is used to certify eligibility for the Work Opportunity Credit, can be challenging due to the many misconceptions surrounding it. Here are some common myths about this important form:

  • Misconception 1: Only large companies can benefit from Form 8850.
  • In reality, both large and small businesses can utilize this form to obtain the Work Opportunity Credit. It's a tax incentive that can help reduce hiring costs, regardless of your company’s size.

  • Misconception 2: The form is only for unemployment benefits recipients.
  • While some targeted groups may include long-term unemployed individuals, many other groups qualify as well, such as veterans and members of families receiving certain types of assistance.

  • Misconception 3: Submitting Form 8850 is optional if you hire from targeted groups.
  • This is not true. If you want to claim the Work Opportunity Credit when hiring an individual from a targeted group, submitting Form 8850 is a necessary step.

  • Misconception 4: The form must be submitted annually.
  • Form 8850 should be submitted for each eligible hire. It's not an annual filing but rather tied to the hiring of specific individuals.

  • Misconception 5: Completing Form 8850 is a complicated process.
  • The form is straightforward and primarily requires basic information about the job applicant and their eligibility. Many find it easier than expected.

  • Misconception 6: Only job seekers with disabilities qualify.
  • While individuals with disabilities are indeed part of the targeted groups, many others, including veterans and individuals in low-income households, also qualify.

  • Misconception 7: You can only use Form 8850 for new hires.
  • While it's primarily designed for new employees, applicants who have been rehired after a period of unemployment may also qualify under certain conditions.

  • Misconception 8: Form 8850 guarantees tax credits.
  • Submitting the form does not automatically assure you of a tax credit. The state workforce agency must verify the applicant’s eligibility before you can claim the credit.

Key takeaways

Form 8850, known as the Pre-Screening Notice and Certification Request for the Work Opportunity Credit, serves as a valuable tool in helping job seekers and employers benefit from tax incentives. Here are some key takeaways to keep in mind when utilizing this form:

  • Targeted Groups: The form is specifically designed for applicants who may belong to certain targeted groups, such as veterans or individuals receiving assistance like TANF or SNAP. Identifying eligibility is crucial for both applicants and employers.
  • Timeliness is Key: Employers must submit Form 8850 within 28 days of the employee's start date to secure the Work Opportunity Credit. Delaying this submission may result in forfeiting potential tax benefits.
  • Signature Requirement: All applicants must confirm the accuracy of their information by signing the form. This declaration under penalties of perjury emphasizes the importance of honesty in the application process.
  • Employer's Role: While job seekers fill out one side of the form, employers play an active role too. They must verify the information provided and request certification from the state workforce agency based on the applicant’s relevant details.
  • Privacy Considerations: Completing the form entails sharing personal information. The IRS ensures that such data remains confidential, as mandated by the Privacy Act. Applicants should feel secure in the knowledge that their details will be handled responsibly.

By understanding these key aspects of Form 8850, both job applicants and employers can navigate the process more effectively and take full advantage of available tax credits.