Work Opportunity Tax Credit
The Work Opportunity Tax Credit (WOTC) is a Federal tax credit designed as an incentive for businesses to hire individuals that consistently face significant barriers to employment. Fill out this form and a member of the WOTC unit will contact you to get started with the program.
Contact Person
Title
Owner
Manager
HR
Other
First Name
*
Last Name
*
Email Address
*
Phone Number
Best number to reach someone to discuss the WOTC program.
What is your preferred method of contact?
Phone
Email
Business Information
Business Name
*
Street Address
Provide the address for the business where you receive tax information
City
State
Zip Code
Size of Company (or business)
Small (1 to 50 employees)
Medium (51 to 99 employees)
Large (100+ employees)
FEIN
*
No Dashes (XXXXXXX)
How did you hear about the WOTC program?
A WorkSource Business Representative
LinkedIn
Newsletter
Online Search
Other
Word of mouth
Workshop/Presentation
If you selected Other, please explain
Questions or Comments
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