Tax Form 8850 - Pre-Screening Notice and Certification Request for the Work Opportunity Credit

We encourage you to complete the Work Opportunity Tax Credit (WOTC) survey as it is an essential step in the hiring process that can benefit both you and our organization. By completing the WOTC survey, you contribute to a system designed to foster inclusive employment practices and enhance job opportunities for underserved communities.

Moreover, this process not only supports our company's commitment to diversity and inclusion but also allows us to pass on the benefits through investment in our workforce, including training and development programs that could directly enhance your career growth. Your participation is voluntary and confidential; it does not affect your job application or hiring decision in any way. However, your contribution can make a significant impact on advancing employment opportunities for those who need them most. Thank you for considering this opportunity to support our mission of creating a diverse and vibrant workplace.

FIRST NAME:		LAST NAME:
	First name is required.		Last name is required.
CURRENT ADDRESS
STREET ADDRESS 1:
	Street address 1 is required.
STREET ADDRESS 2:
CITY:		STATE:
	City is required. Letters Only		State is required.
COUNTY:		ZIP CODE:
	County is required.		Zip code is required. Not a valid zip code.
SOCIAL SECURITY NUMBER:	- -	DATE OF BIRTH: (MM/DD/YYYYY)	- -
	First three digits are missing. Second two digits are missing. Last four digits are missing. First three digits must be numbers. Second two digits must be numbers. Last four digits must be numbers.		Month is missing. Day is missing. Year is missing. Year must be 4 digit and numeric. Year must be 4 digit and numeric.
	A location is required.