Work Opportunity Tax Credit Questionnaire

June 28, 2011

A work opportunity tax credit questionnaire helps to find out whether a company is following the Work Opportunity tax credit program as directed by the Federal government. Companies are eligible for tax credit as part of this program and hence it works as an incentive for companies to follow the program.

Sample Work Opportunity Tax Credit questionnaire:

Name of the business:          ______________________________

Contact number:         ______________________________

Contact Email address: ______________________________

Address:                    __________________________________________________

City: ___________________ State: ____________________ Zip: _____________________

Q1. Is the company aware of the Work Opportunity tax credit program (WOTC) of the Federal Government?

a)   Yes

b)   No

Q2. Has the company implemented recruitment policies that provide employment to the nine target groups that have previously faced employment discrimination?

a)   Yes

b)   No

Q3. If the answer to the above question is ‘no’, please provide the reason for not complying with the federal employment policies.

____________________________________________________

Q4. Have you been claiming the tax credits as part of the benefits of WOTC program from the federal government?

a)   Yes

b)   No

Q5. Please tick the target groups that you have been hiring as part of the WOTC program?

a)   Long term TANF recipient

b)   Other TANF recipient

c)   Veterans

d)   18-39 year old SNAP recipient

e)   18-39 year old designated community resident

f)    16-17 year old summer youth

g)   Vocational rehabilitation referral

h)   Ex-felon

i)     SSI recipient

j)    Other

k)   None

Q6. Are any of the employees employed under the above categories include relatives and dependants?

a)   Yes

b)   No

Q7. Are any of the employees employed under the categories mentioned in Q5 include company majority shareholders?

a)   Yes

b)   No

Q8. Are any of the employees employed under the categories mentioned in Q5 include previous employees of the company?

a)   Yes

b)   No

Download Work Opportunity Tax Credit Questionnaire in Word Format

 

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