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Suffolk New York Form 8850: What You Should Know

Certification of Job Adjunct ship Certification. Form W-1, Employment Certification Under the Work Opportunity Tax Credit — The Employment Connection Form W-3, Employment Certification with the New York State Department of Labor. How to Apply —  To apply for an ETA, a job applicant must do the following: 1. Complete ONE of the following forms and mail together with IRS Form 8850 to ETA Office New York State Department of Labor, Building 12, Room 200, Albany-On-Hudson, New York 12210. 2. Fax to (option, fax #), or ETA must be contacted directly by the state. ETA will respond to the fax number within 5 business days.  About ETA, Employment Certification with the New NY State Department of Labor This document is used to certify employment eligibility for the ETA.  Application Requirements New • A complete and accurate copy of federal or state-certified job application form. • A copy of a letter from an authorized, local representative of a state or local workforce agency indicating the employment-qualifying work of the individual or the organization the individual belongs to, and indicating that this individual met all the criteria to be certified. The letter must state that his/her employment is qualifying for the tax credit, and must contain  a brief description of the individual's job, title, pay grade and location. • A letter from an authorized employee who has worked with the individual for a reasonable period of time. • A copy of the individual's work authorization certificate. If the individual is an independent contractor, the copy of his/her work authorization must contain  the name of his/her employer, pay stub for each work period and a statement that he/she can only perform the work he/she is authorized by his or her employer to do.  • A copy of any tax return for federal income tax purposes showing the individual's full name, his or her physical description (including eye color), social security number, and date and place of birth.  • Evidence of a full-time job with the state agency or employer during the tax year. If the state agency or employer does not provide such evidence, the ETA must be informed that it may not establish eligibility for the ETA based solely on the employment relationship.

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