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         Instructions for Form 8850                                           Pt. size: 9.5  14:15 - 17-Mar-2021
                                                                                          Department of the Treasury
                                                                                          Internal Revenue Service
         (Rev. March 2021)
         (For use with the March 2016 revision of Form 8850, Pre-Screening Notice and
         Certification Request for the Work Opportunity Credit)
         General Instructions                                   member of a targeted group (as defined later, under
                                                                Members of Targeted Groups), the employer completes the
                                                                rest of the form no later than the day the job offer is made.
         Section references are to the Internal Revenue Code unless   Both the job applicant and the employer must sign Form
         otherwise noted.                                       8850 no later than the date for submitting the form to the
         Future Developments                                    SWA.
         For the latest information about developments related to   Instructions for Employer
         Form 8850 and its instructions, such as legislation enacted
         after they were published, go to IRS.gov/Form8850.     When and Where To File
         What's New                                             Don’t file Form 8850 with the IRS. Instead, you must submit it
         The Taxpayer Certainty and Disaster Tax Relief Act of 2020   to the SWA of the state in which your business is located
         made the following changes.                            (where the employee works) generally no later than the 28th
          • The work opportunity credit has been extended to cover   calendar day after the date the individual begins working for
         certain individuals who begin working for you after 2020 and   you.
         before 2026.
          • The empowerment zone designations expired at the end       Submitting Form 8850 to the SWA is listed in Rev.
         of 2020. However, the Act provides for an extension of the   TIP  Proc. 2018-58 (section 15, item 12) as an act that
         designations to the end of 2025. To extend the designations,   may be postponed for taxpayers affected by a
         state and local governments must amend their nominations   federally declared disaster. For the latest disaster tax relief
                                                                guidance go to IRS.gov/Disaster.
         of the designated zones in order to move the termination
         date to December 31, 2025. The IRS is working to provide      If the credit expires and is retroactively extended, the
         guidance on how to amend the nomination of an                 IRS may allow you more time to submit Form 8850
         empowerment zone to provide for a new termination date. Go   TIP  for an individual who began work while the credit was
         to IRS.gov/Form8850 for updates on the guidance once it   expired or for a reasonable time after it was extended. If more
         becomes available.                                     time is allowed, we will provide details at IRS.gov/Form8850
         Purpose of Form                                        and in revised Instructions for Form 8850.

         Employers use Form 8850 to pre-screen and to make a      Although facsimile submission of Form 8850 is permitted,
         written request to the state workforce agency (SWA) of the   not all states are equipped to accept a faxed copy of Form
         state in which their business is located (where the employee   8850. Contact your state WOTC coordinator as discussed
         works) to certify an individual as a member of a targeted   below and see Notice 2012-13 for details. Notice 2012-13,
         group for purposes of qualifying for the work opportunity   2012-9 I.R.B. 421, is available at IRS.gov/irb/
         credit.                                                2012-09_IRB#NOT-2012-13.
            Submitting Form 8850 to the SWA is but one step in the   Although electronic submission of Form 8850 is permitted,
         process of qualifying for the work opportunity credit. The   not all states are equipped to receive Form 8850
         state work opportunity tax credit (WOTC) coordinator for the   electronically. Contact your state WOTC coordinator as
         SWA must certify the job applicant is a member of a targeted   discussed next and see Announcement 2002-44 and Notice
         group. After starting work, the employee must meet the   2012-13 for details. You can find Announcement 2002-44 on
         minimum number-of-hours-worked requirement for the work   page 809 of Internal Revenue Bulletin 2002-17 at
         opportunity credit. Generally, an employer elects to take the   IRS.gov/pub/irs-irbs/irb02-17.pdf.
         credit by filing Form 5884, Work Opportunity Credit.
         However, a tax-exempt organization that hires a qualified   To get the name, address, phone and fax numbers, and
         veteran must report the work opportunity credit on Form   email address of the WOTC coordinator for your state, visit
         5884-C, Work Opportunity Credit for Qualified Tax-Exempt   the Department of Labor Employment and Training
         Organizations Hiring Qualified Veterans.               Administration (ETA) website at www.dol.gov/agencies/eta/
                You must receive the certification from the SWA   wotc/contact/state-workforce-agencies.
            !   before you can claim the related credit on Form 5884   Never attach Form 8850 to a tax return or otherwise
          CAUTION  or Form 5884-C.                                !    send it to the IRS, regardless of the employee's
                                                                CAUTION  targeted group. Form 8850 must be submitted to the
         Who Should Complete and Sign the                       SWA of the state in which your business is located (where
         Form                                                   the employee works).
         The job applicant gives information to the employer on or
         before the day a job offer is made. This information is entered
         on Form 8850. If the employer believes the applicant is a

         Feb 25, 2021                                   Cat. No. 24833J
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