Georgia Retraining Tax Program Completion Form 1999 printable pdf download

Georgia Retraining Tax Program Completion Form 1999

Georgia Retraining Tax Program

Completion Form

Georgia Department of Technical and Adult Education

_______________________________

Tax Year Ending

______________________________

Training Program

Complete this form and submit to the VP, Economic Development Programs at your local Technical Institute.

Company Information

Company Name:

Address:

Telephone:

Federal I.D. Number:

Retraining Information

Describe relevant changes in the workplace/market and resulting employee deficiencies. (Repeat item 3 of Program

Approval Application.)

Describe purpose and objectives of retraining. (Repeat item 4 of Program Approval Application.)

Name of Retraining Provider:

Initial Retraining Program Approval Date:

Retraining Tax Credit Amount

Certification

Signature of Company Chief Executive

Date

Title

Signature of Department of Technical and Adult Education

Date

Name of Technical Institute

Attach to Department of Revenue IT-RC (8/94) Retraining Tax Credit Form

Georgia Business Expansion Support Act – Revision 1999

Georgia Retraining Tax Program Completion Form 1999