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2. Qualified veteran. A veteran who is a member of a family

b. Is no longer eligible for such assistance under section

receiving assistance under the Food Stamp program for

6(o) of the Food Stamp Act of 1977, but the family

generally at least a 3-month period during the 15-month

received food stamps for at least 3 months of the 5-

period ending on the hiring date. See section 51(d)(3).

month period ending on the hiring date.

To be considered a veteran, the applicant must:

8. SSI recipient. An individual who is receiving supplemental

• Have served on active duty (not including training) in the

security income benefits under title XVI of the Social

Armed Forces of the United States for more than 180

Security Act (including benefits of the type described in

days OR have been discharged for a service-connected

section 1616 of the Social Security Act or section 212 of

disability, and

Public Law 93-66) for any month ending within the 60-day

• Not have a period of active duty (not including training) of

period ending on the hiring date.

more than 90 days that ended during the 60-day period

ending on the hiring date.

Empowerment zones, enterprise communities, and

3. Qualified ex-felon. An ex-felon who:

renewal communities. For details about rural empowement

• Has been convicted of a felony under any Federal or state

zone and enterprise communities, you can access

law

, call 1-800-645-4712, or contact your SESA.

• Is hired not more than 1 year after the conviction or

For details on all empowerment zones, enterprise

release from prison for that felony, and

communities, and renewal communities, you can access

You can also call

• Is a member of a family that had income on an annual

basis of 70% or less of the Bureau of Labor Statistics

HUD at 1-800-998-9999 for details on renewal communities,

lower living standard during the 6 months preceding the

urban empowerment zones, and urban enterprise

communities.

earlier of the month the income determination occurs or

the month in which the hiring date occurs.

Note: Parts of Washington, D.C. are treated as an

4. High-risk youth. An individual who is at least age 18 but

empowerment zone. For details see section 1400 and Notice

not yet age 25 on the hiring date and lives in an

98-57, 1998-2 C.B. 671 (you can find Notice 98-57 on page 9

of Internal Revenue Bulletin 1998-47 at

empowerment zone, enterprise community, or renewal

community.

). Also, there are no areas

5. Vocational rehabilitation referral. An individual who has

designated in Puerto Rico, Guam, or any U.S. possession.

a physical or mental disability resulting in a substantial

handicap to employment and who was referred to the

Welfare-to-Work Job Applicants

employer upon completion of (or while receiving)

rehabilitation services under a state plan of employment or

a program approved by the Department of Veterans Affairs.

An individual may be certified as a long-term family assistance

6. Summer youth employee. An individual who:

recipient if he or she is a member of a family that:

• Performs services for the employer between May 1 and

• Has received TANF payments for at least 18 consecutive

September 15

months ending on the hiring date, or

• Is age 16 but not yet age 18 on the hiring date (or if later,

• Receives TANF payments for any 18 months (whether or not

on May 1)

consecutive) beginning after August 5, 1997 and the earliest

• Has never worked for the employer before, and

18 month period beginning after August 15, 1997, ended

within the last 2 years, or

• Lives in an empowerment zone, enterprise community, or

renewal community.

• Stopped being eligible for TANF payments because Federal

or state law limits the maximum period such assistance is

7. Food stamp recipient. An individual who:

payable, and the individual is hired not more than 2 years

• Is at least age 18 but not yet age 25 and

after such eligibility ended.

• Is a member of a family that --

a. Has received food stamps for the

6-month period ending on the hiring date or

-2-

Instructions For Form 8850 - Pre-Screening Notice And Certification Request For The Work Opportunity And Welfare-To-Work Credits - 2002 Page 2

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