Form Fr-399 - Qualified High Technology Companies Tax Package Page 23
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32QUALIFIED HIGH TECHNOLOGY COMPANY RETRAINING COSTS FOR
QUALIFIED DISADVANTAGED EMPLOYEES
TAX CREDIT WORKSHEET
Employee
Employee
Employee
Employee
Employee
Employee
Employee
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2
3
4
5
6
7
1. Employee’s
Name
2. Employee’s
Social Security
Number
3. Date employed
in District
4. Training
Expense
(Note 1)
5. Prior Year
Credit
(Note 2)
6. Current Year
Credit
(Subtract line 5
from line 4)
Note 1 – Total eligible retraining expenditures, not to exceed $20,000, paid or incurred by a QHTC to retrain
this Qualified Disadvantaged Employee in his or her first 18 months of employment in DC.
Note 2 – Qualified Disadvantaged Employee’s Retraining Costs Tax Credit claimed for this employee in the prior year.
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