Form 5884-C - Work Opportunity Credit For Qualified Tax-Exempt Organizations Hiring Qualified Veterans Page 3
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Form 5884-C (1-2012)
Page
Line 3
• $12,000 for a qualified veteran certified as being entitled to
compensation for a service-connected disability and hired not
As discussed earlier under Purpose of Form, the organization
more than 1 year after being discharged or released from active
claims this credit against the employer's portion of social
duty in the U.S. Armed Forces.
security tax on wages paid to all employees during the 1-year
• $14,000 for a qualified veteran certified as being unemployed
period beginning on the day a qualified veteran begins working
for a period or periods totaling at least 6 months (whether or not
for the organization. The organization files Form 5884-C for
consecutive) in the 1-year period ending on the hiring date.
each employment tax period during which it claims a credit for
qualified first-year wages paid to a qualified veteran. Each Form
• $24,000 for a qualified veteran certified as being entitled to
5884-C figures the cumulative credit the organization is entitled
compensation for a service-connected disability and
to for all periods and reduces the amount claimed for the period
unemployed for a period or periods totaling at least 6 months
by any amounts claimed on previously filed Forms 5884-C.
(whether or not consecutive) in the 1-year period ending on the
hiring date.
Check the box(es) on line 3 to indicate the year (and quarter if
applicable) for the employment tax period for which the
Qualified first-year wages also do not include any wages paid
organization is claiming the credit.
to a qualified veteran:
• For services in activities not related to the purpose or function
Line 4
constituting the basis of the organization's exemption under
section 501, or
Enter on line 4a and multiply by the percentage shown on line
4b the total qualified first-year wages (defined earlier) the
• During any period for which the organization received payment
organization paid during the employment tax period indicated
for the employee from a federally funded on-the-job training
on line 3 to qualified veterans who began working for the
program.
organization on or after November 22, 2011, and before January
The amount of qualified wages for any qualified veteran is
1, 2013, who worked for the organization at least 400 hours (as
zero if the qualified veteran:
of the date Form 5884-C is filed).
• Did not work for the organization for at least 120 hours, or
Line 5
• Was a rehire (worked for the organization previously).
Enter on line 5a and multiply by the percentage shown on line
When To File
5b the total qualified first-year wages (defined earlier) the
organization paid during the employment tax period indicated
File Form 5884-C after the organization has filed its employment
on line 3 to qualified veterans who began working for the
tax return for the employment tax period for which it is claiming
organization on or after November 22, 2011, and before January
the credit. File Form 5884-C for each employment tax period
1, 2013, who worked for the organization at least 120 hours but
during which the organization paid qualified first-year wages to
fewer than 400 hours (as of the date Form 5884-C is filed).
a qualified veteran.
Line 7
Generally, an organization should not file more than one Form
5884-C per employment tax period.
Enter on line 7 the total amount of credits claimed from line 11
Note. The IRS cannot process Form 5884-C until the original
of any previously filed Forms 5884-C minus the total amount of
employment tax return filed for the same tax period has been
credits repaid from line 12. Each Form 5884-C figures the
processed. Please allow 8 - 12 weeks for the processing of
cumulative credit the organization is entitled to for all periods.
Form 5884-C.
The amount of the cumulative credit reported on line 6 is
reduced by the previously claimed credits and increased by any
Where To File
previously repaid amounts to determine the credit claimed for
the employment tax period for which the Form 5884-C is filed.
Send Form 5884-C to the address provided at the bottom of the
form.
If the credit refunded for a prior period was limited by
the employer's social security tax liability for that
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More Information
period, any credit not refunded will be carried forward
and included in the cumulative credit figured on any
For more information about this credit, see the following.
subsequent Form 5884-C. The portion of the credit not refunded
• Section 3111(e).
is not included in the amount on line 7.
• Notice 2012-13, available at
Line 9
Enter on line 9 total taxable social security wages and tips
reported on the employment tax return indicated on line 2 for
Specific Instructions
the employment tax period indicated on line 3. For example,
taxable social security wages and tips included on Form 941 for
Name and Address
wages paid in the 4th quarter of 2011 were reported on the
following lines.
If the organization receives its mail in care of a third party (such
as an accountant or an attorney), enter on the street address
• Form 941, line 5a, column 1 (taxable social security wages).
line “C/O” followed by the third party's name and street address
• Form 941, line 5b, column 1 (taxable social security tips).
or P.O. box.
Note. If you filed a corrected return (for example, Form 941-X)
Include the suite, room, or other unit number after the street
for the period indicated on line 3, enter the amounts as
address. If the Post Office does not deliver mail to the street
corrected.
address and the organization has a P.O. box, enter the box
number instead of the street address.
Line 1
Enter “Yes” if the organization is a qualified tax-exempt
organization (defined earlier).
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