Application For At Will Employment (Page 5 of 8) in pdf

Application For At Will Employment Page 5

WORK OPPORTUNITY TAX CREDIT/

WELFARE TO WORK

FOR USE WITH

8850

TO APPLICANT:

We need your help! In 1996 Congress passed legislation that gave employers a

credit against their federal income tax liability for hiring certain employees. This

credit, named the Work Opportunity Tax Credit, was established to increase

employment opportunities for specific target groups. Some of these groups include

individuals who have participated in state rehabilitation programs, or people

involved in government assistance programs such as food stamps. For more

information, please refer to the “Privacy Act and Paperwork Reductions Act

Notice” on the back of the Form 8850.

We request that all prospective employees complete and sign the Form 8850 and

the Survey/Release Form. The purpose of this form is to identify and verify tax

credits for this company and is not intended to determine your work eligibility.

TO EMPLOYER: Before mailing to TALX please check the following:

Applicant signed and dated the 8850 Form.

Applicant signed and dated the Survey/Release Form.

Attach a copy of the applicant’s Driver’s License or State I.D.

Follow usual procedures for reporting new hires to TALX.

If you have any questions call TALX at 1-800-527-8582.

TALX

P.O. BOX 802233

Dallas, TX 75380-2233

Rev. 6-9-06

Application For At Will Employment Page 5