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eDocument - 8850 WOTC (Federal) Form

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The 8850 form is a pre-screening notice and certification request for the Work Opportunity Credit. 

Federal PDF Version: https://www.irs.gov/pub/irs-pdf/f8850.pdf

Federal PDF Version Instructions: https://www.irs.gov/pub/irs-pdf/i8850.pdf

 

 

Employee Fields 

Below is a screenshot of the employee portion of the eDocument with field details.

 

Field Key # Field Description Pre-Populates From Required
1 Name Employee > Firstname Lastname Yes
2 Social Security Number Employee > SSN Yes
3 Address (Street) Employee > Address (Primary) > Street 1, Street 2 Yes
4 Address (City, State, Zip) Employee > Address (Primary) > City, State, ZipCode Yes
5 County N/A Yes
6 Phone Number Employee > Contact Method
  • Category = EmployeeContactMethod
  • System Name = Cell
Yes
7 Birth Date  N/A Yes
8 Checkbox Options N/A No 
9 Employee Signature  N/A Yes
10 Date Current Date  Yes

 

 

Employer Fields

Below is a screenshot of the employer portion of the eDocument with field details.

 

 

Field Key # Field Description Pre-Populates From Required
1 Employer's Name MasterStaffingSupplier > SupplierDescription Yes
2 Phone Number  Supplier > Contact Method
  • IsPrimary = 1
Yes
3 EIN  MasterStaffingSupplier > FEIN Number Yes
4 Address (Street)  MasterStaffingSupplier > Address > Street 1, Street 2 Yes
5 Address (City, State, ZipCode)  MasterStaffingSupplier > Address > City, State, ZipCode Yes
6 Contact N/A Yes
7 Phone Number (contact) N/A Yes
8 Address (Contact Street) N/A  
9 Address (Contact City, State, ZipCode) N/A  
10 Member's Group N/A No
11 Date - Gave Information N/A No
12 Date - Offered Job N/A No
13 Date - Was Hired N/A No
14 Date - Started Job N/A No
15 Employer Signature N/A Yes
16 Title N/A Yes
17 Date Current Date Yes

 

 

Additional Notes

  • Revision date (shown in screenshots as "Rev. 3-2016") is a non-editable field.
  • Nothing is updated in the core application once the eDocument is completed.  

 


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