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Forms

The forms below are in .pdf format and require the free Adobe Acrobat Reader - Alt+0 -  Get Acrobat Reader

ETA Fact Sheets

These Fact Sheets describe Department of Labor-supported activities and services that are part of the America's Workforce Network and are available for you to download and print. Information on how you may order these Fact Sheets will be forthcoming.

Grant Applications

 SF-424 - Application for Federal Assistance
 SF-424A - Budget Information - Nonconstruction Programs
 SF-424B - Assurances - Nonconstruction Programs

U.S. DOL ETA FINANCIAL REPORT (ETA-9130)

The ETA-9130 files are Microsoft Excel files; the instructions are in Adobe PDF format.

 Basic Instructions for the ETA 9130
 Employment Service & Unemployment Insurance Programs | FSR Instructions
 National Farmworkers Jobs program | FSR Instructions
 Workforce Investment Act - Local Adult | FSR Instructions
 Workforce Investment Act - Local Dislocated Worker | FSR Instructions
 Workforce Investment Act - Local Youth | FSR Instructions
 Older Worker Program | FSR Instructions
 Workforce Investment Act - Statewide Adult | FSR Instructions
 Workforce Investment Act - Statewide Dislocated Worker | FSR Instructions
 Workforce Investment Act - Statewide Rapid Response | FSR Instructions
 Workforce Investment Act - Statewide Youth | FSR Instructions
 Indian & Native American Program | FSR Instructions
 To be used by Grantees previously reporting on the SF-269 - unmodified | NEG

Financial and Other Reporting

 SF-269 - Financial Status Report (Long Form)
 SF-269A - Financial Status Report (Short Form)
 SF-1199A - Direct Deposit Sign-up Form
 SF-270 - Request for Advance or Reimbursement
 SF-272 - Federal Cash Transactions Report
 SF-272A - Federal Cash Transactions Report continuation
 SF-LLL - Disclosure of Lobbying Activities
 SF-SAC - Data Collection Form (Audit)

Foreign Labor Certification

 ETA-750 - Application for Alien Labor Certification
 ETA-750 - Instructions
 ETA-9035 - Labor Condition Application for H-IB Immigrants
 ETA-9035 - Instructions
 ETA-9081 - Attestations for H-1C Nonimmigrant Nurses
 ETA-790 - Agricultural and Food Processing Clearance Order

Tax Credits

 IRS-8861 - Welfare-to-Work Credit (1999)
 IRS-5884 - Work Opportunity Credit (1999)
 IRS-8850 - Pre-Screening Notice and Certification Requirements for the Work Opportunity and Welfare-to-Work Credits
 IRS-8850 - Instructions (2002 Revision)
 ETA-9061- Individual Characteristics Form, Work Opportunity and Welfare-to-Work Tax Credit (2002 Revision)

 
Created: August 07, 2007
Updated: January 13, 2009