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Pre-Screening Notice and Certification Request for the Work Opportunity Credit Form Rev. March 2016 Department of the Treasury Internal Revenue Service OMB No. 1545-1500 Information about Form 8850 and its separate instructions is at www.irs.gov/form8850. Date For Privacy Act and Paperwork Reduction Act Notice see page 2. Cat. No. 22851L Form 8850 Rev. 3-2016 Page 2 For Employer s Use Only Employer s name Telephone no. Job applicant Fill in the lines below and check any boxes that apply....
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