Empowerment Zone (EZ) Address Locator (beta)
The EZ locator only works on Excel 2013 and later versions and Windows platforms. An internet connection is required. Please read the EZ Address Locater User Guide for instructions and disclaimer details located within the tool before entering address queries.
Other WOTC Forms
Forms for State Workforce Agencies
ETA Form 9058 - Report 1 - WOTC Certification Workload and Characteristics of Certified Individuals Form.
This form provides state workforce agencies with a standardized e-reporting format, which accurately reflects program activity levels and outcomes under the WOTC. This form is required to be used without modifications to the content and instructions.
ETA Form 9065 - WOTC Agency Declaration of Verification Results Worksheet.
This form is an optional USDOL-ETA form for SWAs to use only to record the results of verification activities conducted by the SWA. If the SWA elects to use an alternative form to record verification results, the alternative form must contain all of the information that appears on ETA Form 9065.
Forms for Employers
IRS Form 2848, Power of Attorney and Declaration of Representative and its Instructions are available at: https://www.irs.gov/forms-pubs/about-form-2848-power-of-attorney-and-declaration-of-representative . This form provides information on how to authorize an individual to represent you before Internal Revenue Services (IRS). In addition to submitting to IRS, submit a copy of IRS Form 2848 to the state workforce agency in which the employer's business is located (where the employee works).
The ETA Handbook No. 408, November 2002, Third Edition (the Handbook), and its August 2009 Addendum provide additional information about WOTC.