New York State Website

Business Services Forms and Publications

To print these forms, you need an installed copy of Adobe Acrobat Reader version 4.0 or higher, which is available at no charge from Adobe.

Some of the applications listed on this page ask for certain personal information. The authority to collect this information is found in the New York State Labor Law. This information will be maintained and used to process the application you are filing with the Department. If you do not provide the information, the Department may not be able to process your application.

You may review any information about you that is maintained by the New York State Department of Labor by contacting our Counsels Office at 518 485 4380.


Publications

Form Description/Purpose Size Type
P86 -- Career Zone Career Zone Fact Sheet. 1 page pdf
P440 -- Disaster Preparedness Disaster Preparedness Fact Sheet 1 page pdf
P532 -- Apprenticeship Program Apprenticeship Program Fact Sheet 2 pages pdf

Forms

Form Description/Purpose Size Type
ES 515 -- Job Order Form

Please complete one Job Order Form for each job title and e-mail it to us.

2 pages pdf
ES 515.584 -- Job Order Form - New York City

Please complete one Job Order Form for each job title and e-mail it to us.

2 pages pdf

Economic Development Services Forms

Form Description/Purpose Size Type
WETC 1-A -- WETC Application Form

This Workers With Disabilities Employment Tax Credit EDSU (WETC 1-a) is used to apply for the WETC tax credit. Form must be completed by the employee and employer if no WOTC application under the Vocational Rehabilitation category is one file.

2 pages pdf
IRS 8850 -- Pre-Screening Notice and Certification Request for the Work Opportunity and Welfare-to-Work Credits

Work Opportunity/Welfare-to-Work tax credit  WOTC/WtW) Pre-Screening Notice (IRS Form 8850) used to apply for the Work Opportunity and Welfare-to-Work (WOTC/WtW) tax credits. Form must be signed by the applicant on or before the hire date and completed by the employer within 21 days of the first day of work.

2 pages pdf
IRS i8850 -- Instructions for Form 8850

Instructions for completing WOTC/WtW Pre-screening Notice IRS Form 8850

2 pages pdf
ETA 9061 -- Individual Characteristics Form Work Opportunity Tax Credit

Work Opportunity Tax Credit (WOTC) Individual Characteristics (Form ETA 9061) is used to specify target group under the WOTC program and to provide specific employment information. Should be filed with the IRS Form 8850.

3 pages pdf
Form 2848 -- Power-of-Attorney and Declaration of Representative

Power of Attorney and Declaration of Representative IRS Form 2848 is used to establish a legal relationship by third party consultant or tax preparer representing employers under the WOTC/WtW tax credit or other governmental programs.

2 pages pdf
CT-41 -- Workers with Disabilitites Employment Tax Credit

NYS claim form for Credit for Employment of Persons with Disabilities NYS Taxation and Finance CT41 used to file for the Workers with Disabilities employment tax credit (WETC).

2 pages pdf
ES 415 -- Prevailing Wage Request Form (with instructions)

This form should be used by employers seeking a prevailing wage determination from the state workforce agency or SESA to be used in federal application processes to hire foreign labor.

2 pages pdf