Fillable 9154 form

U.S. Department Labor Employment and Training Administration OMB Control No. 1205-0371 Expiration Date November 30 2011 YOUTH SELF-ATTESTATION FORM Work Opportunity Tax Credit Program Instructions This Self-Attestation Form SAF is to be completed signed and dated by the new hire only. Employers or consultants submit this SAF to the State Workforce Agency with Form ETA 9061 for each certification request filed* New...