Employers use Form 8850 to pre-screen and to make a written request to their state workforce agency (SWA) to certify an individual as a member of a targeted group for purposes of qualifying for the work opportunity credit. Current Revision Form 8850PDF Instructions for Form 8850 (Print VersionPDF) Recent Developments Notice 2021-43 allows certain employers who hired a designated community resident or a summer youth employee who begins work on or after January 1, 2021, and before October 9, 2021, to submit the related Form 8850 no later than November 8, 2021. Revenue Procedure 2021-18 provides an automatic procedure for a state or local government in which an empowerment zone is located to extend the empowerment zone designation until December 31, 2025. The guidance applies to urban or rural areas in which an empowerment zone is located. Other Items You May Find Useful All Revisions for Form 8850 About Form 5884, Work Opportunity Credit About Form 5884-C, Credit Against Employment Tax for Tax-Exempt Employers Hiring Qualified Veterans Other Current Products