Register WOTC

Step 1 of 3

Company Name:*
Company Phone:*
Employer Identification Number (EIN):*
Address:*
Street Address Address Line 2 City State ZIP Code

Person to Contact:*
First Last
Position at Company:*
Email:*

You emaill address will be used to create your account and user id.
Phone:*
Extension:
Person to Contact Address:*
Same as Company Address

Street Address Address Line 2 City State ZIP Code

Enter a four digit PIN number to secure the PDF forms emailed to you?*

The four digit PIN number should be kept secret! Don't forget it!
What (shared) password do you want to use for employees to log-in to the website?*
Enter Password Confirm Password

This password may or may not be shared with employees depending on your preference. You will need to use this password to log-in to the website before an employee can start the WOTC evaluation.
Declaration of Representative & Power of Attorney for WOTC (used to complete IRS form 2848)
Declaration of Representative:
Under penalties of perjury, Keith Brama (your representative and owner of Propel Consulting Group) declares that:

• I am not currently suspended or disbarred from practice, or ineligible for practice, before the Internal Revenue Service;

• I am subject to regulations contained in Circular 230 (31 CFR, Subtitle A, Part 10), as amended, governing practice before the Internal Revenue Service;

• I am authorized to represent the taxpayer identified in Part I for the matter(s) specified there; and

• I am an Unenrolled Return Preparer—Authority to practice before the IRS is limited. An unenrolled return preparer may represent, provided the preparer (1) prepared and signed the return or claim for refund (or prepared if there is no signature space on the form); (2) was eligible to sign the return or claim for refund; (3) has a valid PTIN; and (4) possesses the required Annual Filing Season Program Record of Completion(s). See Special Rules and Requirements for Unenrolled Return Preparers in the instructions for additional information.

Power of Attorney:
I authorize that my representative shall have the authority to perform acts that I can perform with respect to WOTC related documents (8850, 9061, 9175, etc.) from 2021-2024 or until terminated.

My representative is not authorized to endorse or otherwise negotiate any check (including directing or accepting payment by any means, electronic or otherwise, into an account owned or controlled by the representative or any firm or other entity with whom the representative is associated) issued by the government in respect of a federal tax liability.

If signed by a corporate officer, partner, guardian, tax matters partner, executor, receiver, administrator, or trustee on behalf of the taxpayer, I certify that I have the legal authority to execute this form on behalf of the taxpayer.

For more information regarding IRS form: i2848 & 2848
For any questions call Keith Brama at 916-990-5667
Signature: (use mouse or finger to sign here & use refresh arrows below to redo your signature if needed)*
Email
This field is for validation purposes and should be left unchanged.

Discover How Propel Consulting Group Can Help Grow Your Business

Through ETP Grants, Work Opportunity Tax Credits & Employee Retention Tax Credit

Let’s Get Started!

Register WOTC

Step 1 of 3

Declaration of Representative & Power of Attorney for WOTC (used to complete IRS form 2848)

Declaration of Representative:

Power of Attorney:

Discover How Propel Consulting Group Can Help Grow Your Business