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Form 8854 Bend Oregon: What You Should Know

Provide a copy of the medical record or other pertinent documentation of the injury. A physician's written certification for the injured worker may be used. Call a certified medical facility with the same name, phone number and location to collect the medical history of the injured worker. The medical history will be used to verify the existence of a work-related injury and the need for an injured worker's injury benefits. Provide the injured worker with the names of an immediate family member or authorized representative who can act as an agent with the responsible state agency and whom the responsible state agency would authorize to sign the injured worker's personal injury claim form. After the injured worker is certified by his or her immediate family or authorized representative as having a work-related injury, your job is safe.  If your loved one was injured on the job during the same calendar quarter which you have claimed the credit, you may not be eligible for benefit payments for the injury until all credits have been claimed. If an injury happens to one member of your household and not to any other members of the household, they do not qualify for work-related injury benefits even if they are a work-related sick or injured worker. Do not use a work-related injury as a reason not to be involved with a business. To ensure your claim is approved within one calendar year after you applied, please make every effort to follow all instructions provided on this page, and submit all supporting evidence. Payments of Work Opportunity Credit Not All States Offer Work Opportunity Tax Credits for Disabled Workers/Spouses & Children If you are a qualifying recipient of work opportunities tax credits or a recipient of a federal or state tax refund for a work opportunity credit, you are expected to use the work opportunity tax credit in the state in which you live. However, states are limited in the number of credits they can offer. For example, most states are limited to awarding only one work opportunity tax credit to a qualifying recipient each year. Therefore, if you live in more than one state, you will most likely get a work opportunity credit in one state unless you reside in a state with the same maximum limit of work opportunity credits available than your own state(s). For the tax year 2017, if you file a federal form 1040EZ or state or local form 1040-EZ (a self-employment tax return) and received a federal tax credit (or refund), the state or local tax credit is applied after claiming the state and local tax refund.

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