Skip to content
  ETA Home  >  Regions & States  >  reg05  >  Pages  >   

Library Forms

The forms below are in .pdf format and require the free Adobe Acrobat Reader Get Acrobat Reader

Grant Applications

 SF-424 - Application for Federal Assistance
 SF-424A - Budget Information - Nonconstruction Programs
 SF-424B - Assurances - Nonconstruction Programs

U.S. DOL ETA FINANCIAL REPORT (ETA-9130)

The ETA-9130 files are Microsoft Excel files; the instructions are in Adobe PDF format.

 Basic Instructions for the ETA 9130
 Employment Service & Unemployment Insurance Programs | FSR Instructions
 National Farmworkers Jobs program | FSR Instructions
 Workforce Investment Act - Local Adult | FSR Instructions
 Workforce Investment Act - Local Dislocated Worker | FSR Instructions
 Workforce Investment Act - Local Youth | FSR Instructions
 Older Worker Program | FSR Instructions
 Workforce Investment Act - Statewide Adult | FSR Instructions
 Workforce Investment Act - Statewide Dislocated Worker | FSR Instructions
 Workforce Investment Act - Statewide Rapid Response | FSR Instructions
 Workforce Investment Act - Statewide Youth | FSR Instructions
 Indian & Native American Program | FSR Instructions
 To be used by Grantees previously reporting on the SF-269 - unmodified | NEG

Financial and Other Reporting

 SF-269 - Financial Status Report (Long Form)
 SF-269A - Financial Status Report (Short Form)
 SF-1199A - Direct Deposit Sign-up Form
 SF-270 - Request for Advance or Reimbursement
 SF-272 - Federal Cash Transactions Report
 SF-272A - Federal Cash Transactions Report continuation
 SF-LLL - Disclosure of Lobbying Activities
 SF-SAC - Data Collection Form (Audit)

Foreign Labor Certification

 ETA-750 - Application for Alien Labor Certification
 ETA-750 - Instructions
 ETA-9035 - Labor Condition Application for H-IB Immigrants
 ETA-9035 - Instructions
 ETA-9081 - Attestations for H-1C Nonimmigrant Nurses
 ETA-790 - Agricultural and Food Processing Clearance Order

Tax Credits

 IRS-8861 - Welfare-to-Work Credit (1999)
 IRS-5884 - Work Opportunity Credit (1999)
 IRS-8850 - Pre-Screening Notice and Certification Requirements for the Work Opportunity and Welfare-to-Work Credits
 IRS-8850 - Instructions (2002 Revision)
 ETA-9061- Individual Characteristics Form, Work Opportunity and Welfare-to-Work Tax Credit (2002 Revision)

Top of Page