Apprenticeship Program Tax Credit Application

Apprenticeship Program Tax Credit

This application is for taxpayers in the State of New Jersey who are seeking approval of qualified start-up costs associated with the initial year of participation in an approved registered apprenticeship (“RA”) program, pursuant to the New Jersey Tax Credit for Apprenticeship Start-Up Grant Program, P.L. 2019, Chapter 417, effective January 21, 2020. See N.J.S.A. 54: 10A-5.44 for more information.

WD-82

Registered Apprenticeship Sponsor Program Information

Name of sponsor

Sponsor program number

Registered Apprenticeship (RA) Occupation

RA Approval Date

NAICS number NAICS code: https://www.naics.com/search/

RAPIDS Code

Sponsor Address

County

Federal Employer Identification Number (FEIN) This is the 9-digit Federal Employer Identification Number. This is the business taxpayer identification number.

Registered Apprenticeship Contact Information

Name

Phone number

Email address

Tax Credit Verification

Organization/Business Industry Note: up to $5000 tax credit available for any business industry with a new RA. Businesses in "key industries", including advanced manufacturing, construction, healthcare, logistics, pharmaceuticals, transportation, tourism, and renewable energy, may be eligible for up to an additional $5000 tax credit.

Tax year credit will be claimed

Item

Cost

Please upload supporting documentation regarding start-up costs.

l hereby attest, under penalty of law, as the authorized taxpayer representative responsible for verifying the content of this application, that the information provided is true and accurate. *

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Apprenticeship Program Tax Credit Application

Registered Apprenticeship Sponsor Program Information

Registered Apprenticeship Contact Information

Tax Credit Verification