Form Wrc - Schedule 1 - Worker Retraining Tax Credit Application For Noncredit Courses

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Schedule 1 (Form WRC)
Worker Retraining Tax Credit Application For Noncredit Courses
Tax Year ______
Page ____ of ____
C
1 (F
WRC)
OMPLETE A SCHEDULE
ORM
FOR EACH COURSE
Federal Employer Identification Number
Name as it appears on Form WRC
-OR - Social Security number
Virginia Account Number
List each noncredit course from a Virginia community college or a school approved by the Virginia Department of
This section to be
completed by the
Business Assistance for purposes of claiming this credit. Complete a separate Schedule 1 (Form WRC) for each
Virginia Department of
course. See the definition of “ eligible worker retraining” in the instructions before completing this schedule.
Business Assistance
A
Class course title and course number:
_____________________________________________________
Course
”
Approved
B
Name and address of community
_____________________________________________________
”
college ” or private school ”
_____________________________________________________
Not approved
C.
Course description, including dates, duration and prerequisites
Authorized signature
____________________________________________________________________________________
____________________________________________________________________________________
Name: ____________
____________________________________________________________________________________
Phone: ___________
D.
Name and telephone number of contact person at the college or school ___________________________
Qualifying Employees taking qualifying noncredit courses
Column A
Column B
Column C
Column D
Column E
30% of training costs or, if
(For office use,
Employee name and
Date hired
Date course
private school, up to $100.
leave blank)
social security number
completed
-
Check box if from
private school
Approved cost
See instructions.
1
”
2
”
3
”
4
”
5
”
6
”
7
”
8
”
9
”
10
”
Total from another page
Grand total (Enter the grand total on Form WRC, Part II.)
Grand Total
Attach Schedule 1 to Form WRC along with a copy of the all documentation used in completing this
What To Attach:
schedule, including enrollment forms from the Virginia community college or private school showing
the classes taken and payment by the employer.
1901042

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