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Department of Workforce Development Forms

To search this catalog: From the toolbar in the Edit menu, select "Find". When the Find search box appears, enter a keyword or form number. The first search result will display with the keyword or number highlighted, at the top of the page. Click "Find next" until the desired form is highlighted.

For forms labeled "PDF", the free Adobe Acrobat Reader software is required to view and in some cases fill them out. Forms in other formats (MS Word, MS Excel, etc) are indicated where appropriate.

To open a form once you have chosen it, click on the linked State Form Number (such as 01365.pdf).

For questions about individual forms, please contact this agency's forms coordinator, Rick DesJarden at 317-233-8776.

For questions about how to use this catalog, or to inform us of a technical problem, please send e-mail to the Forms Management Division.

Forms marked "read-only" cannot be filled in on your computer. They must be printed out and filled in by hand or typewriter.

Title

Form Number
Electronic Format

Application for Training Acceleration Grant (read-only)

52728.pdf

Claimant Voucher (read-only)

43605.pdf

DWD Form 9 Voluntary Election to Become an Employer under the Indiana Employment and Training Services Act

48767.pdf

DWD Form 10 Application for Termination of Coverage (read-only)

00076.pdf

DWD Form 11R Voluntary Election to Extend the Application of the Indiana Employment and Training Services Act Excluded by IC 1971, 22-4-8-2 (j) (3) (A) (i) (ii)

48766.pdf

Election to Pay Tax or to Become Liable for Payment in Lieu of Contributions (read-only)

24321.pdf

Employer's Contribution Adjustment Report (read-only)

44954.pdf

Employer Request for Address Change/Correction

48812.pdf

Modification Request for Training Acceleration Grant (TAG) (read-only)

52731.pdf

Pre-Application for Training Acceleration Grant Company Information (read-only)

52729.pdf

Pre-Application for Training Acceleration Grant Consortium List (read-only)

52730.pdf

Quarterly Payroll Report - Continuation (read-only)

04384.pdf

Report for Seasonal Determination (read-only)

15672.pdf

Report of Inactivation

46800.pdf

Report of Transfer - Complete Sale (read-only)

46799.pdf

Report of Transfer - Partial Sale (read-only)

23299.pdf

Report to Determine Status (read-only)

02837.pdf

Request for Modification - Contract Termination (read-only)

52732.pdf

Request for Prevailing Wage

48364.pdf

Request for Printing Services

39141.xls

Status Report Agricultural Employment (read-only)

46798.pdf

Status Report for Domestic (Household) Employment (read-only)

45982.pdf

Termination Request for Training Acceleration Grant (TAG) (read-only)

52733.pdf

Termination Request for Training Acceleration Grant (TAG)

52733.xls

The following forms are internally-developed by the Department of Workforce Development, or are Federal Forms used by the Department of Workforce Development. They are provided for your convenience, though they are not Indiana State Forms.

Application for Alien Employment Certification (U.S. Dept. of Labor) [2 parts]

eta750a.pdf
eta750b.pdf

Quarterly Wage Reporting (DWD-developed form)

quarterly_wage_reporting.pdf

W-4 (U.S. IRS form)

W4.pdf