Form 257 PDF Details

Form 257 is used to request a Certificate of Tax Exemption (Form 8332) from the Internal Revenue Service. The form is used to document the taxpayer’s eligibility for exemption from federal income tax on payments made for the care of a qualifying child. A qualifying child is defined as a son, daughter, stepson, or stepdaughter of the taxpayer, who is: under age 18 at the end of the calendar year; or under age 24 and a full-time student at any time during the calendar year; or permanently and totally disabled at any time during the calendar year. The form must be filed by the due date for filing your federal income tax return, including extensions. For more information on exemptions for care of children, please see Publication 503, Child and Dependent Care Expenses. Please Note: Although this blog post pertains specifically to Form 257 (the Certificate of Tax Exemption), there are other forms that may also be applicable in certain circumstances - such as Form 8839 (Qualified Adoptee

QuestionAnswer
Form NameForm 257
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform 257 chro, form chro state search, form chronic disease, state of ct chro forms

Form Preview Example

Commission on Human Rights and Opportunities Contract Compliance Unit

21 Grand Street

Hartford, CT 06106

1.MONTHLY EMPLOYMENT

UTILIZATION REPORT

(FORM chro cc–257)

PROJECT AREA (MSA):

____________________________

2. EMPLOYERS FEIN NO.

3.PROJECT AAP GOALS MINORITY: ___________

FEMALE:_____________

4.REPORTING PERIOD FROM:_______________

TO:__________________

GENERAL CONTRACTOR:

 

 

 

 

 

 

NAME AND LOCATION OF CONTRACTOR (submitting report):

 

STATE AWARDING AGENCY:

PROJECT NAME:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTRACT NUMBER:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

 

 

 

 

6. WORK HOURS OF TRADE WORKERS EMPLOYED ON PROJECT

 

 

 

9.

 

 

10.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

 

TOTAL

CONSTRUCTION

 

 

6a.

 

 

6b.

 

 

6c.

 

6d.

 

 

6e.

 

 

7.

 

8.

 

 

TRADE

 

CLASSIFICATION

 

TOTAL

 

BLACK

HISPANIC

ASIAN OR

AMERICAN

 

 

 

NUMBER OF

NUMBER OF

(please identify)

 

 

 

HOURS

 

(Not of

 

 

 

PACIFIC

INDIAN OR

MINORITY

 

FEMALE

EMPLOYEES

MINORITY

 

 

BY TRADE

 

Hispanic

 

 

ISLANDERS

ALASKAN

PERCENT

 

PERCENT

 

 

 

EMPLOYEES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Origin)

 

 

 

 

 

 

NATIVE

 

 

 

 

 

 

 

 

 

 

 

 

M

 

F

M

 

F

M

F

M

 

F

M

 

F

 

 

 

M

 

F

M

 

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Journey Worker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apprentice

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trainee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUB-TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Journey Worker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apprentice

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trainee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUB-TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Journey Worker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apprentice

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trainee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUB-TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Journey Worker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apprentice

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trainee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUB-TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Journey Worker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apprentice

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Trainee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUB-TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL JOURNEY WORKERS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL APPRENTICES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL TRAINEES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GRAND TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. COMPANY OFFICIALS SIGNATURE , PRINTED NAME, AND PRINTED TITLE

12. TELEPHONE NUMBER (Including area

13. DATE SIGNED

 

 

PAGE

 

 

 

 

 

 

 

 

 

 

 

 

code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

________OF________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Did not perform work on this project for this month (Please place an “X” in the box if your company did not perform work on this project for this month only.)

FORM CHRO 257

Commission on Human Rights and Opportunities Contract Compliance Unit

21 Grand Street

Hartford, CT 06106

1.MONTHLY EMPLOYMENT

UTILIZATION REPORT

(FORM chro cc–257A)

PROJECT AREA (MSA):

2. EMPLOYER FEIN NO.

3.PROJECT AAP GOALS MINORITY: ___________

FEMALE:_____________

4.REPORTING PERIOD FROM:_______________

TO:__________________

GENERAL CONTRACTOR:

 

 

 

 

NAME AND LOCATION OF CONTRACTOR (submitting report):

 

STATE AWARDING AGENCY:

PROJECT NAME:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTRACT NUMBER:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

 

 

6. WORK HOURS OF WORKERS (OTHER THAN TRADE WORKERS) EMPLOYED ON PROJECT

9.

 

10.

 

ON SITE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

 

TOTAL

 

6a.

 

6b.

 

6c.

 

6d.

 

6e.

 

7.

8.

 

 

PERSONNEL

 

 

 

 

 

 

 

 

 

 

TOTAL

 

BLACK

HISPANIC

ASIAN OR

AMERICAN

 

 

NUMBER OF

NUMBER OF

(OTHER THAN

 

 

 

 

 

 

 

HOURS

 

(Not of

 

 

 

PACIFIC

INDIAN OR

MINORITY

FEMALE

EMPLOYEES

MINORITY

TRADE

 

 

 

 

 

 

 

BY TRADE

 

Hispanic

 

 

ISLANDERS

ALASKAN

PERCENT

PERCENT

 

 

EMPLOYEES

WORKERS)

 

 

 

 

 

 

 

 

 

 

Origin)

 

 

 

 

 

NATIVE

 

 

 

 

 

 

(please identify

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

F

M

F

M

F

M

F

M

F

 

 

M

F

M

F

specific job title)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GRAND TOTAL WORKERS

 

 

 

 

 

 

 

11. COMPANY OFFICIALS SIGNATURE, PRINTED NAME, AND PRINTED TITLE

12. TELEPHONE NUMBER (Including area

13. DATE SIGNED

PAGE

 

code)

 

 

 

 

 

________OF________

Did not perform work on this project for this month (Please place an “X” in the box if your company did not perform work on this project for this month only.)

FORM CHRO 257A

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