Form W 11 PDF Details

Embarking on a new job journey is always filled with paperwork, but being aware of the purpose behind each form can make the process smoother and more insightful. The Substitute Form W-11, part of the IRS Hiring Incentive to Restore Employment (HIRE) Act, is designed specifically for new or rehired employees, like those at Purdue University, to complete as part of their onboarding process. This particular affidavit plays a crucial role not only for the employees but also for the employers, as it is directly linked to potential tax credits under the HIRE Act. Employees are required to disclose if they have been unemployed or haven't worked for more than 40 hours during the 60 days prior to their start date. This simple declaration, validated under the penalties of perjury, not only affects Purdue University's eligibility for certain tax benefits but also assures the newly hired individual that this declaration will not affect their tax withholding or their Social Security earnings history. Furthermore, the assurance that this sensitive information is confidential and solely used to explore tax credit opportunities adds a layer of trust and security to the process. Completing and signing this form is a straightforward task, but the implications behind it—the potential financial benefits for the employer, the ease of the process for the employee, and the confidentiality maintained throughout—highlight the importance of understanding and accurately filling out the Form W-11.

QuestionAnswer
Form NameForm W 11
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names60-day, certify, w11 form, resulted

Form Preview Example

Substitute

Form W-11

IRS

Hiring Incentive to Restore Employment (HIRE) Act

Employee Affidavit

Purdue University

To be completed by new or rehired employee. Affidavit is not valid unless employee signs it.

Your Name ____________________________________________________________

(Please print.)

Social Security Number _________________PUID (if known) ____________________

First date of employment at Purdue University ________/________/________

I certify that I have not been paid for work by anyone for more than 40 hours during the 60-day period preceding the date I began employment at Purdue University. Under penalties of perjury, I declare that I have examined this affidavit and, to the best of my knowledge and belief, it is true, correct, and complete.

OR

I was paid for work in the 60 days prior to my employment at Purdue University

Employee’s Signature ______________________________ Date _______________

Return signed form to:

Purdue University Payroll and Taxes Freehafer Hall of Administrative Services 401 South Grant Street

West Lafayette, IN 47907-2024 or Fax to (765) 494-1728

Information about this affidavit:

This affidavit resulted from the HIRE Act and provides Purdue University information about new hires’ previous employment history. Based on your response on this form, Purdue University may be eligible for a tax credit.

Signing this affidavit will not have any impact on your tax withholding or your Social Security earnings history.

You will not be asked to sign another form nor will you be asked to provide additional information.

This information is confidential and will be used for the sole purpose of requesting potential University tax credits. Your personal information will not be shared.

Form W-11, 7/12/10