Form Wv Mip 31 PDF Details

The West Virginia Division of Motor Vehicles has released a new form, Form WV MIP 31, which must be completed by all applicants for a minor's instruction permit. This form collects important information about the applicant, such as their name, date of birth, and Social Security number. Completing this form is an essential step in obtaining your minor's instruction permit. Be sure to fill out all sections accurately and completely to avoid any delays in processing your application.

QuestionAnswer
Form NameForm Wv Mip 31
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesWV Military Employment Incentive Form incentive form

Form Preview Example

WV/MIP-31

Rev 3/2010

Military Incentive Program

WorkForce West Virginia

Field Operations

APPLICANT VOUCHER

WorkForce Office and Address

Cost Center Number

Date Completed

P O BOX 2753

 

 

Contact Person

Employee Initials

CHARLESTON, WV. 25330

 

 

 

 

 

 

Signature-Approving Official

Expiration Date

 

 

 

Part A. Introduction

The individual named below may qualify you to claim a tax credit under the Military Incentive Program (MIP) as authorized in Article 21, Section 42 or Article 24, Section 12 of Chapter 11 of the Code of West Virginia. This eligibility is subject to review forty-five days following the date of voucher. If you hire this individual and choose to claim the tax credit, you must complete Part C of the Voucher and return it to the WorkForce Office listed above. Your request for certification must be postmarked or received by this agency within (5) working days from the day the individual starts to work or your request will be denied.

 

Part B. Applicant Data

Name (Last, First, Middle)

 

Social Security Number

 

 

 

Address

 

Telephone Number

 

 

 

City and Zip Code

 

Percent Tax Credit

 

 

 

Part C. Employer Declaration

I hereby declare that the above-named individual will be employed by:

Name of Firm

Employment Starting Date

Wages

 

 

 

 

 

 

 

 

Job Title or Occupation

West Virginia Tax Number

 

 

 

 

 

 

 

 

 

Please forward an Employer Certification for this employee to:

 

 

 

MARS STOUT INC. P O BOX MISSOULA, MT. 59807

 

 

 

 

 

 

 

 

 

Name of Employer Representative

 

 

Title

 

 

MARS STOUT INC.

 

 

CONSULTANT

 

 

 

 

 

 

 

 

Address

 

 

Telephone Number

 

 

P O BOX 8026

 

 

800-451-6277

 

 

City

Zip Code

Date

Signature

 

 

MISSOULA, MT

59807

 

 

 

 

 

 

 

 

 

 

 

Part D. Employment Service Verification

 

 

Request was received or postmarked within forty-five (45) days from the date of the voucher

[ ] Yes

[ ] No

Comments:

 

 

 

 

 

 

 

 

 

 

Signature of Verifying Official

 

 

Date Certification Issued

 

 

 

 

 

 

 

Distribution: Original to Applicant Copy to WorkForce File

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