Self-Employment Enterprise Verification
Workforce Solutions
Self-Employment Enterprise Verification
Customer’s Name: __________________________ ID#____________________
Step 1: First - you must establish proof of your self-employment enterprise by providing one of the documents listed below. Place a check mark next to the document you are providing and attach a copy of the document to this sheet.
Step 2: Each week - to report proof of your work hours - you must give us proof of your business income and expenses. Acceptable weekly proof documents include: invoices, business expense receipts and/or copies of checks you received from your customers. Invoices must include: Your customer’s name, address and telephone number; dates and locations of services or good provided; amount of money you charged for the service or good you provided; signature of your customers and your name or the name of your established business.
Step 1: Establish Your Self-Employment Enterprise
List of Acceptable Documents
|[pic]Check |Type of Document |
|Federal income tax forms or quarterly income reports, such as: |
| |Form 1040 |
| |Schedule C, F, or SE federal income tax returns for the most recent tax year |
|Records that provide proof of existence of your business, such as: |
| |Property titles, deeds, or rental agreement for the place of business |
| |Recent business bank, business phone, business utility, or business insurance bill |
| |Recent state sales tax return |
|Business records that provide proof of income and expenditures, such as: |
| |Copies of money orders or checks received, and lists of individuals/customers you’ve served (if available) |
| |Personal wage records with third-party signed verification |
| |Business plans |
|Records that prove you have started your business including one of the following: |
| |Property titles or deeds for the place of business |
| |Rental agreement or letter from a property owner showing you plan to open a business |
|Other evidence indicating you are preparing to open a business, such as: |
| |Advertising |
| |State tax registration |
| |Assumed name certificate |
| |Business plan; or |
| |Bank account information |
|Customer Attestation |
|I understand I must establish proof of my self-employment enterprise by providing one of the documents listed above. |
|Customer Signature |Date |
|For Workforce Solutions Staff Use Only |
|I have reviewed the document provided by the customer and determine that it establishes proof of the customer’s self-employment enterprise. |
|Staff Signature |Date |
|Print Staff Name | |
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