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.
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Title |
Form Number |
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Application for Training Acceleration Grant (read-only) |
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Claimant Voucher (read-only) |
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DWD Form 9 Voluntary Election to Become an Employer under the Indiana Employment and Training Services Act |
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DWD Form 10 Application for Termination of Coverage (read-only) |
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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) |
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Election to Pay Tax or to Become Liable for Payment in Lieu of Contributions (read-only) |
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Employer's Contribution Adjustment Report (read-only) |
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Employer Request for Address Change/Correction |
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ETA 81 - Initial Application for Disaster Unemployment Assistance |
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ETA 81A - Supplemental Application for Disaster Unemployment Assistance |
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ETA 83 - Weekly Request for Assistance (Disaster Relief Act of 1974) |
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Modification Request for Training Acceleration Grant (TAG) (read-only) |
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Pre-Application for Training Acceleration Grant Company Information (read-only) |
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Pre-Application for Training Acceleration Grant Consortium List (read-only) |
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Quarterly Payroll Report - Continuation (read-only) |
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Report for Seasonal Determination (read-only) |
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Report of Inactivation |
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Report of Transfer - Complete Sale (read-only) |
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Report of Transfer - Partial Sale (read-only) |
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Report to Determine Status (read-only) |
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Request for Modification - Contract Termination (read-only) |
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Request for Prevailing Wage |
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Request for Printing Services |
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Status Report Agricultural Employment (read-only) |
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Status Report for Domestic (Household) Employment (read-only) |
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Termination Request for Training Acceleration Grant (TAG) (read-only) |
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Termination Request for Training Acceleration Grant (TAG) |
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| 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. | |
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Application for Alien Employment Certification (U.S. Dept. of Labor) [2 parts] |
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Quarterly Wage Reporting (DWD-developed form) |
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W-4 (U.S. IRS form) |
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