Certification Form
(based on employee wages)

If you believe your business may qualify for the Rhode Island Investment Tax Credit based on employee wages (Criteria #1, 2, or 3), you may print a Certification Form from the files below:

Certification Form 2012 in Excel format	Certification Form 2012 in .pdf format
Prior Year Forms:
Certification Form 2011 in Excel format	Certification Form 2011 in .pdf format
Certification Form 2010 in Excel format	Certification Form 2010 in .pdf format
Certification Form 2009 in Excel format	Certification Form 2009 in .pdf format
Certification Form 2008 in Excel format	Certification Form 2008 in .pdf format
Certification Form 2007 in Excel format	Certification Form 2007 in .pdf format
Certification Form 2006 in Excel format	Certification Form 2006 in .pdf format
Certification Form 2005 in Excel format	Certification Form 2005 in .pdf format
Certification Form 2004 in Excel format	Certification Form 2004 in .pdf format
Certification Form 2003 in Excel format	Certification Form 2003 in .pdf format
Certification Form 2002 in Excel format	Certification Form 2002 in .pdf format

Return completed form to:

Rhode Island Department of Labor & Training
Labor Market Information Unit
1511 Pontiac Avenue
Bldg 73, 2nd Floor
Cranston, RI   02920-4407

or fax to Labor Market Information Unit at (401) 462-8766 

If you believe your business may qualify for the Rhode Island Investment Tax Credit based on worker training (Criteria #4) you may obtain Training Payroll Certification from the Governor's Workforce Board by submitting a letter specifying total wages, total amount spent on training, and the computation of the percent spent on training to:
   

Governor's Workforce Board
1511 Pontiac Avenue, Cranston, RI 02920
Phone: 401-462-8860
Fax: 401-462-8865