Form 5884, Work Opportunity Credit Completed Form Examples and Samples
Explore detailed examples and samples of Form 5884 to effectively claim the Work Opportunity Credit for 2025. Learn how employers can optimize tax benefits through accurately filled forms showcasing employer details, employee qualifications, and credit computations.
Form 5884 Example – Work Opportunity Credit
How this form was filled:
This example showcases how to fill out Form 5884 for claiming the Work Opportunity Credit. The form includes the taxpayer’s identification information, the amount of qualified wages, and the resulting credit calculation.
Information used to fill out the document:
- Employer's Name: ABC Corporation
- Employer Identification Number (EIN): 98-7654321
- Tax Year: 2025
- Qualified First-Year Wages: $20,000
- Qualified Second-Year Wages: $10,000
- Total Credit for First-Year Wages: $2,400
- Total Credit for Second-Year Wages: $1,000
What this filled form sample shows:
- Correctly filled Employer Identification Number (EIN) and tax year
- Accurate calculations of first-year and second-year wages
- Detailed computation of the Work Opportunity Credit
- Verification of eligibility and category-based employee wage calculations
Form specifications and details:
Use Case: | Employer claiming Work Opportunity Credit for eligible employees |
Eligibility Criteria: | Employees from specified targeted groups hired during the tax year |

Sample Form 5884 – Work Opportunity Credit Filing Example
How this form was filled:
This sample illustrates how to complete Form 5884 for utilizing Work Opportunity Credit. It includes employer details, wage data, and calculated credit totals for accuracy in filing.
Information used to fill out the document:
- Employer's Name: NorthStar LLC
- Employer Identification Number (EIN): 12-3456789
- Tax Year: 2025
- Qualified First-Year Wages: $25,000
- Qualified Second-Year Wages: $15,000
- Total Credit for First-Year Wages: $3,000
- Total Credit for Second-Year Wages: $1,200
What this filled form sample shows:
- Accurate entry of employer information and EIN
- Comprehensive assessment of qualified wage categories
- Precise computation of work opportunity credit totals
- Framework for eligibility validation regarding employee hire
Form specifications and details:
Use Case: | Business accurately filing Work Opportunity Credit for the 2025 tax year |
Eligibility Criteria: | Utilization of credit for hiring from specified targeted employee groups |
