Complete this form if you are self employed and have received
an Additional information letter from the EITC group
Download and complete the Questionnaire below and return with all documentation.

 

Name Type Description Revised

Form CT-EITC SEQ

Form 2023 Earned Income Tax Credit Self-Employed Questionnaire 12/2023
 
Mail completed Form CT-EITC SEQ and all documents to:

Department of Revenue Services
State of Connecticut
PO Box 2980
Hartford, CT 06103-2980