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 | 2022 Earned Income Tax Credit Self-Employed Questionnaire | 12/2022 |
Mail completed Form CT-EITC SEQ and all documents to:
Department of Revenue Services
State of Connecticut
PO Box 2980
Hartford, CT 06103-2980