Form 911 - Request for Taxpayer Advocate Service Assistance (February 2015)

Sep 19, 2026

Form 911 (February 2015) is the IRS Taxpayer Advocate Service request used to seek taxpayer assistance when dealing with unresolved tax account problems. The form collects taxpayer and spouse information, contact details, the tax form number and tax year or period at issue, and a description of the tax issue, requested relief, and related authorizations. It also captures representative and initiating employee details, including how the case was identified and whether specific TAS criteria are met, plus employee actions and the taxpayer’s situation.

LanguageEnglish

CategoryForms

FormatPDF

Pages4

Reading Time2 min

AccessFree to download

Section I - Taxpayer Information

Section II - Representative Information

Section III - Initiating Employee Information

Instructions for Completing Form 911

Form 911 Filing Requirements

When to Use this Form

| Form911
(February 2015) | Department of the Treasury -Internal Revenue Service
Request for Taxpayer Advocate Service Assistance
(And Application for Taxpayer Assistance Order) | OMB Number
1545-1504 | | --- | --- | --- | Sectionl-Taxpayer Information (See Pages 3and 4 for Form 911Fling Requirements and Instructions for Completing this Form.) | 1a.Your name as shown on tax return | 1b.Taxpayer Identifying Number(SSN,ITIN,EIN) | | --- | --- | | | | | 2a.Spouse's name as shown on tax return (if applicable) | 2b.Spouse's Taxpayer Identifying Number(SSN,ITIN) | | | | 3a.Your current street address(Number,Street,&Apt.Number) | | | | | | --- | --- | --- | --- | | 3b.City | | 3c.State(or Foreign Country) | 3d.ZIP code | | | | | | | 4.Fax number (if applicable) | 5.Email address | | | | 6.Tax form number(1040,941,720,etc.) | 7.Tax year(s)or period(s) | | | --- | --- | --- | | | | | | 8.Person to contact if Section ll is not being used | 9a.Daytime phone number | 9b.
Check here if you consent to
have confidential information
about your tax issue left on your
answering machine or voice
message at this number. | | | | | | 10.Best time to call | □ Check if Cell Phone | | | | | | 11.Preferred language (if applicable) □ TTY/TDD Line □Interpreter needed-Specify language other than English (including sign language) □Other (please specify) 12a.Please describe the tax issue you are experiencing and any difficulties it may be creating(If more space is needed,attach additional sheets.)(See instructions for completing Lines 12a and 12b) 12b.Please describe the relief/assistance you are requesting(If more space is needed,attach additional sheets.) I understand that Taxpayer Advocate Service employees may contact third parties in order to respond to this request and lauthorizesuch contacts to be made.Further,by authorizing the Taxpayer Advocate Service to contact third parties,l understand that I ill not receive notice,pursuant to section 7602(c)of the Internal Revenue Code,of third parties contacted in connection with this request. | 3a.Signature of Taxpayer or Corporate Officer,and title,if applicable | 13b.Date signed | | --- | --- | | 4a.Signature of spouse | 14b.Date signed | Section Ⅱ-Representative Information(Attach Form 2848 if not already on file with the IRS.) | .Name of authorized representative | 2.Centralized Authorization File(CAF)number | | | --- | --- | --- | | | | | | 3.Current mailing address | 4.Daytime phone number | | | | Check if
□Cell Phone | | | | 5.Fax number | | | | | | | 6.Signature of representative | | 7.Date signed | SectionⅢ-Initiating Employee Information (SectionIⅢ is to be completed by the IRS only) | Taxpayer name | | | Taxpayer Identifying Number(TIN) | | | --- | --- | --- | --- | --- | | | | | | | | 1.Name of employee | 2.Phone number | 3a.Function | 3b.Operating division | 4.Organization code no. | | | | | | | | 5.How identified and received(Check the appropriate box)
IRS Function identified issue as meeting Taxpayer Advocate Service(TAS)criteria
□(r)Functional referral(Function identified taxpayer issue as meeting TAS criteria).
□(x)Congressional correspondence/inquiry not addressed to TAS but referred for TAS handling.
Name of Senator/Representative
Taxpayer or Representative requested TAS assistance
□(n)Taxpayer or representative called into a National Taxpayer Advocate(NTA)Toll-Free site.
□(s)Functional referral(taxpayer or representative specifically requested TAS assistance). | | | | 6.IRS received date | 7.TAS criteria(Check the appropriate box.NOTE:Checkbox 9 is for TAS Use Only) □(1)The taxpayer is experiencing economic harm or is about to suffer economic harm. □(2)The taxpayer is facing an immediate threat o

FAQs

When should a taxpayer use Form 911?

Use Form 911 when the Taxpayer Advocate Service (TAS) may be able to help with problems causing financial difficulties, facing an immediate threat of adverse action, or after repeated attempts to contact the IRS have not resolved the issue.

What information does Section I request from the taxpayer?

Section I collects taxpayer and spouse details, tax form number and tax year or period, contact information, preferred language, and descriptions of the tax issue, difficulties, and the relief or assistance requested.

What is required in Section II if a representative is involved?

Section II requires representative information, including the authorized representative’s name, CAF number, mailing address, phone and fax numbers, representative signature, and date signed. It also references attaching Form 2848 when not already on file.

Sep 19, 2026

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