Form 14310 VITA/TCE Volunteer Sign Up

Submit by Email
Form 14310
(November 2011)

VITA/TCE Volunteer Sign Up

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OMB Number
1545-2222

Provide the following information to sign up as a VITA/TCE volunteer. Your information will be shared with a community
organization that will contact you about your interest in volunteering.
(This form can only be submitted to the IRS using email.)
First name
Last name
Email address
Phone number
(Enter 10 digits only,
include area code)

City
State

ZIP code (5 digits)
I would like to help...
No preference
Seniors
Low income working families
Comments

Privacy Act Notice
The Privacy Act of 1974 requires that when we ask for information we tell you our legal right to ask for the information, why we are
asking for it, and how it will be used. We must also tell you what could happen if we do not receive it, and whether your response is
voluntary, required to obtain a benefit, or mandatory.
Our legal right to ask for information is 5 U.S.C. 301. We are asking for this information to assist us in contacting you relative to your
interest and/or participation in the IRS volunteer income tax preparation and outreach programs. The information you provide may be
furnished to others who coordinate activities and staffing at volunteer return preparation sites or outreach activities. The information
may also be used to establish effective controls, send correspondence and recognize volunteers. Your response is voluntary. However,
if you do not provide the requested information, the IRS may not be able to use your assistance in these programs.
Form 14310 (11-2011)

Catalog Number 58488Q

www.irs.gov

Department of the Treasury – Internal Revenue Service