Form 13350 Registration for e-Services

Registration for e-services

OMB Number

Please print or type

1545-1823

Check here if you are re-applying because of a forgotten, lost or expired password
1. Last name

First name

MI

2. Mailing address
The last address you provided the IRS on your individual tax return (1040, 1040a, etc) or Change of Address (Form 8822) will be used
to send you a registration confirmation. If you have changed your address, complete this section.
See Instructions on page 3 of this form.
Street address 1
Street address 2
City

State

Zip Code

Foreign Country/State/Province/Zip Code

3. Social Security Number

4. Date of birth (MM/DD/YYYY)

5. Daytime telephone number

6. e-mail address

7. Username. Please select your preferred username. See Instructions.
Username =
8. Password. Please select your password. Select one value (character) from each list and enter it in the top row. See Instructions.

A
B
C
D
E
F
G
H

@
#
$
%
&
+
?
*

9
8
7
6
5
4
3
2

a
b
c
d
e
f
g
h

q
r
s
t
u
w
x
y

Q
R
S
T
U
W
X
Y

9
8
7
6
5
4
3
2

~
=
<
>
:
(
)

9. Security question
Provide an answer to ONE of the questions below. This will be asked if you forget your username and call us to re-establish your
account. See Instructions and example on page 3.
What is your mother's date of birth?
What is your father's date of birth?
What is your mother's maiden name?
What is the name of the first or only elementary school you attended?
What is the name of the street you first lived on?
What is the name of the hospital in which you were born?
What is the year, make, and model of the first car you owned?
What was the name of your first pet?
10. Signature. By signing below, you acknowledge you have read the Privacy Act Notice and have accepted the terms and conditions
regarding your e-services account. (See Terms and Conditions.) Under penalties of perjury, I declare that I have examined this form
and to the best of my knowledge and belief, it is true, correct and complete.
Signature

Form 13350 (Rev. 8-2010)

Date signed

Catalog Number 38245F

www.irs.gov

Department of the Treasury-Internal Revenue Service

Purpose of Form
The purpose of this form is to register as a user of the Internal Revenue Service's e-services web site. KEEP A COPY OF THIS FORM.
This form serves as the ONLY record of your password until you receive your confirmation letter and you log into the system.
General Instructions
Our registration process involves the collection of personal and taxpayer data for the sole purpose of authenticating your identity. The
IRS will compare the information you provide with the information received from Social Security Administration (SSA) and with tax
return information you previously filed.
We will mail you confirmation of your self-selected username (or an IRS issued username if your selection is previously assigned); self
selected password and a PIN. The letter you will receive will contain the self-selected username and PIN but not your password. The
first time you log on, you must change your password and PIN. These are only valid for the first time you log on.
You must have your username, the single use self-selected password and the single use PIN when you first log on to our web
site. To do this, go to the Tax Professionals page at www.IRS.qov then click on e-services. You must log on and change your
password and PIN to complete the registration process.
Once you are a confirmed registrant, you will be required to change your password every six months. The IRS will send a reminder
notice via e-mail two weeks prior to expiration of your password. If you do not provide us with an e-mail address, we will not remind
you. If your password expires, you will have to re-register.
If you forget, lose or allow your password to expire, you must register again by completing this form. If you are re-applying, please
check the box at the top of this form.
Keep a copy of your completed form for future reference.
Please allow 4-6 weeks for us to process this form.

Where to mail: (Make a copy of your completed form before mailing)
Mail completed registration forms to (U.S. Postal Service and Overnight Mail):
Internal Revenue Service
Attn: e-services Registration
3651 S IH 35
STOP 6710AUSC
AUSTIN TX 78741
Form 13350 (Rev. 8-2010)

Catalog Number 38245F

www.irs.gov

Department of the Treasury-Internal Revenue Service

Specific Instructions
Print or type all entries on Form 13350
1. Enter your legal name as it appears on your Social Security Card. If you have changed your name, you should also update your
records with the Social Security Administration. We match our records with the Social Security Administration.
2. Enter your current mailing address if you have moved since you filed your last individual tax return (1040, 1040A, etc) or submitted a
Change of Address (Form 8822). This information will be used to update our records for your individual tax account. This is the only
address we will use to mail the registration confirmation of your self-selected username and password to you.
3. Enter your Social Security Number as it appears on your Social Security Card. If you do not have a social security number, enter
your Individual Tax Identification Number (ITIN) or Preparer Tax Identification Number (PTIN) issued by IRS. Do not leave blank.
4. Enter your date of birth in MM/DD/YYYY format.
5. Enter your daytime telephone number, including your area code.
6. Enter your email address. If you do not have one, enter ''none.'' Do not leave blank. Please note, by
not providing us with your e-mail address, you will not be notified of your password expiration warnings. By providing an e-mail address,
we will notify you of any password expiration warnings, alerts and any new product information. We will not issue any of these via the
U.S. Postal Service.
7. Selecting your username: Please select your preferred user name using the rules listed below. If the username you select is already
in use, the IRS will assign you a username. Once assigned, a username cannot be changed.
One username per person
Must be between 8 and 10 characters in length
Must be unique (two users may not have the same username)
Must contain only alpha and numeric characters, no special characters
Treated as case insensitive (e.g. sam = SAM = sAm)
8. Password. Please select your password. Select one value (character) from each list and enter it in the top row. Note: If you are
filling this form out on your computer, you can click on the down arrow in each field to select the value. If you are printing by hand,
please circle a value, then write it in the top row.

Example:
B

%

5

t

g

Q

=

2

A

@

9

q

a

Q

~

9

B

#

8

r

b

R

=

8

C

$

7

s

c

S

<

7

D

%

6

t

d

T

>

6

E

&

5

u

e

U

-

5

F

+

4

w

f

W

:

4

G

?

3

x

g

X

(

3

H

*

2

y

h

Y

)

2

9. Security Question. Select ONE of these questions and write in your answer. You should select the one that is easiest for you to
remember. This question will be asked if you forget your username, and call us to re-establish your account. You must provide us with
an exact answer.
Example: What was the name of your first pet?

Form 13350 (Rev. 8-2010)

fluffy

Catalog Number 38245F

www.irs.gov

Department of the Treasury-Internal Revenue Service

Where to mail: (Make a copy of your completed form before mailing)
Mail completed registration forms to (U.S. Postal Service and Overnight Mail):
Internal Revenue Service
Attn: e-services Registration
3651 S IH 35
STOP 6710AUSC
AUSTIN TX 78741

Terms and Conditions
Please read the following Privacy Act and conditions of use which explain why we are requesting the registration information, how it will be used, and
your responsibilities as a registered user of e-services. After reading, please sign and date this form.
Privacy Act Notice:
The Privacy Act of 1974 requires that when we ask individuals for information about themselves, we state our legal right to ask for the information, why
we are asking for the information, and how it will be used. We must also tell you what could happen if we do not receive all or part of 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 and the Internal Revenue Code Sections 6001, 6011, 6012 and applicable regulations. The
registration information we are requesting is used to create an e- services account for you and authenticate your identity (in other words, to ensure you
are who you say you are). The information may not be disclosed except as provided by section 6103 of the Internal Revenue Code. We may give the
information to the Department of Justice and to other Federal agencies, as provided by law. We may also give it to cities, states, the District of Columbia
and U. S. commonwealths or possessions to carry out their tax laws. We may give it to foreign governments because of tax treaties they have with the
United States. Your participation in the e-services program is voluntary. As such, your responses to any of the registration questions are entirely
voluntary. However, if you do not provide all or part of the information required to create your account and authenticate your identity, you will not be
eligible for access to e-services.
Your Registration Obligations: As an e-services user, you agree to provide true, accurate, current and complete information about yourself as
prompted by the registration process and that you will maintain and promptly update this data to keep it true, accurate, current and complete. If you
provide any information that is untrue, inaccurate, obsolete or incomplete, or there are reasonable grounds to suspect that such information is untrue,
inaccurate, obsolete or incomplete, the IRS has the right to suspend or terminate your account and refuse any and all current or future use of e-services.
Member Account, Password And Security: As part of the registration process, you selected a username, password and PIN. You are responsible for
maintaining the confidentiality of this information. While it may be necessary to disclose your username or PIN to an IRS employee or other individual,
you agree not to disclose your password to anyone. You are fully responsible for all activities that occur under your username. IRS personnel do not
have access to your password and should never ask you for it. You agree to immediately notify the IRS at 1-866-255-0654 of any unauthorized use of
your password or account, or any other breach of security and ensure that you exit from your account at the end of each session.

Paperwork Reduction Act Notice: The collection of information contained in e-services has been reviewed and approved by the Office of Management
and Budget in accordance with the Paperwork Reduction Act (44 U.S.C. 3507). An agency may not conduct or sponsor, and a person is not required to
respond to, a collection of information unless the collection of information displays a valid control number. Books or records relating to a collection of
information must be retained as long as their contents may become material in the administration of any internal revenue law. Generally, tax returns and
return information are confidential, as required by26 U.S.C. §6103. The following table identifies the estimated length of time to complete the various
e-services processes. This includes the time it will take to read the instructions, gather the necessary facts and enter the required information.
e-services Product
Registration to e-services
Required Password Maintenance
Forgotten Password Maintenance
TIN Matching Application
TIN Matching Interactive Session
Bulk Tin Matching
Form 8633 - Application to Participate in the IRS e-file Program
Electronic Account Resolution
Disclosure Authorization System Form 2848-Power of
Attorney and Declaration of Representative
Disclosure Authorization System Form
8821-Tax Information Authorization
Transcript Delivery System Form 4506-T-Request for
Copy of Transcript of Tax Form

OMB
Number
1545-1823
1545-1823
1545-1823
1545-1823
1545-1823
1545-1823
1545-0991
1545-1823
1545-0150
1545-0150
1545-0150
1545-1165
1545-1165
1545-1165
1545-1872
1545-1872
1545-1872

Estimated Time to Complete
20 minutes
20 minutes
20 minutes
20 minutes
10 minutes
10 minutes
1 hour
20 minutes
Recordkeeping 26 minutes
Learning about the law or the form 9 minutes
Preparing the form 26 minutes
Recordkeeping 7 minutes
Learning about the law or the form 12 minutes
Preparing the form 24 minutes
Recordkeeping 13 minutes
Learning about the law or the form 6 minutes
Preparing the form 11 minutes

If you have comments concerning the accuracy of these time estimates or suggestions for reducing this burden, we would be happy to hear from you.
You can write the Internal Revenue Service, Tax Products Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave NW, IR-6526,
Washington, DC 20224.
Form 13350 (Rev. 8-2010)

Catalog Number 38245F

www.irs.gov

Department of the Treasury-Internal Revenue Service