Form 4419 Application for FIling Information Returns Electronicall

Form

4419

(September 2021)

Department of the Treasury - Internal Revenue Service

OMB Number 1545-0387

Revise Existing Transmitter Control Code (TCC)
for Filing Information Returns Electronically (FIRE)

IRS Use Only

Purpose of form: Revise legal name (associated with EIN in Block 4), address, person to contact or contact information on an active
Transmitter Control Code (TCC) obtained before September 26, 2021. Do not use this form to request a new TCC.
Note: Only submit a paper Form 4419 if you have an active Transmitter Control Code (TCC) received before September 26, 2021 and
need to update Block 3, the legal name (associated with EIN in Block 4), mailing address of the organization that will submit electronic
files (transmitter and/or issuer) or Block 5, the name, position title, email address and telephone number (with area code) of the person
to contact about this application. Allow 45 days for processing.
Request for a New Transmitter Control Code (TCC): Beginning Sept, 26, 2021 all request for a TCC are required to use the new
online Information Returns (IR) Application for Transmitter Control Code (TCC), available on the Filing Information Returns
Electronically (FIRE) page on IRS.gov.
1. Purpose for revising current TCC information (required)
Update legal name (associated with EIN in Block 4)
Update mailing address
Update person to contact about this application
2. Current Transmitter Control Code (TCC) (refer to instructions page 2) (required)
3. Transmitter and/or issuer information (required)
Complete legal name (associated with EIN in Block 4) (required)
Complete legal name (continued)
Mailing address (required)

City (required)

State

ZIP code (required)

4. Employer Identification Number (EIN) (SSN not permitted) (required)
5. Person to contact about this request (complete all fields)
Name (required)
Position title (required)
Email address (required)
6.

Telephone number (required)

I have read the affidavit in the instructions on page 2 and I am authorized to sign the document on behalf of the transmitter and/or
issuer (required)

Under penalties of perjury, I declare that I have examined this document including any accompanying statements, and to the best of my
knowledge and belief, it is true, correct, and complete
7. Official of the company or organization
Full legal name (required)
Position title (required)
Signature (required) (a computer-generated signature is not acceptable)

Date (required)

For Privacy Act and Paperwork Reduction Act Notice, see Instruction.

Catalog Number 41639J

www.irs.gov

Form 4419 (Rev. 9-2021)

General Instructions
Purpose of Form: Submit a paper Form 4419 to revise an active
Transmitter Control Code (TCC) received before September 26, 2021.
If you do not have a TCC to transmit through the FIRE System, complete
the Information Returns (IR) Application for Transmitter Control Code
(TCC) at https://www.irs.gov/e-file-providers/filing-information-returnselectronically-fire.
A revised Form 4419 can only be submitted if you are updating
information for a previously approved Form 4419 for the following:

Beginning Sept, 26, 2021 all request for a new TCC are required to use
the new Information Returns (IR) Application for Transmitter Control
Code (TCC), available on the Filing Information Returns Electronically
(FIRE) page on IRS.gov. This new application replaces both the Form
4419 and Fill-in Form 4419 on the FIRE System.

• Block 3 - Legal name or Business mailing address
• Block 5 - Person to contact or contact information

Specific Instructions
When completing this form, please print or type clearly.
If you do not provide all the information, we may not be able to process
your application
Block 1 - Indicate the purpose for revising the current TCC information.
Block 2 - Enter your current TCC.
Block 3 - Enter the legal name associated with the EIN in Block 4 and
the complete address of the organization that will submit electronic files
(transmitter and/or issuer).
Block 4 - Enter the employer identification number (EIN), Qualified
Intermediary Number (QI-EIN), Withholding Partnership Number (WPEIN), or Withholding Trust Number (WT-EIN) of the organization
transmitting the electronic files. A social security number is not allowed.
Block 5 - Enter the name, position title, email address and telephone
number (with area code) of the person to contact about this application.
This should be a person who is knowledgeable about the electronic filing
of your information returns.
Block 6 - Affidavit. This application must be completed and submitted
by: (a) the owner, if the applicant is a sole proprietorship, (b) the
president, vice president, or other principal officer, if the applicant is a
corporation, (c) a responsible and duly authorized member or officer
having knowledge of its affairs, if the applicant is a partnership,
government entity, or other unincorporated organization, or (d) the
fiduciary, if the applicant is a trust or an estate.
Check the box to confirm you have read the affidavit and are authorized
to sign on behalf of the transmitter and/or issuer.
Block 7 - The form must be signed and dated by an official of the
company or organization requesting authorization to file electronically (a
computer-generated signature is not acceptable).

How to submit Form 4419:
Mail or Fax Form 4419 to:
Internal Revenue Service
230 Murall Drive, Mail Stop 4360
Kearneysville, WV 25430
Fax: (877) 477-0572 (within the U.S.)
(304) 579-4105 (International not toll-free)
Contact the IRS for information return and electronic filing
assistance Monday through Friday 8:30 a.m. - 5:30 p.m. ET. Listen
to all options before making your selection.
• (866) 455-7438 (Toll-free)
• (304) 263-8700 (International not toll-free)
• (304) 579-4827 for Telecommunications Device for the Deaf (TDD)
(Not toll-free)

Catalog Number 41639J

Request a New Transmitter Control Code (TCC): If you are a
corporation, partnership, employer, estate and/or trust, required to file
250 or more information returns, Forms 1042-S, 1097, 1098, 1099, 3921,
3922, 5498, 8027, 8955-SSA, and W-2G, for any calendar year, the law
requires you file electronically via the Filling Information Returns
Electronically (FIRE) System using a Transmitter Control Code (TCC).
The Internal Revenue Service (IRS) encourages filers who have less
than 250 information returns to file electronically as well.

For further information concerning the electronic filing of information
returns, visit IRS.gov. The following publications are available:
• Publication 1220, Specifications for Electronic Filing of Forms 1097,
1098, 1099, 3921, 3922, 5498, and W-2G
• Publication 1187, Specifications for Electronic Filing of Form
1042-S, Foreign Person's U.S. Source Income Subject to
Withholding
• Publication 1239, Specifications for Electronic Filing of Form 8027,
Employer's Annual Information Return of Tip Income and Allocated
Tips
• Publication 4810, Specifications for Electronic Filing of Form
8955-SSA, Annual Registration Statement Identifying Separated
Participants With Deferred Vested Benefits
Forms W-2: Do not request authorization to electronically file Form W-2
using IR Application for TCC or Form 4419. Form W-2 information is sent
to the Social Security Administration (SSA). Refer to Social Security
Administration (SSA) website at https://www.ssa.gov.

Privacy Act and Paperwork Reduction Act Notice
The authority for requesting this information is Internal Revenue Code
sections 7801, 6011(f) and 6109. The primary purpose for requesting the
information is to identify you and to verify your fitness to transmit returns
using the Filing Information Returns Electronically (FIRE) System. Your
response is mandatory if you are required to file returns electronically. If
you do not provide all or part of the information, we may not be able to
process your application; providing false or fraudulent information may
subject you to penalties. We may give this information to the Department
of Justice for use in civil and/ or criminal litigation, to the public to help
identify approved electronic filing practitioners, and to cities, states, the
District of Columbia, and U.S. commonwealths and possessions for use
in administering their tax laws. We may also disclose this information to
other countries under a tax treaty, to federal and state agencies to
enforce federal nontax criminal laws, and to federal law enforcement and
intelligence agencies to combat terrorism.
We ask for the information on these forms to carry out the Internal
Revenue Laws of the United States. You are not required to provide the
information requested on a form that is subject to the Paperwork
Reduction Act unless the form displays a valid OMB control number.
Books or records relating to a form must be retained as long as their
contents may become material in the administration of any Internal
Revenue law. Tax returns and return information are confidential, as
required by Code section 6103.
The time needed to provide this information would vary depending on
individual circumstances. The estimated average time is:
Preparing Form 4419 . . . . . . . . . . . . . . . . . 20 minutes.
If you have comments concerning the accuracy of this time estimate or
suggestions for making this form simpler, we would be happy to hear
from you. Write to the Tax Forms Committee, Western Area Distribution
Center, Rancho Cordova, CA 95743-0001. DO NOT SEND FORM 4419
TO THIS OFFICE. Refer to the instructions above on where to mail or
fax.

www.irs.gov

Form 4419 (Rev. 9-2021)