IRS Form 4419 "Application for Filing Information Returns Electronically (Fire)"

This version of the form is not currently in use and is provided for reference only.
Download this version of IRS Form 4419 for the current year.

What Is IRS Form 4419?

This is a tax form that was released by the Internal Revenue Service (IRS) - a subdivision of the U.S. Department of the Treasury on June 1, 2018. As of today, no separate filing guidelines for the form are provided by the IRS.

Form Details:

  • A 2-page form available for download in PDF;
  • Actual and valid for filing 2020 taxes;
  • Editable, printable, and free;

Download a fillable version of IRS Form 4419 through the link below or browse more documents in our library of IRS Forms.

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Download IRS Form 4419 "Application for Filing Information Returns Electronically (Fire)"

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OMB Number
Department of the Treasury - Internal Revenue Service
1545-0387
4419
Application for Filing Information
Form
IRS Use Only
(June 2018)
Returns Electronically (FIRE)
Revised Form 4419
Current Transmitter Control Code (TCC)
(revised only) (refer to instructions page 2)
1. Transmitter and/or Payer information
Legal name
(associated with EIN in Block 2)
Mailing address
City
State
ZIP code
2. Employer Identification Number (EIN)
(SSN not permitted)
4. What Tax Year will electronic filing begin
3. Is the request for a foreign transmitter without a TIN
Yes
No
5. Check the box(es) next to the returns you will file electronically
Note: IRS encourages transmitters who file for multiple payers to submit one application and use the assigned TCC for all payers.
Forms 1097, 1098, 1099, 3921, 3922, 5498 and W-2G
(See Publication 1220)
Form 1042-S, Foreign Person’s U.S. Source Income Subject to Withholding
(See Publication 1187)
Form 8027, Employer’s Annual Information Return of Tip Income and Allocated Tips
(See Publication 1239)
Form 8955-SSA, Annual Registration Statement Identifying Separated Participants with Deferred Vested Benefits
(See Publication 4810)
I have read the following FIRE System requirement: In order to file electronically through the FIRE System, you must have
software or a service provider that will create the file in the standard ASCII format. The FIRE System does not provide an on-line
fill-in option. You must transmit your data in the specific format required by IRS.
6. Person to contact about this request
Name
Position title
Email address
Telephone number
7.
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 payer.
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.
8. Official of the company or organization
Name
Position title
Signature
(a computer generated signature is not acceptable)
Date
For Privacy Act and Paperwork Reduction Act Notice, see Instructions.
4419
Catalog Number 41639J
www.irs.gov
Form
(Rev. 6-2018)
OMB Number
Department of the Treasury - Internal Revenue Service
1545-0387
4419
Application for Filing Information
Form
IRS Use Only
(June 2018)
Returns Electronically (FIRE)
Revised Form 4419
Current Transmitter Control Code (TCC)
(revised only) (refer to instructions page 2)
1. Transmitter and/or Payer information
Legal name
(associated with EIN in Block 2)
Mailing address
City
State
ZIP code
2. Employer Identification Number (EIN)
(SSN not permitted)
4. What Tax Year will electronic filing begin
3. Is the request for a foreign transmitter without a TIN
Yes
No
5. Check the box(es) next to the returns you will file electronically
Note: IRS encourages transmitters who file for multiple payers to submit one application and use the assigned TCC for all payers.
Forms 1097, 1098, 1099, 3921, 3922, 5498 and W-2G
(See Publication 1220)
Form 1042-S, Foreign Person’s U.S. Source Income Subject to Withholding
(See Publication 1187)
Form 8027, Employer’s Annual Information Return of Tip Income and Allocated Tips
(See Publication 1239)
Form 8955-SSA, Annual Registration Statement Identifying Separated Participants with Deferred Vested Benefits
(See Publication 4810)
I have read the following FIRE System requirement: In order to file electronically through the FIRE System, you must have
software or a service provider that will create the file in the standard ASCII format. The FIRE System does not provide an on-line
fill-in option. You must transmit your data in the specific format required by IRS.
6. Person to contact about this request
Name
Position title
Email address
Telephone number
7.
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 payer.
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.
8. Official of the company or organization
Name
Position title
Signature
(a computer generated signature is not acceptable)
Date
For Privacy Act and Paperwork Reduction Act Notice, see Instructions.
4419
Catalog Number 41639J
www.irs.gov
Form
(Rev. 6-2018)
Page 2
Block 7 – Affidavit. This application must be completed and submitted
General Instructions
by: (a) the owner, if the applicant is a sole proprietorship, (b) the
Purpose of Form: Submit Form 4419 to request authorization to
president, vice president, or other principal officer, if the applicant is a
electronically file any of the forms shown in Block 6. Complete all
corporation, (c) a responsible and duly authorized member or officer
required information. If your application is approved, a five-character
having knowledge of its affairs, if the applicant is a partnership,
alphanumeric Transmitter Control Code (TCC) will be assigned to your
government entity, or other unincorporated organization, or (d) the
organization.
fiduciary, if the applicant is a trust or an estate.
Note: In order to file electronically through the FIRE System, you must
Check the box to confirm that you have read the affidavit and are
have software or a service provider that will create the file in the standard
authorized to sign on behalf of the transmitter and/or payer. Required.
ASCII format. A scanned or PDF document will not be accepted.
Block 8 - The form must be signed and dated by an official of the
Forms W-2: Do not use Form 4419 to request authorization to
company or organization requesting authorization to file electronically.
electronically file Form W-2. Form W-2 information is only sent to the
Required.
Social Security Administration (SSA). Refer to Social Security
For further information concerning the electronic filing of information
Administration (SSA) website at https://www.ssa.gov/.
returns, visit IRS.gov. The following publications are available:
This application is subject to review before the approval to transmit
• Publication 1220, Specifications for Electronically Filing Form 1097,
electronically is granted and may require additional documentation at the
1098, 1099, 3921, 3922, 5498, and W-2G
request of the IRS. If a determination is made concerning the validity of
the information returns transmitted electronically, IRS has the authority to
• Publication 1187, Specifications for Electronically Filing Form
revoke the TCC and terminate the release of files.
1042-S, Foreign Person's U.S. Source Income Subject to
Withholding
You may not need more than one TCC. Transmitters who file for
multiple payers may submit one application and use the assigned
• Publication 1239, Specifications for Electronically Filing Form 8027,
Transmitter Control Code (TCC) for all payers. You may transmit files for
Employers Annual Information Return of Tip Income and Allocated
as many companies as you need under the one TCC.
Tips
We will delete your TCC if you don’t file your information returns for two
• Publication 4810, Specifications for Electronically Filing Form
consecutive tax years. Once deleted from our database, you will need to
8955-SSA, Annual Registration Statement Identifying Separated
submit another Form 4419.
Participants and Deferred Vested Benefits Paperwork
Revised Form 4419 information: Check the box located at the top of
How to submit Form 4419:
Form 4419 and provide the current TCC assigned to the business. A
revised Form 4419 can only be submitted if you are updating information
• Fill-In Form 4419 at https://fire.irs.gov.
for a previously submitted and approved Form 4419 for the following
• Mail or Fax Form 4419 to:
information:
Internal Revenue Service
• Block 1 - Legal name and address
230 Murall Drive, Mail Stop 4360
• Block 6 - Person to contact or contact information
Kearneysville, WV 25430
Fax: (877) 477-0572 (within the U.S)
Note: A revised Form 4419 can only be submitted on paper.
(304) 579-4105 (International)
Changes to the blocks listed below require you to submit a new Form
Contact the IRS Monday through Friday
4419. A new TCC will be assigned to the transmitter/payer.
(Do not check the Revised box.)
• (866) 455-7438 (Toll Free)
• Block 2 - EIN
• (304) 263-8700 (International)
• Block 5 - Type of return to be reported
Note: A TCC will not be issued over the phone or via email.
If you don’t receive your TCC within 45 days, contact the IRS at the
Specific Instructions
phone numbers listed above.
Due Date: Submit Form 4419 at least 45 days before the due date of the
Privacy Act and Paperwork Reduction Act Notice
return to ensure timely filing.
The authority for requesting this information is Internal Revenue Code sections
When completing this form, please print or type clearly.
7801, 6011(f) and 6109. The primary purpose for requesting the information is to
Block 1 - Enter the legal name associated with the EIN in Block 2 and
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
the complete address of the organization that will submit electronic files
required to file returns electronically. If you do not provide all or part of the
(transmitter and/or payer). Required.
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
Block 2 - Enter the Employer Identification Number (EIN), Qualified
to the Department of Justice for use in civil and/or criminal litigation, to the public to
Intermediary Number (QI-EIN), Withholding Partnership Number
help identify approved electronic filing practitioners, and to cities, states, the District
(WP-EIN), or Withholding Trust Number (WT-EIN) of the organization
of Columbia, and U.S. commonwealths and possessions for use in administering
transmitting the electronic files. Social Security Numbers (SSN) are not
their tax laws. We may also disclose this information to other countries under a tax
permitted. Required.
treaty, to federal and state agencies to enforce federal nontax criminal laws, and to
federal law enforcement and intelligence agencies to combat terrorism.
Block 3 - Check the appropriate box to indicate if you are a foreign
transmitter who does not have a nine-digit Taxpayer Identification
We ask for the information on these forms to carry out the Internal Revenue Laws
Number. Required.
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
Block 4 - Enter the tax year that you wish to begin filing electronically.
OMB control number. Books or records relating to a form must be retained as long
Required.
as their contents may become material in the administration of any Internal
Block 5 - Only check the box next to the returns you will electronically
Revenue law. Generally, tax returns and return information are confidential, as
required by Code section 6103.
file with the IRS. A separate TCC will be assigned for each box checked
in Block 5. Required.
The time needed to provide this information would vary depending on individual
circumstances. The estimated average time is:
Check the box to indicate you have read the requirements to transmit
information returns through the FIRE System.
Preparing Form 4419 . . . . . . . . . . . . . . . . . . . . 20 minutes.
Block 6 - Enter the name, position title, email address and telephone
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
number (with area code) of the person to contact about this application.
Forms Committee, Western Area Distribution Center, Rancho Cordova, CA
This should be a person who is knowledgeable about the electronic filing
95743-0001. DO NOT SEND FORM 4419 TO THIS OFFICE. Refer to the
of your information returns. Required.
instructions above on where to mail or fax.
4419
Catalog Number 41639J
www.irs.gov
Form
(Rev. 6-2018)
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