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

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 September 1, 2019. 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;
  • Additional instructions and information can be found on page 2 of the document;
  • 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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Department of the Treasury - Internal Revenue Service
OMB Number
Application for Filing Information
1545-0387
4419
Form
Returns Electronically (FIRE)
(September 2019)
IRS Use Only
Purpose of form: Revise Transmitter Control Code (TCC) information
or request an additional TCC. Do not use this form to request an original TCC.
1. Purpose for Form 4419
Revised TCC information
Additional TCC request
2. Current Transmitter Control Code (TCC)
(refer to instructions page 2) - Required
3. Transmitter and/or Payer information
Legal name
(associated with EIN in Block 4) - Required
Legal name
(continued)
Mailing address
City
State
ZIP code
4. Employer Identification Number (EIN)
(SSN not permitted)
5. Person to contact about this request
Name
Position title
Email address
Telephone number
Additional TCC Request
6. Reason additional TCC is needed
7. Is the request for a foreign transmitter without a TIN
Yes
No
8. Check the box(es) next to the form type(s) for which you are requesting an additional TCC
Note: The 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)
9.
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
10. 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. 9-2019)
Department of the Treasury - Internal Revenue Service
OMB Number
Application for Filing Information
1545-0387
4419
Form
Returns Electronically (FIRE)
(September 2019)
IRS Use Only
Purpose of form: Revise Transmitter Control Code (TCC) information
or request an additional TCC. Do not use this form to request an original TCC.
1. Purpose for Form 4419
Revised TCC information
Additional TCC request
2. Current Transmitter Control Code (TCC)
(refer to instructions page 2) - Required
3. Transmitter and/or Payer information
Legal name
(associated with EIN in Block 4) - Required
Legal name
(continued)
Mailing address
City
State
ZIP code
4. Employer Identification Number (EIN)
(SSN not permitted)
5. Person to contact about this request
Name
Position title
Email address
Telephone number
Additional TCC Request
6. Reason additional TCC is needed
7. Is the request for a foreign transmitter without a TIN
Yes
No
8. Check the box(es) next to the form type(s) for which you are requesting an additional TCC
Note: The 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)
9.
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
10. 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. 9-2019)
Page 2
General Instructions
Block 9 - Affidavit. This application must be completed and submitted
by: (a) the owner, if the applicant is a sole proprietorship, (b) the
Purpose of Form: Only submit paper Form 4419 to revise current
president, vice president, or other principal officer, if the applicant is a
Transmitter Control Code (TCC) information or to request an additional
corporation, (c) a responsible and duly authorized member or officer
TCC for a form type listed in Box 8. An original TCC must be submitted
having knowledge of its affairs, if the applicant is a partnership,
electronically via the FIRE System at https://fire.irs.gov/.
government entity, or other unincorporated organization, or (d) the
fiduciary, if the applicant is a trust or an estate.
Revised TCC information: Complete Blocks 1-5, 9 and 10. An
authorized signature is required.
Check the box to confirm that you have read the affidavit and are
authorized to sign on behalf of the transmitter and/or payer. Required.
A revised Form 4419 can only be submitted if you are updating
information for a previously approved Form 4419 for the following:
Block 10 - The form must be signed and dated by an official of the
• Block 3 - Legal name and address
company or organization requesting authorization to file electronically.
Required.
• Block 5 - Person to contact or contact information
For further information concerning the electronic filing of information
Additional TCC Request
returns, visit
IRS.gov.
The following publications are available:
Only submit paper Form 4419 if you are requesting an additional
TCC for a form type that you currently have an active TCC or for
• Publication 1220, Specifications for Electronic Filing of Forms 1097,
another form type listed in Box 8. Complete Blocks 1 –10. An
1098, 1099, 3921, 3922, 5498, and W-2G
authorized signature is required.
• Publication 1187, Specifications for Electronic Filing of Form 1042-
You may not need more than one TCC. Transmitters who file for multiple
S, Foreign Person's U.S. Source Income Subject to Withholding
payers may submit one application and use the assigned Transmitter
• Publication 1239, Specifications for Electronic Filing of Form 8027,
Control Code (TCC) for all payers. You may transmit files for as many
Employer's Annual Information Return of Tip Income and Allocated
companies as you need under the one TCC.
Tips
We will delete your TCC if you don’t use the TCC to transmit information
• Publication 4810, Specifications for Electronic Filing of Form 8955-
returns for two consecutive tax years. Once deleted from our database,
SSA, Annual Registration Statement Identifying Separated
you will need to submit a Fill-In Form 4419 at https://fire.irs.gov. A new
Participants With Deferred Vested Benefits
TCC will be assigned.
How to submit Form 4419:
Note: 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
• Fill-In Form 4419 at https://fire.irs.gov. (Original TCC request)
ASCII format. A scanned or PDF document will not be accepted.
• Mail or Fax Form 4419 (Revised or Additional TCC) to:
Forms W-2: Do not use Form 4419 to request authorization to
Internal Revenue Service
230 Murall Drive, Mail Stop 4360
electronically file Form W-2. Form W-2 information is only sent to the
Kearneysville, WV 25430
Social Security Administration (SSA). Refer to Social Security
Fax: (877) 477-0572 (within the U.S.)
Administration (SSA) website at https://www.ssa.gov.
(304) 579-4105 (International)
This application is subject to review before the approval to transmit
Contact the IRS Monday through Friday
electronically is granted and may require additional documentation at the
• (866) 455-7438 (Toll Free)
request of the IRS. If a determination is made concerning the validity of
• (304) 263-8700 (International)
the information returns transmitted electronically, the IRS has the
Note: A TCC will not be issued over the phone or via email.
authority to revoke the TCC and terminate the release of files.
If you don’t receive your TCC within 45 days, contact the IRS at the
phone numbers listed above.
Specific Instructions
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 7801,
When completing this form, please print or type clearly.
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
Block 1 - Check a box to indicate the purpose for the form. Required.
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
Block 2 - Enter your current TCC. Required.
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/
Block 3 - Enter the legal name associated with the EIN in Block 4 and
or criminal litigation, to the public to help identify approved electronic filing practitioners,
the complete address of the organization that will submit electronic files
and to cities, states, the District of Columbia, and U.S. commonwealths and possessions
(transmitter and/or payer). Required.
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
Block 4 - Enter the employer identification number (EIN), Qualified
criminal laws, and to federal law enforcement and intelligence agencies to combat
Intermediary Number (QI-EIN), Withholding Partnership Number (WP-
terrorism.
EIN), or Withholding Trust Number (WT-EIN) of the organization
We ask for the information on these forms to carry out the Internal Revenue Laws of the
transmitting the electronic files. A social security number is not permitted.
United States. You are not required to provide the information requested on a form that is
Required.
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
Block 5 - Enter the name, position title, email address and telephone
may become material in the administration of any Internal Revenue law. Generally, tax
number (with area code) of the person to contact about this application.
returns and return information are confidential, as required by Code section 6103.
This should be a person who is knowledgeable about the electronic filing
The time needed to provide this information would vary depending on individual
of your information returns. Required.
circumstances. The estimated average time is:
Block 6 - Provide the reason an additional TCC is necessary. Required.
Preparing Form 4419 . . . . . . . . . . . . . . . . . . . . 20 minutes.
Block 7 - Check the appropriate box to indicate if you are a foreign
If you have comments concerning the accuracy of this time estimate or suggestions for
transmitter who does not have a nine-digit Taxpayer Identification
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
Number. Required.
NOT SEND FORM 4419 TO THIS OFFICE. Refer to the instructions above on where to
Block 8 - Only check the box next to the form types for which you are
mail or fax.
requesting an additional TCC. A separate TCC will be assigned for each
box checked in Block 8. Required.
4419
Catalog Number 41639J
www.irs.gov
Form
(Rev. 9-2019)
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