How to ask the Taxpayer Advocate Service for help: a Form 911 guide

Excite Tax shares this free worksheet for drafting the two narrative lines of Form 911, the Taxpayer Advocate Service request; general information only, not legal or tax advice.

Who it is for

An owner whose IRS problem is causing financial difficulty, who has tried and failed to fix it through normal IRS channels, or who is stuck because an IRS process is not working.

When to use it

Use it to draft the two narrative boxes of Form 911, the issue and the relief you want, before you fill in the form. Form 911 does not pause an IRS deadline, so keep answering notices and filing hearing requests on time while the request is open.

The deadline and form it relates to

The template

Replace every [BRACKETED] field and delete any line that does not apply. Keep a copy of everything you send.

FORM 911 WORKSHEET — draft here, then copy into the form

Line 10 — Tax form number: [e.g. 941, 1120-S, 1065, 1040]
Line 11 — Tax year(s) or period(s): [e.g. 2024; or quarters ending 03/31/2025 and 06/30/2025]

Line 12a — Describe the tax issue and the difficulty it is creating:
[One or two sentences on the problem. Example: "The IRS applied my 2024 Form 941 deposits of $[AMOUNT] to the wrong quarter and issued a balance-due notice (CP[NUMBER]) for $[AMOUNT]."]
[What the IRS has done or not done, with dates. Example: "I called on [DATE] and [DATE] and faxed proof of payment on [DATE]; no correction has been made."]
[IF AN IRS DELAY OVER 30 DAYS: "I first contacted the IRS about this on [DATE]."]
[The hardship, specifically. Example: "A levy on the business account on [DATE] left $[AMOUNT] to cover a payroll of $[AMOUNT] due [DATE]."]

Line 12b — Describe the relief or assistance you are requesting:
[The specific action. Example: "Move the $[AMOUNT] deposit to the quarter ending [DATE], remove the resulting penalty, and release the levy on account ending [LAST FOUR]."]

Documents to attach (list them):
1. [Copy of each IRS notice]
2. [Proof of payment / bank statement / fax confirmation]
3. [Proof of hardship, e.g. the levy notice, a shut-off or eviction notice, payroll due dates]

Signature: [NAME], [TITLE — a business request needs an authorized officer and title], [DATE]
Download the template (.txt)

What to attach

Where to send it

Official forms and pages

Sources

Each fact above was checked against the official source on the date shown by a reader who saw only the claim and the source. Official pages change; the source link beside each fact is the one to check.

  1. IRS — Low Income Taxpayer Clinics, retrieved
  2. IRS — Instructions for Form 9465 (07/2024), retrieved
  3. IRS — Form 911, Request for Taxpayer Advocate Service Assistance (Rev. 6-2026), retrieved