DO NOT FILE
August 23, 2021
DRAFT AS OF
Form 9000 (11-2021)
Page 2
Future Developments
For the latest developments related to Form 9000, such as
legislation enacted after it was published, go to
www.irs.gov/Form9000.
General Instructions
Section references are to the Internal Revenue Code unless
otherwise noted.
To download an accessible PDF version of Form 9000, go to
www.irs.gov/forms-pubs/accessible-irs-tax-products. To order a
large print or braille version of Form 9000, call 800-829-3676.
For additional information regarding IRS accessibility products
and services, visit www.irs.gov/forms-pubs/information-about-
the-alternative-media-center.
Purpose of Form
Taxpayers with print disabilities can use Form 9000 to elect to
receive written communications from the IRS in an accessible
format, if available. Once processed, the election will apply to
written communications that would otherwise be sent in
standard print format. This election may be changed by filing a
new Form 9000 or calling 800-829-1040.
Making an election on this form will affect how the IRS
provides you written communications. Written communications
include formal letters and notices sent to individual taxpayers
about their income tax account, as well as other notices and
correspondence between taxpayers and the IRS. The IRS will
send a standard print copy of written communications in the
same envelope as the alternative media copy, if available.
Generally, any attachments enclosed with the written
communication will also be provided in the alternative media.
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CAUTION
You may not receive written communications in the
requested accessible format immediately. Materials
will be issued in the accessible format if available.
Who Can File
Form 9000 can be filed by taxpayers with print disabilities to
indicate their preferred format for IRS written communications.
You may also change your election or request other forms of
disability or language assistance at any time when seeking
services from the IRS. Call 800-829-3676 or visit www.irs.gov/
forms-pubs/information-about-the-alternative-media-center for
additional information and assistance.
How To File
Attach Form 9000 to Form 1040, 1040-SR, 1040-NR, 1040-PR, or
1040-SS and send it to the address shown in the instructions for
your return. If you e-file your tax return, you don’t need to file the
paper version of this form. Go to www.irs.gov/efile for more
information.
If you have already filed your return or if you are not required to
file a tax return, you may file Form 9000 by itself by mailing it to
the following address.
Department of the Treasury
Internal Revenue Service
Kansas City, MO 64999-0002
Specific Instructions
Name
If you are including this form with your income tax return, enter
the name exactly as it appears on your tax return. If you’re
married and file a joint return, file a separate form for each
spouse making an election.
Social Security Number (SSN)
If you are including this form with your income tax return, the
SSN entered on this form should match the SSN listed on your
tax return. If you’re a nonresident or resident alien and you don’t
have and aren’t eligible to get an SSN, you must apply for an
individual taxpayer identification number (ITIN). To obtain an
ITIN, you must complete Form W-7, Application for IRS
Individual Taxpayer Identification Number. If you already have
an ITIN, enter it wherever your SSN is requested on your return.
Address
Complete this section only if you are filing Form 9000 by itself
and not with your tax return. Enter your full address in the
appropriate sections. If you have a foreign address, also
complete the spaces below for the foreign country; foreign
province, state, or county; and foreign postal code. Don’t
abbreviate the country name. Follow the country’s practice for
entering the postal code and the name of the province, county,
or state.
P.O. box. Enter your box number only if your post office doesn’t
deliver mail to your home.
Current address different from address on tax return. The
IRS will not use this form to update your mailing address. If the
address you’re providing is different from the address on your
last income tax return, use Form 8822, Change of Address, to
notify the IRS of your new address.
Line 1
You can choose to receive written communications in one of the
following formats, if available.
• Standard Print. Information conveyed visually and produced
on paper in the ordinary course of business. Select this option
to reverse a previous election to receive an accessible format.
• Large Print. An enlarged font, generally with a typeface of 18
points or larger. For certain nonessential text, large print will
consist of enlarged font with a typeface no smaller than 16 points.
• Braille. A system of touch reading and writing in which raised
dots represent the letters of the alphabet. Documents are
created in Grade 2 Interpoint Braille.
• Audio File. An MP3 file generated using text-to-speech
technology and delivered on a USB flash drive.
• Plain Text File. Unformatted text saved to a TXT file delivered
on a USB flash drive.
• Braille Ready File. A specialized digital text format used by a
braille display or refreshable braille device and delivered on a
USB flash drive.
Select only one of the listed options. If you have already
requested to receive written communications in one of these
formats but need the IRS to provide a particular document in a
different format, call 800-829-1040.
TIP
Special assistance is available for persons with
disabilities. If you are unable to complete your tax
return because of a disability, you may be able to
obtain assistance from an IRS office, the Volunteer
Income Tax Assistance program, or the Tax Counseling for the
Elderly program sponsored by the IRS. For more information, go
to www.irs.gov/VITA. You may also be eligible to use free tax-
return-preparation-and-filing software through Free File. Go to
www.irs.gov/FreeFile.
