Primary Contact Address:
Catalog Number 33190J
Form 13206 (Rev. 5-2012) Page 1
Form 13206
(Rev. 5-2012)
Department of the Treasury – Internal Revenue Service
Volunteer Assistance Summary Report
Partners are required to mail, fax or e-mail this form to your IRS reporting office by the 3rd business day after the end of the
month for all volunteers that worked at your site(s). New for 2013, Partners working with Enrolled Agents (EA) or Registered Tax
Return Preparers (RTRP) who are seeking continuing education credit, must provide the EA/RTRP Practitioner Identification
Number (PTIN). Additional submission of this form is necessary only if new volunteers report to your site(s). Report each
volunteer only once.
Contact your local IRS office for mail or e-mail address
Date:
Partner Name:
Partner Address:
Primary Contact Name:
City: State:
Basic
Basic
Name
Position
EA or RTRP PTIN
Address
Volunteer Standards of Conduct
Site Coordinator Training
Puerto Rico
Foreign Student
Cancellation of Debt
Health Savings Account
Military
International
Advanced
Intermediate
Basic
Intermediate
Advanced
International
Military
Health Savings Account
Cancellation of Debt
Foreign Student
Puerto Rico
Site Coordinator Training
Volunteer Standards of Conduct
Address
EA or RTRP PTIN
Name
Position
Name
Position
EA or RTRP PTIN
Address
Volunteer Standards of Conduct
Site Coordinator Training
Puerto Rico
Foreign Student
Cancellation of Debt
Health Savings Account
Military
International
Advanced
Intermediate
Basic
Intermediate
Advanced
International
Military
Health Savings Account
Cancellation of Debt
Foreign Student
Puerto Rico
Site Coordinator Training
Volunteer Standards of Conduct
Address
EA or RTRP PTIN
Name
Position
ZIP:
Primary Contact Phone Number:
I certify that all Forms 13615 have been verified and signed.
Volunteer Information
Volunteer Certification
(Check all that apply)
Check if EA or RTRP
Name
Position
EA or RTRP PTIN
Address
Volunteer Standards of Conduct
Site Coordinator Training
Puerto Rico
Foreign Student
Cancellation of Debt
Health Savings Account
Military
International
Advanced
Intermediate
Basic
Instructor
EA - Enrolled Agent
RTRP - Registered Tax
Return Preparer
Quality
Reviewer
Our legal right to ask for information is 5 U.S.C. 301 and 26 USC 7801.
Volunteer Information
Volunteer Certification
(Check all that apply)
IRS Use Only
Make sure all information is correct before entering it in SPECTRM. Once verified, enter the amount on line 1 below.
1. Total number of volunteers reported on this Form for the partner
2. Total number of volunteers previously reported this filing season
3. Total number of volunteers reported this filing season (Add 1 & 2)
Employee Name: Employee SEID: Date entered into SPECTRM:
Privacy Act Notice
The primary purpose of asking for this information is to assist us in contacting you relative to your interest and/or participation in the IRS volunteer
income tax preparation and outreach programs, and to identify your skills. We may provide information to volunteers who coordinate activities and
staffing at taxpayer assistance sites. For more information about uses, see the Privacy Act Notice for the Taxpayer Assistance Reporting System
(SPECTRM) in the Federal Register: July 19, 2004 (Volume 69, Number 137) [Notices] [Pages 43055-43056].
Your response is voluntary. However, if you do not provide all or part of the requested information, the IRS may not be able to use your assistance in
these programs.
Page 2
Catalog Number 33190J
Form 13206 (Rev. 5-2012)
Name
Position
EA or RTRP PTIN
Address
Site Coordinator Training
Puerto Rico
Foreign Student
Cancellation of Debt
Health Savings Account
Military
International
Advanced
Intermediate
Basic
Volunteer Standards of Conduct
Volunteer Standards of Conduct
Basic
Intermediate
Advanced
International
Military
Health Savings Account
Cancellation of Debt
Foreign Student
Puerto Rico
Site Coordinator Training
Address
EA or RTRP PTIN
Position
Name
Volunteer Standards of Conduct
Name
Position
EA or RTRP PTIN
Address
Site Coordinator Training
Puerto Rico
Foreign Student
Cancellation of Debt
Health Savings Account
Military
International
Advanced
Intermediate
Basic
Basic
Intermediate
Advanced
International
Military
Health Savings Account
Cancellation of Debt
Foreign Student
Puerto Rico
Site Coordinator Training
Address
EA or RTRP PTIN
Position
Name
Volunteer Standards of Conduct
Instructor
Quality
Reviewer
Check if EA or RTRP
EA - Enrolled Agent
RTRP - Registered Tax
Return Preparer