Catalog Number 33190J
Form
13206 Page 1 (Rev. 10-2011)
Form
13206
(Rev. 10-2011)
Department of the Treasury Internal Revenue Service
Volunteer Assistance Summary Report
Please 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. Additional submission of this form is
necessary only if new volunteers reported to your site. Volunteers should only be reported once.
Contact your local IRS office for mail or e-mail address
Date: Site Identification Number:
S
Site Name:
Site Address:
Site Coordinator/Manager’s Name:
Address: City: State: ZIP:
Site Coordinator/Manager’s Phone Number:
(
)
As Site Coordinator, I confirm that all Forms 13615 have been
signed by me, the supporting partner, or an IRS representative.
Yes
No
Volunteer Information
Volunteer Certification
(Check all that apply)
Does this
volunteer also
work at another
VITA/TCE site?
Yes No
If Yes, Indicate
Site Name(s)
Name
Volunteer Position
Address
Years in Program
Volunteer Standards of Conduct (Form 13615)
VITA/TCE Basic
VITA/TCE Intermediate
VITA/TCE Advanced
VITA/TCE International
VITA Military
Health Savings Account
Cancellation of Debt
VITA Foreign Student
VITA Puerto Rico
NOT Certified (ex. Greeter)
VITA/TCE Site Coordinator Training
Name
Volunteer Position
Address
Years in Program
Volunteer Standards of Conduct (Form 13615)
VITA/TCE Basic
VITA/TCE Intermediate
VITA/TCE Advanced
VITA/TCE International
VITA Military
Health Savings Account
Cancellation of Debt
VITA Foreign Student
VITA Puerto Rico
NOT Certified (ex. Greeter)
VITA/TCE Site Coordinator Training
Name
Volunteer Position
Address
Years in Program
Volunteer Standards of Conduct (Form 13615)
VITA/TCE Basic
VITA/TCE Intermediate
VITA/TCE Advanced
VITA/TCE International
VITA Military
Health Savings Account
Cancellation of Debt
VITA Foreign Student
VITA Puerto Rico
NOT Certified (ex. Greeter)
VITA/TCE Site Coordinator Training
Name
Volunteer Position
Address
Years in Program
Volunteer Standards of Conduct (Form 13615)
VITA/TCE Basic
VITA/TCE Intermediate
VITA/TCE Advanced
VITA/TCE International
VITA Military
Health Savings Account
Cancellation of Debt
VITA Foreign Student
VITA Puerto Rico
NOT Certified (ex. Greeter)
VITA/TCE Site Coordinator Training
Name
Volunteer Position
Address
Years in Program
Volunteer Standards of Conduct (Form 13615)
VITA/TCE Basic
VITA/TCE Intermediate
VITA/TCE Advanced
VITA/TCE International
VITA Military
Health Savings Account
Cancellation of Debt
VITA Foreign Student
VITA Puerto Rico
NOT Certified (ex. Greeter)
VITA/TCE Site Coordinator Training
Volunteer Information
Volunteer Certification
(Check all that apply)
Does this
volunteer also
work at another
VITA/TCE site?
Yes No
If Yes, Indicate
Site Name(s)
Name
Volunteer Position
Address
Years in Program
Volunteer Standards of Conduct (Form 13615)
VITA/TCE Basic
VITA/TCE Intermediate
VITA/TCE Advanced
VITA/TCE International
VITA Military
Health Savings Account
Cancellation of Debt
VITA Foreign Student
VITA Puerto Rico
NOT Certified (ex. Greeter)
VITA/TCE Site Coordinator Training
Name
Volunteer Position
Address
Years in Program
Volunteer Standards of Conduct (Form 13615)
VITA/TCE Basic
VITA/TCE Intermediate
VITA/TCE Advanced
VITA/TCE International
VITA Military
Health Savings Account
Cancellation of Debt
VITA Foreign Student
VITA Puerto Rico
NOT Certified (ex. Greeter)
VITA/TCE Site Coordinator Training
Name
Volunteer Position
Address
Years in Program
Volunteer Standards of Conduct (Form 13615)
VITA/TCE Basic
VITA/TCE Intermediate
VITA/TCE Advanced
VITA/TCE International
VITA Military
Health Savings Account
Cancellation of Debt
VITA Foreign Student
VITA Puerto Rico
NOT Certified (ex. Greeter)
VITA/TCE Site Coordinator Training
Name
Volunteer Position
Address
Years in Program
Volunteer Standards of Conduct (Form 13615)
VITA/TCE Basic
VITA/TCE Intermediate
VITA/TCE Advanced
VITA/TCE International
VITA Military
Health Savings Account
Cancellation of Debt
VITA Foreign Student
VITA Puerto Rico
NOT Certified (ex. Greeter)
VITA/TCE Site Coordinator Training
IRS Use Only
Before including the volunteer in SPECTRM, make sure they have not been previously counted at another site this filing
season. Once verified, enter the amount on line 1 below:
1. Total number of volunteers reported on this Form for the site
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
Our legal right to ask for information is 5 U.S.C. 301 and 26 USC 7801.
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.
Catalog Number 33190J Form 13206 Page 2 (Rev. 10-2011)