Form 13715
Rev. August 2006
Department of the Treasury — Internal Revenue Service
SPEC Volunteer Site Information Sheet
OMB#
Purpose: Information from this form is used by our IRS toll-free assistance line to help taxpayers locate the nearest
volunteer tax preparation site. Please carefully review and update the information below to correct missing and/or
existing information. Once complete, return to your local IRS contact. Once this form is submitted, if the site
information changes, immediately contact your local SPEC contact person.
SITE General Information
Site Name:
Site Address:
City, State, ZIP:
County:
Site ID Number
(SIDN)
First day open/
Last day open
/
Languages
Offered at Site
Is the site an Appointment only Site?
Yes No
Appointment Phone Number
Name of Site Contact for Appointments
Program Type: VITA, Military, AARP, TCE
Federal e-file
Yes No
State e-file
Yes No
Is the site open to public?
Yes No
Schedule
Day Time
Comments (e.g. holiday closures, alternative opening times)
CloseOpen
MON
TUE
WED
THUR
FRI
SAT
SUN
Site Coordinator or Contact
Name:
Mailing Address:
City, State ZIP:
Phone Number:
Best Time to Call: AM PM
Email Address:
Is this a revision of information you
previously provided for 2007?
Yes No
Date of this revision
IRS Use Only
Date Form 13715 Received in Territory Office
Territory Manager Approval (Signature & Date)
Date STARS Updated
SEID of employee who updated STARS
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 providing services to taxpayers at sites supporting IRS volunteer income tax preparation and outreach
programs. 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 (STARS) 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 provide accurate information regarding the
locations and services at volunteer tax preparation sites.
Catalog Number 43863F
Form
13715 (8-2006)
