Form 4419 (Rev. May-2002)
General Instructions
Paperwork Reduction Act Notice. We ask for the
information on these forms to carry out the Internal Revenue
Laws of the United States. You are not required to provide
the information requested on a form that is subject to the
Paperwork Reduction Act unless the form displays a valid
OMB control number. Books or records relating to a form
must be retained as long as their contents may become
material in the administration of any Internal Revenue law.
Generally, tax returns and return information are confidential,
as required by Code section 6103.
The time needed to provide this information would
vary depending on individual circumstances. The estimated
average time is:
Preparing Form 4419 . . . . . . . . . . . . . . . . . . . . . . . 20 min.
If you have comments concerning the accuracy of
this time estimate or suggestions for making this form
simpler, we would be happy to hear from you. You can write
to the Tax Forms Committee, Western Area Distribution
Center, Rancho Cordova, CA 95743-0001.
DO NOT SEND THE FORM TO THIS OFFICE. Instead,
see the instructions below on where to file. When
completing this form, please type or print clearly in
BLACK
ink.
Purpose of Form. File Form 4419 to request authorization to
file any of the forms shown in Block 6 electronically or
magnetically. Please be sure to complete all appropriate
blocks. If your application is approved, a five-character
alpha-numeric Transmitter Control Code (TCC) will be
assigned to your organization.
If any information on the form should change, please write to
IRS/Martinsburg Computing Center so we can update our
database. It is not necessary to submit a new Form 4419.
NOTE: Do NOT use Form 4419 to request authorization to
file Forms W-2 on magnetic media, since Form W-2
information is sent to the Social Security Administration
(SSA) ONLY. Contact SSA if you have any questions
concerning the filing of Forms W-2 on magnetic media.
Specific Instructions
Block 1
Enter the name and complete address of the person or
organization that will submit the electronic or magnetic media
files (transmitter).
Block 2
Enter the name, title, email address (if available) and
telephone number (with area code) of the person to contact
about this application if IRS needs additional information.
This should be a person who is knowledgeable about
electronic/magnetic filing of information returns.
Block 3
Enter the employer identification number (EIN) of the
organization transmitting the electronic and/or magnetic
media files.
Block 4
If you are a foreign transmitter who does not have a nine-digit
taxpayer identification number, check this box.
Block 5
Enter the tax year that you wish to start filing electronically
and/or magnetically.
Block 6
Indicate if you are requesting this transmitter control code
solely for filing electronic and/or magnetic requests for an
extension of time to file information returns.
Block 7
Check the box next to all of the returns you will file with IRS
electronically and/or magnetically.
A separate TCC will be assigned for each form(s) identified in
Block 7. Please make sure you submit your magnetic media
files using the correct TCC.
Thereafter, if you need to add any of the forms identified in
Block 7, it will be necessary to submit another Form 4419 to
IRS so another TCC can be assigned.
Block 8
Check which method you will use to file your information
returns. 3 ½-inch diskettes must be MS/DOS, ASCII recording
mode. Tape cartridges must be 18, 36, 128, or 256-track.
Block 9
The form must be signed and dated by an official of the
company or organization requesting authorization to report
electronically and/or magnetically.
Mailing Address:
Send your Form 4419 to the address below:
Internal Revenue Service
Martinsburg Computing Center
Information Reporting Program
230 Murall Drive
Kearneysville, WV 25430
In order to ensure timely filing, submit Form 4419 at least 30
days before the due date of the return.
If your application is approved, IRS will assign a TCC to your
organization. We will not issue your TCC without a signed
Form 4419 from you, and we will not issue a TCC over the
phone. If you do not receive a reply from IRS within 30 days,
contact us at the telephone number shown below. Do not
submit any files until you receive your TCC.
For further information concerning the filing of information
returns with IRS either electronically or magnetically, contact
the IRS Martinsburg Computing Center toll-free at (866) 455-
7438 between 8:30 a.m. and 4:30 p.m. Eastern Standard Time.