Volunteer Site Information Sheet
Purpose: Information provided on this form is used by our IRS toll-free assistance line and is posted to the VITA Site Locator Tool on irs.gov to
help taxpayers locate the nearest volunteer tax preparation site. Review the information below carefully. Update and/or correct missing or existing
information. Return the completed form to your local IRS contact. If the site information changes after submitting this form, please provide
your local IRS contact with the updated information immediately.
Is the site open to public?
Is the site an appointment only site?
If yes to the above question, please provide the phone number for site.
If yes to the above question, please provide the contact name for site.
Does the site use the Virtual Delivery Method for return preparation?
Is the site a mobile only site?
First day open/
Does the site Prepare Non-Resident Alien/Foreign Student/Scholar
Last day open
Does the site offer Certifying Acceptance Agent (CAA) service?
are offered at
Does the site offer Financial Education and Asset Building Services?
If Yes, Relationship Manager is required to complete Form 14099 - SPEC
Financial Education & Asset Building Partner Assessment Tool
Does site prepare prior year returns?
Program Type: FSA, VITA, VITA Grant, Military, AARP, TCE
Site Operating Hours
Comments (e.g. holiday closures, alternative opening times)
Site Coordinator or Contact
Best Time to Call:
Is this a revision of information you
City, State, Zip:
previously provided for this year?
Date of this revision:
IRS Use Only
Date Form 13715 Received in Territory Office:
Date SPECTRM Updated:
SEID of employee who updated SPECTRM:
I certify the information provided on this form match the data in SPECTRM.
Territory Manager Approval (Signature & Date):
Privacy Act and Paperwork Reduction 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. The time estimated for participation is 30 minutes. We may provide information to volunteers who coordinate activities and staffing at taxpayer assistance sites.
Your response is voluntary. However, if you do not provide the requested information, the IRS may not be able to promote your assistance in these programs.
For more information about uses, see the Privacy Act notice for SPEC Total Relationship Management (SPECTRM) in the Federal Register: July 19, 2004 (Volume 69, Number
137) [Notices] [Pages 43055-43056]
Catalog Number 43863F
Department of the Treasury - Internal Revenue Service