10A100(P)(08-16)
Page 9
Division of Registration
(502) 564–3306,
For assistance in completing the application, please call the
at
Monday through Friday between the hours of
8:00 a.m. and 5:00 p.m., Eastern Time, or you may use the Telecommunications Device for the Deaf at (502) 564-3058.
SEND completed application to:
KENTUCKY DEPARTMENT OF REVENUE
DIVISION OF REGISTRATION
P.O. BOX 299, STATION 20
FRANKFORT, KENTUCKY 40602–0299
FAX:
502–227–0772
E-MAIL: DOR.WEBResponseRegistration@ky.gov
If you would like to register for Electronic Funds Transfer (EFT), visit the Kentucky Department of Revenue website at
This form does not include registration with the Secretary of State, Unemployment Insurance, or Workers’ Compensation Insurance. For assistance,
please contact those offices at the numbers below.
Secretary of State
(502) 564–3490
Unemployment Insurance (502) 564–2272
Workers’ Compensation
(502) 564–5550
IRS—FEIN
(800) 829–4933
For assistance with other questions about starting a business in Kentucky, including special licensing and permitting requirements, business structure registration,
employer responsibilities, and business development resources, call the Business Information Clearinghouse at 1–800–626–2250 or visit the Kentucky Business
One Stop website at
FOR OFFICE USE ONLY
CRIS#
CBI#
WH#
SU#
TR#
TF#
CMRS#
TEL#
UTL#
CU#
CP/LL#
NRWH#
CT#
CID#
The Kentucky Department of Revenue does not discriminate on the basis of race, color, national
origin, sex, age, religion, disability, sexual orientation, gender identity, veteran status, genetic
information or ancestry in employment or the provision of services.