Tax Filing Extension Hardship Waiver Request Form
Submit your request for a hardship waiver related to a tax filing extension. Please provide accurate information to support your application.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Tax Year for Extension
*
Please Select
2026
2025
2024
Other
Original Extension Request Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Hardship
*
Please Select
Serious illness or medical emergency
Natural disaster or unforeseen event
Financial hardship
Loss of records or documentation
Other
Describe the Hardship and How It Impacts Your Ability to File
*
Requested New Filing Deadline
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Upload Supporting Documentation (if available)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Request
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