Form 13206 - Volunteer Assistance Summary Report
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1
2Department of the Treasury – Internal Revenue Service
Volunteer Assistance Summary Report
13206
Form
Please mail, fax or e-mail this form to your IRS reporting office by the 3rd business day after the end
(Rev. 8-2010)
of the month for all volunteers that worked at your site. Additional submission of this form is
necessary only if new volunteers reported to your site. Volunteers should only be reported once.
Contact your local IRS office for mail or e-mail address
Date:
Site Identification Number:
S
Site Name:
Site Address:
Site Coordinator/Manager’s Name:
Address:
City:
State:
ZIP:
Site Coordinator/Manager’s Phone Number: (
)
Does this
volunteer also
Volunteer Certification
If Yes, Indicate
work at another
Volunteer Information
(Check all that apply)
VITA/TCE site?
Site Name(s)
Yes
No
Volunteer Agreement Signed (Form 13615)
Name
VITA/TCE Basic
VITA/TCE Intermediate
Volunteer Position
VITA/TCE Advanced
Health Savings Account
Address
Cancellation of Debt
VITA/TCE International
VITA Military
VITA Foreign Student
VITA Puerto Rico
NOT Certified (ex. Greeter)
Years in Program
VITA/TCE Site Coordinator Training
Volunteer Agreement Signed (Form 13615)
Name
VITA/TCE Basic
VITA/TCE Intermediate
Volunteer Position
VITA/TCE Advanced
Health Savings Account
Address
Cancellation of Debt
VITA/TCE International
VITA Military
VITA Foreign Student
VITA Puerto Rico
NOT Certified (ex. Greeter)
Years in Program
VITA/TCE Site Coordinator Training
Volunteer Agreement Signed (Form 13615)
Name
VITA/TCE Basic
VITA/TCE Intermediate
Volunteer Position
VITA/TCE Advanced
Health Savings Account
Address
Cancellation of Debt
VITA/TCE International
VITA Military
VITA Foreign Student
VITA Puerto Rico
NOT Certified (ex. Greeter)
Years in Program
VITA/TCE Site Coordinator Training
Volunteer Agreement Signed (Form 13615)
Name
VITA/TCE Basic
VITA/TCE Intermediate
Volunteer Position
VITA/TCE Advanced
Health Savings Account
Address
Cancellation of Debt
VITA/TCE International
VITA Military
VITA Foreign Student
VITA Puerto Rico
NOT Certified (ex. Greeter)
Years in Program
VITA/TCE Site Coordinator Training
Volunteer Agreement Signed (Form 13615)
Name
VITA/TCE Basic
VITA/TCE Intermediate
Volunteer Position
VITA/TCE Advanced
Health Savings Account
Address
Cancellation of Debt
VITA/TCE International
VITA Military
VITA Foreign Student
VITA Puerto Rico
NOT Certified (ex. Greeter)
Years in Program
VITA/TCE Site Coordinator Training
13206 Page 1
Catalog Number 33190J
Form
(Rev. 8-2010)
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