Form 13206 - Volunteer Assistance Summary Report Page 2
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1
2Does this
volunteer also
Volunteer Certification
If Yes, Indicate
Volunteer Information
work at another
Site Name(s)
(Check all that apply)
VITA/TCE site?
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
IRS Use Only
Before including the volunteer in SPECTRM, make sure they have not been previously counted at another site this filing
season. Once verified, enter the amount on line 1 below:
1. Total number of volunteers reported on this Form for the site
2. Total number of volunteers previously reported this filing season
3. Total number of volunteers reported this filing season (Add 1 & 2)
TS Name:
TS SEID:
Date entered into SPECTRM:
Privacy Act 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 contacting you relative to your interest and/or participation in the IRS volunteer
income tax preparation and outreach programs, and to identify your skills. We may provide information to volunteers who coordinate activities and
staffing at taxpayer assistance sites. For more information about uses, see the Privacy Act Notice for the Taxpayer Assistance Reporting System
(SPECTRM) in the Federal Register: July 19, 2004 (Volume 69, Number 137) [Notices] [Pages 43055-43056].
Your response is voluntary. However, if you do not provide all or part of the requested information, the IRS may not be able to use your assistance in
these programs.
13206 Page 2
Catalog Number 33190J
Form
(Rev. 8-2010)
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