Form 8498 - Continuing Education Provider Application And Request For Provider Number
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4Department of the Treasury - Internal Revenue Service
OMB Number 1545-1459
8498
Form
Continuing Education Provider Application
Provider Number
(IRS Use Only)
(Rev. April 2015)
and Request for Provider Number
Mail this form to: IRS CE Provider Processing Center, 6841 Elm St #1092, McLean, VA, 22101
1. Type of application (check only one)
New Application (If it is Oct 1 through Dec 31, you must check either current calendar year or next calendar year)
Next Calendar Year
Current Calendar Year
CE Provider Number (required for renewals and adding program(s))
Renewal (provide current provider number)
Request to add new program(s) (provide current provider number)
2. CE Provider Name and Point of Contact Information
Full name of CE Provider
CE Provider's EIN or PTIN
Mailing address (room, apt., suite no. and street, or P.O. Box)
City
State
ZIP code
Foreign province (or state)
Foreign country
Foreign postal code
CE Provider's phone number
CE Provider's website address (Listing Program offerings)
Name of CE Provider's Point of Contact (POC)
POC phone number
Ext
POC email address
POC mailing address (if different than CE Provider's listed above)
City
State
ZIP code
Foreign province (or state)
Foreign country
Foreign postal code
3. Provider Information
CE Provider Status (per Circular No. 230, §10.9(a)(1)) (check only one)
a. Accredited Educational Institution (attach copy of accreditation letter)
b. Recognized for continuing education purposes by state licensing body or equivalent (attach copy of recognition letter)
c. Approved by an IRS CE Accrediting qualifying organization (Accreditor) (attach copy of approval letter)
d. Professional organization, society or business filing for approval as a CE Provider (Does not fit into any of above categories).
See instructions for documentation that must be attached to your application in order to be considered for approval
4. CE Provider's Targeted Audience (check all that apply)
Other Tax Return Preparers
Enrolled Agents
Enrolled Retirement Plan Agents
5. Program Information (Additional programs can be attached to this application)
Program Name
Number of credit
Brief program
description
program hours
Target audience for program described above (check all that apply)
Other Tax Return Preparers
Category of the CE (Complete only if you checked "Other Tax Return Preparers") (check only one)
Ethics
Federal Tax Update
Federal Tax
Enrolled Agent Special Enrollment Exam Test Preparation
Annual Federal Tax Refresher
Enrolled Agents
Category of the CE (Complete only if you checked "Enrolled Agents") (check only one)
Ethics
Federal Tax Update
Federal Tax/Tax Related Matters
Enrolled Retirement Plan Agents
Category of the CE (Complete only if you checked "Enrolled Retirement Plan Agents") (check only one)
Ethics
Qualified Retirement Plan Matters
Program Delivery Method (check all that apply)
In person
Self-Study
Online Group (Internet based)
6. Renew Program(s) - Renew prior year programs (Additional programs can be attached to this application)
Program Number
Program Name
There is a $419 application fee. This fee is nonrefundable. Full payment must be included with your request/renewal or it will be
rejected. Make your check or money order payable to IRS CE Application Fee. Do not use paper clips or staples.
8498
Catalog Number 63274Y
Form
(Rev. 4-2015)
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