# Bulletin No. 2021–43

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URL: https://www.frixlaw.com/law-library/documents/agency%3Airs%3A4be5ae4c2dc63bcd

## Record

- **Collection:** Agency decision
- **Document type:** Agency decision

## Text

HIGHLIGHTS
OF THIS ISSUE




Bulletin No. 2021–43
October 25, 2021

These synopses are intended only as aids to the reader in
identifying the subject matter covered. They may not be
relied upon as authoritative interpretations.

ADMINISTRATIVE
Rev. Proc. 2021-42, page 666.

General Rules and Specifications for Substitute Forms and
Schedules. This procedure provides guidelines and general
requirements for the development, printing, and approval of
the 2021 substitute tax forms. This procedure will be reproduced as the next revision of Publication 1167. Rev. Proc.
2020-55 is superseded.

EXCISE TAX
Notice 2021-58, page 660.

This guidance is a notice that clarifies the application of the
extension of timeframes by the Joint Notice (85 FR 26351,
May 4, 2020) and EBSA Disaster Notice 2021-01 (Feb. 26,
2021) (Emergency Relief Notices) to elections and payments
of COBRA premiums during the COVID-19 National Emergency. This notice clarifies that the disregarded period for an
individual to elect COBRA continuation coverage and the disregarded period for the individual to make initial and subsequent COBRA premium payments generally run concurrently.
This notice also addresses the interaction of these rules with
the ARP COBRA premium assistance and Notice 2021-31,

Finding Lists begin on page ii.

2021-23 IRB 1173 (June 7, 2021). This notice provides timelines and examples for calculating when individuals will need
to elect and make their initial COBRA payments, based upon
when these individuals elected COBRA under the Emergency
Relief Notices.

INCOME TAX
Notice 2021-59, page 664.

This Notice announces that the Department of the Treasury
(Treasury Department) and the Internal Revenue Service (IRS)
intend to amend the regulations under section 987 to defer the
applicability date of the final regulations under section 987, as
well as certain related final regulations, by one additional year.
The applicability date of these regulations has been deferred
under prior notices to taxable years beginning after December 7, 2021. The Treasury Department and the IRS intend to
amend §§1.861-9T, 1.985-5, 1.987-11, 1.988-1, 1.988-4,
and 1.989(a)-1 of the 2016 final regulations and §§1.987-2
and 1.987-4 of the 2019 final regulations (the related 2019
final regulations) to provide that the 2016 final regulations and
the related 2019 final regulations apply to taxable years beginning after December 7, 2022. The Notice also states that taxpayers may rely on certain related proposed regulations that
cross-reference temporary regulations which have expired.

The IRS Mission
Provide America’s taxpayers top-quality service by helping
them understand and meet their tax responsibilities and
enforce the law with integrity and fairness to all.

Introduction
The Internal Revenue Bulletin is the authoritative instrument
of the Commissioner of Internal Revenue for announcing official rulings and procedures of the Internal Revenue Service
and for publishing Treasury Decisions, Executive Orders, Tax
Conventions, legislation, court decisions, and other items of
general interest. It is published weekly.
It is the policy of the Service to publish in the Bulletin all substantive rulings necessary to promote a uniform application
of the tax laws, including all rulings that supersede, revoke,
modify, or amend any of those previously published in the
Bulletin. All published rulings apply retroactively unless otherwise indicated. Procedures relating solely to matters of internal management are not published; however, statements of
internal practices and procedures that affect the rights and
duties of taxpayers are published.
Revenue rulings represent the conclusions of the Service
on the application of the law to the pivotal facts stated in
the revenue ruling. In those based on positions taken in rulings to taxpayers or technical advice to Service field offices,
identifying details and information of a confidential nature are
deleted to prevent unwarranted invasions of privacy and to
comply with statutory requirements.
Rulings and procedures reported in the Bulletin do not have the
force and effect of Treasury Department Regulations, but they
may be used as precedents. Unpublished rulings will not be
relied on, used, or cited as precedents by Service personnel in
the disposition of other cases. In applying published rulings and
procedures, the effect of subsequent legislation, regulations,
court decisions, rulings, and procedures must be considered,
and Service personnel and others concerned are cautioned

against reaching the same conclusions in other cases unless
the facts and circumstances are substantially the same.
The Bulletin is divided into four parts as follows:
Part I.—1986 Code.
This part includes rulings and decisions based on provisions
of the Internal Revenue Code of 1986.
Part II.—Treaties and Tax Legislation.
This part is divided into two subparts as follows: Subpart A,
Tax Conventions and Other Related Items, and Subpart B,
Legislation and Related Committee Reports.
Part III.—Administrative, Procedural, and Miscellaneous.
To the extent practicable, pertinent cross references to these
subjects are contained in the other Parts and Subparts. Also
included in this part are Bank Secrecy Act Administrative
Rulings. Bank Secrecy Act Administrative Rulings are issued
by the Department of the Treasury’s Office of the Assistant
Secretary (Enforcement).
Part IV.—Items of General Interest.
This part includes notices of proposed rulemakings, disbarment and suspension lists, and announcements.
The last Bulletin for each month includes a cumulative index
for the matters published during the preceding months. These
monthly indexes are cumulated on a semiannual basis, and are
published in the last Bulletin of each semiannual period.

The contents of this publication are not copyrighted and may be reprinted freely. A citation of the Internal Revenue Bulletin as the source would be appropriate.

October 25, 2021 

Bulletin No. 2021–43

Part III
Extension of COBRA
election and premium
payment deadlines under
section 7508A(b)
NOTICE 2021-58
I. Purpose
This notice clarifies the application of
certain extensions under the Consolidated
Omnibus Budget Reconciliation Act of
1985 (COBRA) for the election of COBRA
coverage and payment of COBRA premiums under the Joint Notification of Extensions of Certain Timeframes for Employee
Benefit Plans, Participants, and Beneficiaries Affected by the COVID-19 Outbreak
(Joint Notice) 1 issued by the Department
of Labor (DOL), the Department of the
Treasury (Treasury Department), and the
Internal Revenue Service (IRS), collectively the “Agencies”, and the additional
guidance provided by Employee Benefits
Security Administration (EBSA) Disaster
Relief Notice 2021-01, released by the
DOL.2 The Joint Notice and EBSA Disaster Relief Notice 2021-01 are referred to
collectively in this notice as the “Emergency Relief Notices.” This notice also
addresses the interaction of COBRA continuation coverage under the Emergency
Relief Notices with the COBRA premium
assistance available for certain individuals under the American Rescue Plan Act
of 20213 (the ARP). Terms used in this
notice have the same meanings as those

terms have when used in the guidance referenced in this notice.
This guidance has been coordinated
with, and reviewed by, DOL and the
Department of Health and Human Services (HHS).4 DOL and HHS have advised
the Treasury Department and the IRS that
they concur with the guidance provided in
this notice as applicable to the laws under
their respective jurisdictions.
II. Background
A. COBRA continuation coverage
COBRA permits qualified beneficiaries
who lose coverage under a group health
plan to elect continuation health coverage
during the 60-day period after receipt of a
COBRA election notice. Section 4980B(f)
(5). The group health plan under which
continuation coverage is provided may
not require the payment of any premium
before the day that is 45 days after the day
on which the qualified beneficiary makes
the initial election for continuation coverage. Section 4980B(f)(2)(C)(ii). Additionally, the group health plan must treat
COBRA premium payments as timely
paid if made within 30 days after the due
date or within any longer period as applied
to or under the plan. Section 4980B(f)(2)
(B)(iii).
B. Summary of Emergency Relief
Notices and the ARP
On May 4, 2020, in response to the
National Emergency concerning the

Novel Coronavirus Disease (COVID19) Outbreak (National Emergency),5
the Agencies published the Joint Notice,
which extended certain timeframes otherwise applicable to group health plans,
disability and other welfare plans, pension
plans, and their participants and beneficiaries under the Employee Retirement
Income Security Act of 1974 (ERISA)
and the Internal Revenue Code of 1986
(Code). The Joint Notice extended these
timeframes by requiring that plans subject to ERISA or the Code disregard the
period for certain action from March 1,
2020, until 60 days after the announced
end of the National Emergency or such
other date announced by the Agencies in a
future notification (the Outbreak Period),
subject to a maximum disregarded period
of one year.6
On February 26, 2021, DOL, with the
concurrence of HHS, the Treasury Department, and the IRS, issued EBSA Disaster
Relief Notice 2021-01, which clarified
that the disregarded periods apply from
the date each individual or plan was first
eligible for relief under the Joint Notice.
Under EBSA Disaster Relief Notice 202101, the applicable periods under the Emergency Relief Notices for individuals and
plans are therefore disregarded until the
earlier of (1) one year from the date the
individuals and plans were first eligible for
relief,7 or (2) 60 days after the announced
end of the National Emergency (the end
of the Outbreak Period). At the end of an
individual’s or plan’s disregarded period,
the applicable timeframes that were disregarded under the Joint Notice resume.

85 FR 26351 (May 4, 2020).
EBSA Disaster Relief Notice 2021-01 (Feb. 26, 2021), available at: https://www.dol.gov/sites/dolgov/files/ebsa/employers-and-advisers/plan-administration-and-compliance/disaster-relief/
ebsa-disaster-relief-notice-2021-01.pdf.
3
Pub. L. 117-2, 135 Stat. 4, (March 11, 2021).
4
HHS also released non-binding, temporary relaxed enforcement guidance in conjunction with the Joint Notice that extended similar timeframes otherwise applicable to non-Federal governmental group health plans and health insurance issuers offering coverage in connection with a group health plan, their participants and beneficiaries, and Small Business Health Options
Program (SHOP) issuers offering a qualified health plan through a SHOP. See Insurance Bulletin titled “Temporary Period of Relaxed Enforcement of Certain Timeframes Related to
Group Market Requirements under the Public Health Service Act in Response to the COVID-19 Outbreak”, available at: https://www.cms.gov/files/document/Temporary-Relaxed-Enforcement-Of-Group-Market-Timeframes.pdf.
5
On March 13, 2020, the President issued the Proclamation on Declaring a National Emergency Concerning the Novel Coronavirus Disease (COVID-19) Outbreak declaring a national emergency, beginning March 1, 2020, under sections 201 and 301 of the National Emergencies Act (50 U.S.C. 1601 et seq.). By separate letter, also on March 13, 2020, the President declared under
section 501(b) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act, 42 U.S.C. section 5121 et seq., that an emergency existed nationwide, as the result of the COVID-19
outbreak (the COVID-19 National Emergency or National Emergency). See 85 FR 26351, 26352.
6
The Joint Notice provided that, subject to the one-year limit under section 518 of ERISA and section 7508A(b) of the Code, all group health plans, disability and other employee welfare
benefit plans, and employee pension benefit plans subject to ERISA or the Code were required to disregard the period for certain timeframes because of the National Emergency. The disregarded period applies to specific employee benefit timeframes applicable to plan participants, beneficiaries, qualified beneficiaries, and claimants. The Joint Notice also provided relief for
group health plans regarding the requirement to provide a COBRA election notice.
7
The first date upon which an individual or plan could be eligible for relief was March 1, 2020, the first day of the National Emergency. Therefore, the earliest date upon which a disregarded
period could begin to run again was March 1, 2021, including for periods beginning before March 1, 2020, during which an action was required or permitted to be completed.
1
2

October 25, 2021

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Bulletin No. 2021–43

On March 11, 2021, the ARP was
enacted. Section 9501 of the ARP provides for temporary COBRA premium
assistance for certain “Assistance Eligible Individuals”8 for periods of coverage beginning on or after April 1, 2021,
through periods of coverage beginning
on or before September 30, 2021. On
May 18, 2021, the IRS and the Treasury
Department issued Notice 2021-319 providing guidance regarding COBRA continuation coverage and COBRA premium
assistance under the ARP.
On July 26, 2021, the Treasury Department and the IRS issued Notice 202146,10 providing further guidance regarding COBRA continuation coverage and
COBRA premium assistance under the
ARP.
C. COBRA relief under the Emergency
Relief Notices
The Joint Notice provided extensions11
for the following COBRA timeframes:
(1) The 60-day election period for
COBRA continuation coverage
under section 605 of ERISA and
section 4980B(f)(5) of the Code,12
(2) The dates for making COBRA
premium payments under section 602(2)(C) and (3) of ERISA
and section 4980B(f)(2)(B)(iii) and
(C) of the Code,13
(3) The date for individuals to notify
the plan of a qualifying event or
determination of disability under section 606(a)(3) of ERISA and section
4980B(f)(6)(C) of the Code, and
(4) The date for providing a COBRA
election notice under section 606(c)

of ERISA and section 4980B(f)(6)
(D) of the Code for group health
plans and their sponsors and administrators.
The Emergency Relief Notices provide
that these COBRA timeframes are disregarded until the earlier of (1) one year
from the date that individuals and plans
were first eligible for relief, or (2) the end
of the Outbreak Period.14
III. Guidance and Application of
the extensions under the Emergency
Relief Notices to COBRA elections and
payment of COBRA premiums
Under the Emergency Relief Notices,
up to one year must be disregarded in
determining the due dates for individuals
to elect COBRA continuation coverage
and pay COBRA premiums during the
Outbreak Period. This notice clarifies that
the disregarded period for an individual to
elect COBRA continuation coverage and
the disregarded period for the individual
to make initial and subsequent COBRA
premium payments generally run concurrently.
The following rules illustrate the timeframes that apply to individuals making
initial COBRA premium payments under
the Emergency Relief Notices during
the Outbreak Period. For purposes of
these rules, the phrase the “initial 60-day
COBRA election timeframe” refers to the
60-day election timeframe under section
605 of ERISA and section 4980B(f)(5) of
the Code without regard to the Emergency
Relief Notices.
• If an individual elected COBRA
continuation coverage outside of the

initial 60-day COBRA election timeframe, that individual generally will
have one year and 10515 days after the
date the COBRA notice was provided
to make the initial COBRA premium
payment.
• If an individual elected COBRA continuation coverage within the initial
60-day COBRA election timeframe,
that individual will have one year and
45 days after the date of the COBRA
election to make the initial COBRA
premium payment.
Individuals must make the initial
COBRA election by the earlier of (1) one
year and 60 days after the individual’s
receipt of the COBRA election notice, or
(2) the end of the Outbreak Period.
Applying the disregarded periods in
this way means that individuals who delay
electing COBRA may not have more than
one year of total disregarded time for the
COBRA election and initial COBRA payment.16 However, these timeframes are
subject to the transition relief provided in
section IV of this notice, which provides
that in no event will an initial COBRA
premium payment be due before November 1, 2021, as long as the individual
makes the initial COBRA premium payment within one year and 45 days after the
election date.
For each subsequent COBRA premium
payment, the maximum time an individual
has to make a payment while the Outbreak
Period continues is one year from the date
the payment originally would have been
due in the absence of the Emergency
Relief Notices, including the mandatory
30-day grace period, but subject to the
transition relief provided below.

8
Under section 9501 of the ARP, an “Assistance Eligible Individual” is an individual (1) who is a qualified beneficiary with respect to a period of COBRA continuation coverage during the
period from April 1, 2021, through September 30, 2021, and eligible for that COBRA continuation coverage by reason of a qualifying event specified in section 603(2) of ERISA, section
4980B(f)(3)(B) of the Code, or section 2203(2) of the Public Health Service Act, except for voluntary termination of employment, and (2) who elects COBRA continuation coverage.
9
Notice 2021-31, 2021-23 IRB 1173 (June 7, 2021).
10
Notice 2021-46, 2021-33 IRB 303 (August 16, 2021).
11
The Joint Notice provided extensions for other employee benefit timeframes in addition to the COBRA timeframes addressed in this notice. For more information, see the Joint Notice at
85 FR 26351 (May 4, 2020).
12
The term ‘‘election period’’ is defined as ‘‘the period which—(A) begins not later than the date on which coverage terminates under the plan by reason of a qualifying event, (B) is of at least
60 days’ duration, and (C) ends not earlier than 60 days after the later of—(i) the date described in subparagraph (A), or (ii) in the case of any qualified beneficiary who receives notice under
section 1166(a)(4) of this title, the date of such notice.’’ Section 605(a)(1) of ERISA; section 4980B(f)(5) of the Code.
13
Regarding coverage during the election period and before an election is made, see Treas. Reg. § 54.4980B–6, Q&A-3; regarding coverage during the period between the election and payment of the premium, see Treas. Reg. § 54.4980B–8, Q&A-5(c).
14
For an individual with a right to COBRA continuation coverage, the date of the applicable event will be the date the individual action would otherwise have been required or permitted. For
group health plans, the date of the applicable event will be the date the plan would otherwise be required to provide a COBRA election notice.
15
The 105-day period is derived by adding together the 60 days to make an initial COBRA election under section 4980B(f)(5) and the 45 days to make the initial COBRA premium payment
under section 4980B(f)(2)(C)(ii).
16
For example, an individual generally may not delay electing COBRA continuation coverage for 6 months and then add another full year to the disregarded period for purposes of determining
the deadline for making the initial COBRA premium payment (resulting in a total of 18 months of disregarded time for both the COBRA election and initial COBRA payment). Instead, the
maximum disregarded period of one year is applied concurrently to the timeframe for the COBRA election and initial COBRA premium payment.

Bulletin No. 2021–43

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October 25, 2021

IV. Transition relief for COBRA
premium payments due before
November 1, 2021 under the
Emergency Relief Notices

continuation coverage and the Outbreak
Period has not ended.

Because some individuals may have
assumed that the disregarded period for
making the initial premium payment
begins on the date of the COBRA election, individuals who made elections
more than 60 days after receipt of the election notice may have less time than they
anticipated to make the initial premium
payment. Therefore, to avoid inequitable
outcomes, in no event will an individual
be required to make the initial premium
payment before November 1, 2021, even
if November 1, 2021 is more than one
year and 105 days after the date the election notice was received, provided that the
individual makes the initial premium payment within one year and 45 days after the
date of the election. This transition relief
does not result in an individual having a
disregarded period related to a particular
COBRA timeframe that is more than one
year. This transition relief is an exception
to the general rule that disregarded periods
for COBRA elections and initial COBRA
payments run concurrently with respect to
each individual.

The following examples illustrate
how COBRA elections and premium
payments are treated under this notice.
All of the examples assume that the Outbreak Period has not ended during the
periods specified and that individuals are
not eligible for COBRA premium assistance under the ARP unless stated otherwise. The examples also assume that the
group health plans have calendar month
coverage periods, with premium payments due by the first of the month, and
that the plans provide that qualified beneficiaries must make COBRA premium
payments within the statutory 30-day
grace period.

V. Interaction with the ARP COBRA
premium assistance
The extensions of the timeframes
under the Emergency Relief Notices do
not apply to the periods for providing
the required notice of the ARP extended
election period or for electing COBRA
continuation coverage with COBRA
premium assistance under the ARP. See
Notice 2021-31, Q&A-57. An individual
who has a disregarded period under the
Emergency Relief Notices may elect retroactive COBRA continuation coverage,
subject to the guidance in this notice, and
may elect COBRA continuation coverage
with COBRA premium assistance for any
period for which the individual is eligible
for COBRA premium assistance. However, the disregarded periods under the
Emergency Relief Notices continue to
apply to payments of COBRA premiums
after the end of the ARP COBRA premium assistance period, to the extent that
the individual is still eligible for COBRA

October 25, 2021

VI. Examples

A. Examples applying the extensions
under the Emergency Relief Notices
to COBRA elections and payment of
COBRA premiums
Example 1. COBRA election made more than 60
days after receipt of COBRA election notice under
the Emergency Relief Notices.
(i) Facts. Individual A participates in Employer
X’s group health plan. On August 1, 2020, Individual A has a qualifying event and receives a COBRA
election notice. Individual A elects COBRA continuation coverage on February 1, 2021, retroactive to
August 1, 2020. When must Individual A make the
initial COBRA premium payment and subsequent
monthly COBRA premium payments?
(ii) Conclusion. Individual A has until November 14, 2021 to make the initial COBRA premium
payment (one year and 105 days after August 1,
2020), because Individual A did not elect COBRA
continuation coverage under the Emergency Relief
Notices within 60 days after receipt of the election
notice. The initial COBRA premium payment would
include monthly premium payments for August 2020
through October 2020. The November 2020 monthly
COBRA premium payment would be due by December 1, 2021 (one year and 30 days after November
1, 2020), with premium payments due every month
after that for the months that Individual A is eligible
for COBRA continuation coverage.
Example 2. COBRA election made within 60
days of the receipt of COBRA election notice under
the Emergency Relief Notices.
(i) Facts. Individual B participates in Employer
Y’s group health plan. Individual B has a qualifying event and receives a COBRA election notice on
October 1, 2020. Individual B elects COBRA continuation coverage on October 15, 2020 retroactive to
October 1, 2020. When must Individual B make the
initial COBRA premium payment and subsequent
monthly COBRA premium payments?

662

(ii) Conclusion. Individual B has until November
29, 2021, to make the initial COBRA premium payment (one year and 45 days after October 15, 2020)
because Individual A elected COBRA within 60 days
of receiving the election notice. The initial COBRA
premium payment would include only the monthly
premium payment for October 2020. The November
2020 monthly COBRA premium payment would be
due by December 1, 2021 (one year and 30 days after
November 1, 2020), with premium payments due
every month after that for the months Individual B is
eligible for COBRA continuation coverage.
Example 3. Timeframe for electing COBRA
under the Emergency Relief Notices.
(i) Facts. Individual C participates in Employer
Z’s group health plan. Individual C has a qualifying event and is provided a COBRA election notice
on August 1, 2020. When must Individual C elect
COBRA continuation coverage and, if Individual C
elects COBRA continuation coverage, when must
Individual C make the initial COBRA premium payment?
(ii) Conclusion. Individual C has until September 30, 2021 (one year and 60 days after August
1, 2020) to elect COBRA continuation coverage. If
Individual C elects COBRA continuation coverage
after September 30, 2020 (but on or before September 30, 2021) Individual C has until November
14, 2021 to make the initial COBRA premium payment (one year and 105 days after receipt of the
election notice). If Individual C makes the initial
COBRA premium payment on November 14, 2021,
that premium payment would include the monthly
premiums for August 2020 through October 2020.
The November 2020 monthly COBRA premium
payment would be due by December 1, 2021 (one
year and 30 days after November 1, 2020), with
premium payments due every month after that for
the months Individual C is eligible for COBRA
continuation coverage.
Example 4. Failure to make COBRA premium
payments under the Emergency Relief Notices.
(i) Facts. The facts are the same as in Example
1. In addition, Individual A timely makes the initial
COBRA premium payment covering the months
of August 2020 through October 2020, as well as
the payment for the November 2020 monthly premium. Individual A does not make a payment for the
December 2020 monthly premium as of December
31, 2021. For how many months does Individual A
have COBRA continuation coverage?
(ii) Conclusion. Individual A is entitled to
COBRA continuation coverage for the months of
August 2020 through November 2020, but Individual
A is not entitled to COBRA continuation coverage
for any month after November 2020 because Individual A did not pay the December 2020 premium
by the end of the applicable grace period. Benefits
and services provided by the group health plan (for
example, doctor’s visits or filled prescriptions) that
occurred on or before November 30, 2020, would
be covered under the terms of the plan. The plan
would not be obligated to cover benefits or services
for Individual A that were incurred after November
30, 2020.
Example 5. Applying the transition relief for
COBRA premium payments due before November 1,
2021.

Bulletin No. 2021–43

(i) Facts. The facts are the same as in Example
1, except that Individual A has a qualifying event
on April 1, 2020. Individual A receives the COBRA
election notice on April 1, 2020 and elects COBRA
continuation coverage on October 1, 2020, retroactive to April 1, 2020. As of July 15, 2021, Individual
A has not made the initial premium payment. When
must Individual A make the initial premium payment
for COBRA continuation coverage retroactive to
April 1, 2020 under the Emergency Relief Notices?
(ii) Conclusion. Under the transition relief provided in this notice, Individual A has until November 1, 2021 to make the initial premium payment,
even though November 1, 2021 is more than one
year and 105 days after April 1, 2020. Although the
disregarded periods for the COBRA election and the
initial premium payment run concurrently, under
the transition relief provided in this notice, an individual will not be required to make the initial premium payment before November 1, 2021, as long as
the individual makes the initial premium payment
within one year and 45 days after the date of election. November 1, 2021 is less than one year and 45
days after October 1, 2020. Therefore, Individual A
remains eligible to make the initial premium payment by November 1, 2021. The initial COBRA premium payment would include the monthly premium
payments for April 2020 through October 2020. The
November 2020 COBRA premium payment would
be due by December 1, 2021 (one year and 30 days
after November 1, 2020), with premium payments
due every month after that for the months Individual
A is eligible for COBRA continuation coverage.
Example 6. Failure to make initial premium payment within one year and 45 days of election.
(i) Facts. The facts are the same as in Example 5,
except that Individual A elects COBRA continuation
coverage on May 1, 2020. As of October 1, 2021,
Individual A has not made the initial premium payment for COBRA continuation coverage beginning
April 1, 2020. On October 1, 2021 is Individual A
eligible to make the initial premium payment for
COBRA continuation coverage retroactive to April
1, 2020 under the Emergency Relief Notices?
(ii) Conclusion. No. October 1, 2021 is more
than one year and 45 days after May 1, 2020. The
maximum disregarded period related to a particular
COBRA timeframe cannot be more than one year.
Therefore, Individual A is no longer eligible to
timely make the initial COBRA premium payment
for COBRA continuation coverage retroactive to
May 1, 2020 under the Emergency Relief Notices,
despite the availability of transition relief. However,
if Individual A is an Assistance Eligible Individual,
Individual A has COBRA continuation coverage
with COBRA premium assistance for the periods of
coverage beginning April 1, 2021. Individual A may
continue to pay for COBRA continuation coverage
after September 2021 through the end of the period
that Individual A is eligible for COBRA continuation coverage, if Individual A remains eligible for
COBRA continuation coverage.

B. Examples applying the ARP
COBRA premium assistance
Example 7. Deadline for retroactive COBRA
continuation coverage under the Emergency Relief

Bulletin No. 2021–43

Notices for a potential Assistance Eligible Individual
under the ARP.
(i) Facts. Individual A works for Employer X and
participates in Employer X’s group health plan. On
August 1, 2020, Individual A has a qualifying event
that is an involuntary termination of employment,
and, therefore, is a potential Assistance Eligible
Individual under the ARP. Individual A receives a
COBRA election notice on August 1, 2020, but, as
of September 1, 2021, has not yet elected COBRA
continuation coverage. Individual A also receives
the notice of the ARP extended election period on
May 31, 2021, but does not elect COBRA continuation coverage with premium assistance under the
ARP. When is the last date for Individual A to elect
COBRA continuation coverage retroactive to August
1, 2020 under the Emergency Relief Notices?
(ii) Conclusion. Individual A has until September 30, 2021 (one year and 60 days after August
1, 2020) to elect COBRA continuation coverage
retroactive to August 1, 2020 under the Emergency Relief Notices. Provided Individual A elects
COBRA continuation coverage by September 30,
2021, Individual A would have until November 14,
2021 to make the initial COBRA premium payment
(one year and 105 days after August 1, 2020). The
initial COBRA premium payment would include
monthly premium payments for August 2020
through October 2020. The November 2020 premium payment would be due by December 1, 2021
(one year and 30 days after November 1, 2020),
with premium payments due every month after that
for the months Individual A is eligible for COBRA
continuation coverage.
Example 8. Failure to elect retroactive COBRA
continuation coverage under the Emergency Relief
Notices by a potential Assistance Eligible Individual
under the ARP.
(i) Facts. Individual B works for Employer Y
and participates in Employer Y’s group health plan.
On March 1, 2021, Individual B has a qualifying
event that is an involuntary termination of employment, and, therefore, is a potential Assistance
Eligible Individual under the ARP. Individual B
receives the COBRA election notice the same day.
Individual B receives the COBRA election notice
for the ARP extended election period on May 31,
2021, and elects COBRA continuation coverage
with COBRA premium assistance beginning April
1, 2021 but does not elect COBRA continuation
coverage retroactive to March 1, 2021. Must Individual B be permitted on or after August 1, 2021,
to elect retroactive COBRA continuation coverage
beginning March 1, 2021?
(ii) Conclusion. No. Because Individual B
elected COBRA coverage with premium assistance
under the ARP, Individual B remained eligible only
until July 30, 2021 (60 days after the receipt of
the notice of the ARP extended election period) to
elect COBRA continuation coverage retroactive to
March 1, 2021. Employer Y’s group health plan may
require Individual B to elect COBRA continuation
coverage retroactive to the loss of coverage within
60 days of receiving the notice of the ARP extended
election period or lose eligibility for retroactive coverage under the Emergency Relief Notices. Because
Individual B did not elect retroactive COBRA continuation coverage (beginning March 1, 2021) under

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the Emergency Relief Notices by July 30, 2021,
Employer Y’s plan is not required to permit Individual B to elect COBRA continuation coverage retroactive to March 1, 2021 under the Emergency Relief
Notices. If Individual B had not elected COBRA
continuation coverage with premium assistance
under the ARP, Individual B would remain eligible
to elect COBRA continuation coverage retroactive to
March 1, 2021, until April 30, 2022 (one year and 60
days after March 1, 2021). However, COBRA premium assistance under the ARP would not be available for this coverage.
Example 9. Payment for retroactive COBRA
continuation coverage under the Emergency Relief
Notices by a potential Assistance Eligible Individual
under the ARP.
(i) Facts. On November 1, 2020, Individual C
has a qualifying event that is an involuntary termination of employment, and, therefore, is a potential
Assistance Eligible Individual under the ARP. Individual C receives the COBRA election notice on the
same date. On April 30, 2021, Individual C receives
the notice of the ARP extended election period. On
May 31, 2021, Individual C elects both retroactive COBRA continuation coverage beginning on
November 1, 2020, and COBRA continuation coverage with premium assistance for the first period of
coverage beginning on or after April 1, 2021. When
are the deadlines for Individual C to make the initial
COBRA premium payment and subsequent monthly
COBRA premium payments?
(ii) Conclusion. Individual C has until February 14, 2022 to make the initial COBRA premium
payment (one year and 105 days after November
1, 2020). The initial COBRA premium payment
would include premium payments for November
2020 through January 2021. The February 2021
premium payment would be due by March 3, 2022
(one year and 30 days after February 1, 2021), and
the March 2021 premium payment would be due by
March 31, 2022 (one year and 30 days after March
1, 2021). Premium payments would be due every
month after that for the months Individual C is eligible for COBRA continuation coverage, except
that no payments would be due for the periods
beginning on or after April 1, 2021, through September 30, 2021.
Example 10. COBRA premium payment after the
end of the period of COBRA premium assistance by
an Assistance Eligible Individual under the ARP and
application of the Emergency Relief Notices.
(i) Facts. The facts are the same as in Example
9, except that Individual C makes the initial COBRA
premium payment by February 14, 2022, fails to
make the premium payment for the February 2021
period of coverage by March 3, 2022, and fails to
make the premium payment for the March 2021
period of coverage by March 31, 2022. Individual
C then makes a COBRA premium payment on May
1, 2022. For which months does Individual C have
COBRA continuation coverage?
(ii) Conclusion. Individual C has retroactive
COBRA continuation coverage for November
2020, December 2020, and January 2021 because
Individual C made a timely initial COBRA premium payment under the Emergency Relief
Notices. Individual C does not have coverage for
the months of February or March 2021 because

October 25, 2021

Individual C did not make timely COBRA premium
payments by March 3, 2022 (one year and 30 days
after February 1, 2021) or March 31, 2022 (one year
and 30 days after March 1, 2021). Individual C has
COBRA continuation coverage with COBRA premium assistance for the periods of coverage from
April 1, 2021 through September 30, 2021 because
Individual C is an Assistance Eligible Individual
and made a timely election under the ARP. Individual C also has COBRA continuation coverage for
October 2021 (because Individual C made a premium payment on May 1, 2022) unless Individual
C indicates that the May 1, 2022 premium payment
was intended to pay premiums for a period during
which Individual C was eligible for COBRA premium assistance.17 If the premium payment was not
erroneously paid for coverage during a premium
assistance period, the COBRA premium payment
made on May 1, 2022 must be credited to the
period following the ARP COBRA period because
that COBRA premium payment is timely under the
Emergency Relief Notices (the payment on May
1, 2022 is made within one year and 30 days after
October 1, 2021). Individual C may continue to pay
for COBRA continuation coverage for the period
after October 2021 until Individual C has paid for
the last of the months that Individual C is eligible
for COBRA continuation coverage.

VII. Effect on other Documents
This document clarifies the relief for
COBRA continuation coverage elections,
COBRA premium payments, and COBRA
notices provided in the Joint Notification
of Extensions of Certain Timeframes for
Employee Benefit Plans, Participants, and
Beneficiaries Affected by the COVID19 Outbreak and EBSA Disaster Relief
Notice 2021-01.
VIII. Effective Date
This notice is effective upon release.
IX. Drafting Information
The principal author of this notice is
William Fischer of the Office of Associate Chief Counsel (Employee Benefits,
Exempt Organizations, and Employment Taxes), and other Treasury Department and IRS officials participated in its
development. For further information on
the provisions of this notice, contact Mr.
Fischer at (202) 317-5500 (not a toll-free
number).

Deferred Applicability
Dates for Foreign Currency
Guidance
Notice 2021-59
SECTION 1. PURPOSE
This Notice announces that the Department of the Treasury (Treasury Department) and the Internal Revenue Service
(IRS) intend to amend the regulations
under section 987 to defer the applicability date of certain final regulations under
section 987 and certain related final regulations by one additional year.
On December 8, 2016, the Treasury
Department and the IRS published Treasury Decision 9794 (81 Fed. Reg. 88806),
which contained final regulations under
section 987 and amendments to existing regulations under sections 861, 985,
988, and 989. See §§1.861-9T(g)(2)(ii)
(A)(1) and (g)(2)(vi); 1.985-5; 1.987-0
through 1.987-11; 1.988-0; 1.988-1(a)
(4), (a)(10)(ii), and (i); 1.988-4(b)(2); and
1.989(a)-1(b)(2)(i), (b)(4), (d)(3), and (d)
(4) (the 2016 final regulations). The same
day, the Treasury Department and the IRS
also published Treasury Decision 9795
(81 Fed. Reg. 88854), which contained
temporary regulations under sections 987
and 988 (the temporary regulations), and
concurrently published a notice of proposed rulemaking by cross-reference to
the temporary regulations (the proposed
regulations). See REG-128276-12, 81
Fed. Reg. 88882.
On May 13, 2019, the Treasury Department and the IRS published Treasury Decision 9857 (84 Fed. Reg. 20790), which
adopted in final form §§1.987-2T(c)(9),
1.987-4T(c)(2) and (f), and 1.987-12T and
withdrew §1.987-7T. The other temporary
regulations expired on December 6, 2019.
The proposed regulations that were not
finalized in 2019 remain outstanding.
Earlier notices deferred the applicability dates of the 2016 final regulations,
§§1.987-1T (other than §§1.987-1T(g)(2)
(i)(B) and (g)(3)(i)(H)) through 1.9874T, 1.987-6T, 1.987-7T, 1.988-1T, and

1.988-2T(i) of the temporary regulations
(the related temporary regulations), and
§§1.987-2(c)(9) and 1.987-4(c)(2) and (f)
of the 2019 final regulations (the related
2019 final regulations). Most recently, on
October 5, 2020, Notice 2020-73, 202041 I.R.B. 886 announced that future guidance would defer the applicability date of
the 2016 final regulations and the related
2019 final regulations by one additional
year to taxable years beginning after
December 7, 2021.
SECTION 2. AMENDED
APPLICABILITY DATE
The Treasury Department and the IRS
intend to amend the applicability dates in
§§1.861-9T, 1.985-5, 1.987-11, 1.988-1,
1.988-4, and 1.989(a)-1 of the 2016 final
regulations and §§1.987-2 and 1.987-4 of
the related 2019 final regulations to provide that the 2016 final regulations and
the related 2019 final regulations apply to
taxable years beginning after December 7,
2022 (the amended applicability date). See
§§1.861-9T(g)(2)(vi); 1.985-5(g); 1.9872(e)(2); 1.987-4(h)(2); 1.987-11(a); 1.9881(i); 1.988-4(b)(2)(ii); 1.989(a)-1(b)(4);
1.989(a)-1(d)(4). Thus, following the
amendments described in this Notice,
the 2016 final regulations and the related
2019 final regulations would apply to the
taxable year beginning on January 1, 2023
for calendar-year taxpayers. The Treasury
Department and the IRS do not intend to
amend the applicability date of §1.987-12.
See §1.987-12(j).
A taxpayer may choose to apply the
2016 final regulations, the related temporary regulations (until they were revoked
on May 13, 2019 or expired on December 6, 2019, as applicable), and the related
2019 final regulations (beginning on May
13, 2019) to taxable years beginning
after December 7, 2016 and before the
amended applicability date provided the
taxpayer consistently applies those regulations to such taxable years with respect
to all section 987 QBUs directly or indirectly owned by the taxpayer on the transition date as well as all section 987 QBUs
directly or indirectly owned on the transition date by members that file a consoli-

Section 9501(b)(1)(D) of the ARP requires premium payees (as described in Notice 2021-31) to reimburse Assistance Eligible Individuals for premium amounts that those individuals would
have been required to pay if not for the COBRA premium assistance available under the ARP.
17

October 25, 2021

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Bulletin No. 2021–43

dated return with the taxpayer or by any
controlled foreign corporation, as defined
in section 957, in which a member owns
more than 50 percent of the voting power
or stock value, as determined under section 958(a) (collectively, related parties).
A taxpayer and its related parties are not,
however, required to apply §1.987-7T of
the related temporary regulations to any
part of a taxable year ending on or after
May 13, 2019. For example, a calendar-year taxpayer applying the regulations
in accordance with this paragraph is not
required to apply §1.987-7T to the period
beginning on January 1, 2019 and ending
on May 13, 2019 (when §1.987-7T was
revoked).
The transition date is the first day of
the first taxable year to which §§1.987-1
through 1.987-10 are applicable with
respect to a taxpayer under §1.987-11.
Section 1.987-11(c). Therefore, if a taxpayer chooses to apply §§1.987-1 through

Bulletin No. 2021–43

1.987-10 to a taxable year beginning
before the amended applicability date, the
transition date is the first day of the first
taxable year in which the taxpayer chooses
to apply §§1.987-1 through 1.987-10.
For periods following the expiration of
the temporary regulations, a taxpayer may
rely on §§1.987-1 (other than §§1.9871(g)(2)(i)(B) and (g)(3)(i)(H)), 1.987-3,
1.987-6, 1.988-1, and 1.988-2(i) of the
proposed regulations, provided that the
taxpayer and its related parties consistently follow those proposed regulations
in their entirety and apply the 2016 final
regulations and the related 2019 final regulations for the same taxable year. In addition, a taxpayer may rely on §§1.987-1(g)
(2)(i)(B) and (g)(3)(i)(H) and 1.987-8 of
the proposed regulations, provided that
the taxpayer and its related parties consistently follow those proposed regulations
in their entirety. A taxpayer may rely on
§1.987-7 or 1.988-2(b)(16) of the pro-

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posed regulations, provided that the taxpayer and its related parties consistently
follow each section of those proposed regulations on which it relies.
SECTION 3. TAXPAYER RELIANCE
Before the regulations under section
987 are amended as described in section 2
of this Notice, taxpayers may rely on the
provisions of this Notice.
SECTION 4. DRAFTING
INFORMATION
The principal author of this Notice is
Raphael J. Cohen of the Office of Associate Chief Counsel (International). For
further information regarding this Notice,
contact Raphael J. Cohen at (202) 3176938 (not a toll-free number).

October 25, 2021

NOTE. This revenue procedure will be reproduced as the next revision of IRS Publication 1167, General Rules and Specifications for Substitute Forms and
Schedules.

Rev. Proc. 2021-42
TABLE OF CONTENTS
Part 1 – INTRODUCTION TO SUBSTITUTE FORMS
Section 1.1 – Overview of Revenue Procedure 2021-42 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 667
Section 1.2 – IRS Contacts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 668
Section 1.3 – What’s New. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 669
Section 1.4 – Definitions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 669
Section 1.5 – Agreement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 671
Part 2 – GENERAL GUIDELINES FOR SUBMISSIONS AND APPROVALS
Section 2.1 – General Specifications for Approval. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 672
Section 2.2 – Highlights of Permitted Changes and Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 674
Section 2.3 – Vouchers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 674
Section 2.4 – Restrictions on Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 677
Section 2.5 – Guidelines for Obtaining IRS Approval. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 677
Section 2.6 – Office of Management and Budget (OMB) Requirements for All
Substitute Forms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 680
Part 3 – PHYSICAL ASPECTS AND REQUIREMENTS
Section 3.1 – General Guidelines for Substitute Forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 681
Section 3.2 – Paper. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 683
Section 3.3 – Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 684
Section 3.4 – Margins. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 685
Section 3.5 – Miscellaneous Information for Substitute Forms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 686
Part 4 – ADDITIONAL RESOURCES
Section 4.1 – Guidance From Other Revenue Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 687
Section 4.2 – Electronic Tax Products. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 687
Part 5 – REQUIREMENTS FOR SPECIFIC TAX RETURNS
Section 5.1 – Tax Returns (Forms 1040, 1040-SR, 1120, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 687
Section 5.2 – Changes Permitted to Graphics (Form 1040 or 1040-SR) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 688
Part 6 – FORMAT AND CONTENT OF SUBSTITUTE RETURNS
Section 6.1 – Acceptable Formats for Substitute Forms and Schedules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 690
Section 6.2 – Additional Instructions for All Forms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 691
Part 7 – MISCELLANEOUS FORMS AND PROGRAMS
Section 7.1 – Specifications for Substitute Schedules K-1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 693
Section 7.2 – Guidelines for Substitute Forms 8655. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 699
Part 8 – ADDITIONAL INFORMATION
Section 8.1 – Forms for Electronically Filed Returns. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 700
Section 8.2 – Effect on Other Documents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 700
Section 8.3 – Exhibits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 701

October 25, 2021

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Bulletin No. 2021–43

Part 1
Introduction to Substitute Forms

Section 1.1 – Overview of Revenue Procedure 2021-42

1.1.1
Purpose

The purpose of this revenue procedure is to provide guidelines and general requirements for the
development, printing, and approval of the 2021 substitute tax forms. Approval will be based on
these guidelines. After review and approval, submitted forms will be accepted as substitutes for
official IRS forms.

1.1.2
Unique Forms

Certain unique specialized forms require the use of other publications that supplement this publication. See Part 4.

1.1.3
Scope

The IRS accepts quality substitute tax forms that are consistent with the official forms and have no
adverse impact on processing. The IRS Substitute Forms Program (the Program) administers the
formal acceptance and processing of these forms nationwide. While this Program deals with paper
documents, it also reviews for approval other processing and filing forms used in electronic filing.
Only those substitute forms that fully comply with these requirements are acceptable. This revenue procedure is updated as required to reflect pertinent tax year form changes and to meet processing and/or legislative requirements.

1.1.4
Forms Covered by This
Revenue Procedure

1.1.5
Forms Not Covered by This
Revenue Procedure

Bulletin No. 2021–43

The following types of forms are covered by this revenue procedure.
•

IRS tax forms and their related schedules.

•

Worksheets as they appear in the instructions.

•

Applications for permission to file returns electronically and forms used as required documentation for electronically filed returns.

•

Powers of Attorney.

•

Over-the-counter estimated tax payment vouchers.

•

Forms and schedules relating to partnerships, exempt organizations, and employee plans.

The following types of forms are not covered by this revenue procedure. Refer to the publication
for questions.
•

W-2 and W-3. See Pub. 1141, General Rules and Specifications for Substitute Forms W-2 and
W-3.

•

W-2c and W-3c. See Pub. 1223, General Rules and Specifications for Substitute Forms W-2c
and W-3c.

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October 25, 2021

1.1.6
Other Information Not
Covered by This Revenue
Procedure

•

941 and attached schedules. See Pub. 4436, General Rules and Specifications for Substitute
Form 941, Schedule B (Form 941), Schedule D (Form 941), Schedule R (Form 941), and
Form 8974.

•

1096, 1097-BTC, 1098 series, 1099 series, 3921, 3922, 5498 series, W-2G, and 1042-S. See
Pub. 1179, General Rules and Specifications for Substitute Forms 1096, 1098, 1099, 5498,
and Certain Other Information Returns.

•

1095-A, 1094-B, 1095-B, 1094-C, and 1095-C. See Pub. 5223, General Rules and Specifications for Affordable Care Act Substitute Forms 1095-A, 1094-B, 1095-B, 1094-C, and
1095-C.

•

8027. See Pub. 1239, Specifications for Electronic Filing of Form 8027, Employer’s Annual
Information Return of Tip Income and Allocated Tips.

•

Forms 1040-ES (OCR) and 1041-ES (OCR), which may not be reproduced.

•

Form 5500 series (for more information on these forms, see the Department of Labor website
at www.efast.dol.gov).

•

Forms 5300, 5307, 8717, and 8905, bar-coded forms requiring separate approval.

•

Forms used internally by the IRS.

•

State tax forms.

•

Forms developed outside the IRS.

The following information is not covered by this revenue procedure.
•

Requests for information or documentation initiated by the IRS.

•

General Instructions and Specific Instructions (these are not reviewed by the Program).

Section 1.2 – IRS Contacts

1.2.1
Where To Send Substitute
Forms

Send your substitute forms for approval to the following offices. Do not send forms with taxpayer
data.
Form
5500
5300, 5307, 8717, and 8905
Software developer vouchers (see
Sections 2.3.7–2.3.9)

ACA Forms 1094-B, 1095-B, 1094-C,
and 1095-C (for more information, see
Pub. 5223), and Schedule K-1 forms
must be emailed for scannability testing

October 25, 2021

668

Office and Address
Check EFAST2 information at the Department of
Labor website at www.efast.dol.gov.
Sandra.K.Barnes@irs.gov
Internal Revenue Service
Attn: Doris Bethea
5000 Ellin Road, C5-226
Lanham, MD 20706
Doris.E.Bethea@irs.gov
scrips@irs.gov

Bulletin No. 2021–43

Form
Schedule K-1 2-D bar-coded forms
All others covered by this publication
(see Section 1.1.4)

Office and Address
For mailing addresses for sending Schedule K-1
2-D bar-coded forms for testing, see Section 7.1.6.
Internal Revenue Service
Attn: Substitute Forms Program
SE:W:CAR:MP:P:TP
1111 Constitution Ave. NW, Room 6554
Washington, DC 20224
substituteforms@irs.gov

Section 1.3 – What’s New

1.3.1
What’s New

The following change has been made to this year’s revenue procedure.
•

.01 Editorial changes. We made editorial changes as needed and eliminated repetitive information.

Section 1.4 – Definitions

1.4.1
Substitute Form

A tax form (or related schedule) that differs in any way from the official version and is intended to
replace the form that is printed and distributed by the IRS. This term also covers those approved
substitute forms exhibited in this revenue procedure.

1.4.2
Printed/ Preprinted Form

A form produced using conventional printing processes or a printed form which has been reproduced by photocopying or a similar process.

1.4.3
Preprinted Pin- Fed Form

A printed form that has marginal perforations for use with automated and high-speed printing
equipment.

1.4.4
Computer- Prepared
Substitute Form

A preprinted form in which the taxpayer’s tax entry information has been inserted by a computer,
computer printer, or other computer-type equipment.

1.4.5
Computer- Generated
Substitute Tax Return or
Form

A tax return or form that is entirely designed and printed using a computer printer on plain white
paper. This return or form must conform to the physical layout of the corresponding IRS form,
although the typeface may differ. The text should match the text on the officially printed form as
closely as possible. Condensed text and abbreviations will be considered on a case-by-case basis.
Exception. All jurats (perjury statements) must be reproduced verbatim.

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October 25, 2021

1.4.6
Manually Prepared Form

A preprinted reproduced form in which the taxpayer’s tax entry information is entered by an individual using a pen, a pencil, or other nonautomated equipment.

1.4.7
Graphics

Parts of a printed tax form that are not tax amount entries or required text. Examples of graphics
are line numbers, captions, shadings, special indicators, borders, rules, and strokes created by
typesetting, photographics, photocomposition, etc.

1.4.8
Acceptable Reproduced
Form

A legible photocopy or an exact replica of an original form.

1.4.9
Supporting Statement
(Supplemental Schedule)

A document providing detailed information to support a line entry on an official or approved substitute form and filed with (attached to) a tax return.

1.4.10
Specific Form Terms

The following specific terms are used throughout this revenue procedure in reference to all substitute forms: format, sequence, line reference, item caption, and data entry field.

1.4.11
Format

The overall physical arrangement and general layout of a substitute form.

1.4.12
Sequence

Sequence is an integral part of the total format requirement. The substitute form should show the
same numeric and logical placement order of data as shown on the official form.

1.4.13
Line Reference

The line numbers, letters, or alphanumerics used to identify each captioned line on an official
form. These line references are printed to the immediate left of each caption and/or data entry
field.

1.4.14
Item Caption

The text on each line of a form, which identifies the data required.

1.4.15
Data Entry Field

Designated areas for the entry of data such as dollar amounts, quantities, responses, and checkboxes.

1.4.16
Advance Draft

A draft version of a new or revised form may be posted to the IRS website (IRS.gov/DraftForms)
for information purposes. Substitute forms may be submitted based on these advance drafts, but
any submitter that receives forms approval based on these early drafts is responsible for monitoring and revising forms to reflect any revisions in the final forms provided by the IRS.

October 25, 2021

Note. A supporting statement is not a tax form and does not take the place of an official form.

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1.4.17
Approval

Generally, approval could be in writing or assumed after 20 business days from our receipt for
forms that have not been substantially changed by the IRS. This does not apply to newly created
or substantially revised IRS forms. However, the Program reserves the right to notify vendors of
any inaccuracies even after 20 business days have lapsed.

1.4.18
National Association
of Computerized Tax
Processors (NACTP)

The National Association of Computerized Tax Processors (NACTP) is a nonprofit association
that represents tax processing software and hardware developers, electronic filing processors, tax
form publishers, tax processing service bureaus, and payroll processors. The association promotes
standards in tax processing to advance efficient and effective tax filing. For more information, see
NACTP.org.

Section 1.5 – Agreement

1.5.1
Important Stipulation of
This Revenue Procedure

1.5.2
Response Policy and
Stipulations

Any person or company who uses substitute forms and makes all or part of the changes specified
in this revenue procedure agrees to the following stipulations.
•

The IRS presumes that any required changes are made in accordance with these procedures
and will not be disruptive to the processing of the tax return.

•

Should any of the changes be disruptive to the IRS’s processing of the tax return, the person
or company agrees to accept the determination of the IRS as to whether the form may continue to be filed.

•

The person or company agrees to work with the IRS in correcting noted deficiencies. Notification of deficiencies may be made by any combination of letter, email, or phone contact and
may include the request for the resubmission of unacceptable forms.

The Program will email confirmation of receipt of your forms submission, if possible. Even if you
do not receive emailed confirmation of receipt, you will receive an emailed “submission receipt,”
which will provide feedback on your submission. If the Program anticipates problems in completing the review of your submission within the 20-business-day period, the Program will send an
interim email notifying you of the extended period for review.
Once the substitute forms have been approved by the Program, you can release them after the final
versions of the forms have been issued by the IRS. Before releasing the forms, you are responsible
for updating forms approved as draft and for making form changes we requested.
The policy has the following stipulations.

Bulletin No. 2021–43

•

This 20-business-day policy applies to electronic submissions only. It does not apply to substitute submissions mailed to the Program.

•

The policy applies to submissions of 15 (optimal) or fewer items and submissions containing
75 pages or less. Submissions of more than 15 items may require additional review time.

•

If you send a large number of submissions within a short period of time, processing may be
delayed.

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October 25, 2021

•

Delays in processing could occur if the Program finds significant errors in your submission or
has experienced an increase in submissions. The Program will send you an interim email in
this case.

•

Any anticipated problems in processing your submission within the 20-business-day period
will generate an interim email on or about the 15th business day.

•

If any significant inaccuracies are discovered after the 20-business-day period, the Program
reserves the right to inform you and will require that changes be made to correct the inaccuracies.

•

The policy does not apply to substantially revised forms or to new forms created by the IRS
for which you have already made an initial submission.
Part 2
General Guidelines for Submissions and Approvals

Section 2.1 – General Specifications for Approval

2.1.1
Overview

If you produce any substitute tax forms that fully comply or follow the changes specifically outlined by the Program, then you can generate your own substitute forms without further approval.
Also, if your substitutes have received approval in the past, and there are no substantial formatting or text changes for the tax year, then changes can be made without additional approval. If
your changes are more extensive, you must get IRS approval before using substitute forms. More
extensive changes include different font style, decreasing or increasing the font size of caption
titles, adjusting or omitting format/layout elements, changing page orientation, repositioning line
items, tables, and legends.

2.1.2
Email Submissions

The Program accepts submissions of substitute forms for review and approval via email. The
email address is substituteforms@irs.gov. Please include the term “PDF Submissions” on the
subject line.
Follow these guidelines.

October 25, 2021

•

Email submission should include all the forms you wish to submit in one Portable Document
Format (PDF) file. Do not email or attach each form individually.

•

The emailed submission should include a maximum of 3 PDFs to include a checksheet, a
cover letter or accompanying statement, and a single PDF that includes all of the forms listed
on your checksheet, cover letter, or accompanying statement.

•

A submission should contain a maximum of 15 forms.

•

An approval checksheet listing the forms you are submitting should always be included in
the PDF file along with the forms. Excluding the checksheet can slow the reviewing process
down, which can result in a delayed response to your submission. See a sample checksheet in
Exhibit B.

•

Optimize PDF files before submitting.

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Bulletin No. 2021–43

•

The maximum allowable email attachment is 2.5 megabytes.

•

The Program accepts zip files.

•

To alleviate delays during the peak time of September through December, submit advance
draft forms as early as possible.

If the guidelines are not followed, you may need to resubmit.
Emailing PDF submissions will not expedite review and approval. Submitting your substitute
forms package via email is the preferred and suggested method for submitting forms for review. If,
for some reason, you are not able to email your submission(s), you can mail your submission(s) to:
Internal Revenue Service
Attn: Substitute Forms Program
SE:W:CAR:MP:P:TP
1111 Constitution Ave. NW, Room 6554
Washington, DC 20224

2.1.3
Expediting the Process

Follow these basic guidelines for expediting the process.
•

Always include a checksheet for the Program’s response.

•

Include an accompanying statement identifying most, if not all, of the deviations your substitute forms may have from the official IRS version.

•

Follow the guidance in this publication for general substitute form guidelines. Follow the
guidance in specialized publications produced by the Program for other specific forms.

•

To spread out the workload, send in draft versions of substitute forms when they are posted.
Note. Be sure to make any changes to approved drafts before releasing final versions.

2.1.4
Schedules

Some schedules are considered to be an integral part of a complete tax return and must be submitted as part of the form. Other schedules may be submitted separately and do not need to be
included with the tax form.

2.1.5
Examples of Schedules That
Must Be Submitted With
the Return

Form 706, United States Estate (and Generation-Skipping Transfer) Tax Return, is an example
of this situation. Its Schedules A through U have pages numbered as part of the basic return. For
Form 706 to be considered for approval, the entire form, including Schedules A through U, as well
as Schedule PC, must be submitted.

2.1.6
Examples of Schedules
That Can Be Submitted
Separately

Schedules C, D, and E for Form 1040 or 1040-SR are examples of schedules that can be submitted
separately. Although printed by the IRS as a supplement to Form 1040 or 1040-SR, these schedules are not required to be submitted for approval with Form 1040 or 1040-SR. These schedules
may be separated from Form 1040 or 1040-SR and submitted as substitute forms.

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October 25, 2021

2.1.7
Use and Distribution of
Unapproved Forms

The IRS is continuing a program to identify and contact tax return preparers, forms developers,
and software publishers who use or distribute unapproved forms that do not conform to this revenue procedure. The use of unapproved forms hinders the processing of the returns.

Section 2.2 – Highlights of Permitted Changes and Requirements

2.2.1
Methods of Reproducing
IRS Forms

There are methods of reproducing IRS printed tax forms suitable for use as substitutes without
prior approval.
•

You can photocopy most tax forms and use them instead of the official ones. The entire substitute form, including entries, must be legible.

•

You can reproduce any current tax form as cut sheets, snap sets, and marginally punched, pinfed forms as long as you use an official IRS version as the master copy.

•

You can reproduce a form that requires a signature as a valid substitute form. Many tax forms
(including returns) have a taxpayer signature requirement as part of the form layout. The
jurat/perjury statement/ signature line areas must be retained and worded exactly as on the
official form. The requirement for a signature, by itself, does not prohibit a tax form from
being properly computer generated.

Section 2.3 – Vouchers

2.3.1
Overview

All payment vouchers (Forms 940-V, 941-V, 943-V, 944-V, 945-V, 1040-ES, 1040-V, 1041-V,
and 2290-V) must be reproduced in conjunction with their forms. Substitute vouchers must be
the same size as the officially printed vouchers. Vouchers that are prepared for printing on a laser
printer may include a scan line.

2.3.2
Scan Line Specifications

NNNNNNNNN
AA
XXXX
NN
N
NNNNNN
NNN
B
C
D
E
F
G
Item: A
A.
Social Security Number/Employer Identification Number (SSN/EIN) has 9 numeric (N)
spaces.
B.
Check Digits have 2 alpha (A) spaces.
C.
Name Control has 4 alphanumeric (X) spaces.
D.
Master File Tax (MFT) Code has 2 numeric (N) spaces (see Section 2.3.3).
E.
Taxpayer Identification Number (TIN) Type has 1 numeric (N) space (see Section 2.3.4).
F.
Tax Period has 6 numeric (N) spaces in year/month format (YYYYMM).
G.
Transaction Code has 3 numeric (N) spaces.

2.3.3
MFT Code

Code Number for Forms:

October 25, 2021

•

1040 (family) – 30,

•

940 – 10,

•

941 – 01,

•

943 – 11,

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2.3.4
TIN Type

•

944 – 14,

•

945 – 16,

•

1041-V – 05,

•

2290 – 60, and

•

4868 – 30.

Type Number for:
•

Form 1040 (family), 4868 – 0; and

•

Forms 940, 941, 943, 944, 945, 1041-V, and 2290 – 2.

2.3.5
Voucher Size

The voucher size must be exactly 8.0″ x 3.25″ (Forms 1040-ES and 1041-ES must be 7.625″ x
3.0″). The document scan line must be vertically positioned 0.25 inches from the bottom of the
scan line to the bottom of the voucher. The last character on the right of the scan line must be
placed 3.5 inches from the right leading edge of the document. The minimum required horizontal
clear space between characters is 0.014 inches. The line to be scanned must have a clear band 0.25
inches in height from top to bottom of the scan line, and from border to border of the document.
“Clear band” means no printing except for dropout ink.

2.3.6
Print and Paper Weight

Vouchers must be imaged in black ink using OCR A, OCR B, or Courier 10. These fonts may not
be mixed in the scan line. The horizontal character pitch is 10 CPI. The preferred paper weight is
20 to 24 pound OCR bond.

2.3.7
Specifications for Software
Developers

Certain vouchers may be reproduced for use in the IRS lockbox system. These include the 1040-V,
1040-ES, 1041-V, the 94X family, and 2290 vouchers. Software developers must follow these specific guidelines to produce scannable vouchers strictly for lockbox purposes. Also see Exhibit A.

Bulletin No. 2021–43

•

The total depth must be 3.25 inches.

•

The scan line must be 0.5 inches from the bottom edge and 1.75 inches from the left edge of
the voucher and left justified.

•

Software developers’ vouchers must be 8.5 inches wide (instead of 8 inches with a cut line).
Therefore, no vertical cut line is required.

•

Scan line positioning must be exact.

•

Do not use the over-the-counter format voucher and add the scan line to it.

•

All scanned data must be in 12-point OCR A font.

•

The 4-digit NACTP ID code or IRS source code should be placed under the payment indicator arrow.

•

Windowed envelopes must not display the scan line in order to avoid disclosure and privacy
issues.

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October 25, 2021

Note. All software developers must ensure that their software uses OCR A font so taxpayers will
be able to print the vouchers in the correct font.

2.3.8
Specific Line Positions

Follow these line specifications for entering taxpayer data in the lockbox vouchers.
Start Row Start Column Width End Column
Line Specifications for Taxpayer Data:
Taxpayer Name
Taxpayer Address, Apt.
Taxpayer City, State, ZIP
Foreign Country Name
Foreign Province/County
Foreign Postal Code
Line Specifications for Mail To Data:
Mail Name
Mail Address
Mail City, State, ZIP
Line Specifications for:
Scan Line

2.3.9
How To Get Approval

56
57
58
59
60
60

6
6
6
6
6
26

36
36
36
36
17
16

41
41
41
41
22
41

56
57
58

43
43
43

38
38
38

80
80
80

63

26

n/a

n/a

To receive approval, the following procedures are in effect due to COVID-19.
Please send an approval sheet with each form type for IRS signature to Doris Bethea at Doris.E.Bethea@irs.gov. You should include in the email an example of each type of voucher the site will be
testing. Note. Do not mail any test vouchers to Doris Bethea.
You are required to send 25 voucher samples of each form in PDF format. You should email the
test vouchers to raul.t.mariduena@jpmorgan.com. You can also print the vouchers and send them
to his mailing address at:
JP Morgan Chase
Attn: Raul Mariduena
830 Tyvola Road, Suite 114
Charlotte, NC 28217
To receive approval under regular circumstances, please send in 25 voucher samples yearly for
each form type or scenario, by December 10, 2021, for testing to the following address.
Internal Revenue Service
Attn: Doris Bethea, C5-226
5000 Ellin Road
Lanham, MD 20706
For further information, contact Doris Bethea at Doris.E.Bethea@irs.gov, or at 240-613-5922
(not toll free), or Kathryn Wheelock at Kathryn.F.Wheelock@irs.gov, or at 816-499-4443 (not
toll free).

October 25, 2021

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Section 2.4 – Restrictions on Changes

2.4.1
What You Cannot Do
to Forms Suitable for
Substitute Tax Forms

You cannot, without prior IRS approval, change any IRS tax form or use your own (nonapproved)
versions including graphics, unless specifically permitted by this revenue procedure. See Sections
2.5.7 through 2.5.11.
You cannot adjust any of the graphics on Form 1040 or 1040-SR (except in those areas specified
in Part 5 of this revenue procedure) without prior approval from the Program.
You cannot rearrange or redistribute data entry fields, and/or allow data entry fields to flow from
one page onto the next (that is, each page of a substitute form must contain the exact number of
data entry fields as there are on the official IRS form). The order of information on the substitute
form must be identical to the IRS version of the form. Publications for specific substitute forms
will state allowances for those respective forms.
Note. The 20-business-day turnaround policy may not apply to extensive changes.

Section 2.5 – Guidelines for Obtaining IRS Approval

2.5.1
Basic Requirements

Preparers who submit substitute privately designed, privately printed, computer-generated, or
computer-prepared tax forms must develop these substitutes using the guidelines established in
this part. These forms, unless there is an exception outlined by the revenue procedure, must be
approved by the IRS before being filed.

2.5.2
Conditional Approval
Based on Advance Drafts

The IRS cannot grant final approval of your substitute form until the official form has been published. However, the IRS posts advance draft forms on its website at IRS.gov/DraftForms.
We encourage submission of proposed substitutes of these advance draft forms and will grant conditional approval based solely on these early drafts. These advance drafts are subject to significant
change before forms are finalized. If these advance drafts are used as the basis for your substitute
forms, you will be responsible for subsequently updating your final forms to agree with the final
official version. These revisions need not be resubmitted for further approval.
Note. Approval of forms based on advance drafts will not be granted after the final version of an
official form is published.

2.5.3
Submission Procedures

Bulletin No. 2021–43

Follow these general guidelines when submitting substitute forms for approval.
•

Any alteration of forms must be within the limits acceptable to the IRS. It is possible that,
from one filing period to another, a change in law or a change in internal need (processing,
audit, compliance, etc.) may change the allowable limits for the alteration of the official form.

•

When approval of any substitute form (other than those exceptions specified in Part 1, Section 1.2 – IRS Contacts) is requested, a sample of the proposed substitute form should be
emailed for consideration to the Program at the address shown in Section 1.2.1.

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October 25, 2021

•

Schedules and forms (for example, Forms 3468, 4136, etc.) that can be used with more than
one type of return (for example, Forms 1040, 1040-SR, 1041, 1120, etc.) should be submitted
only once for approval, without regard to the number of different tax returns with which they
may be associated. Also, all pages of multi-page forms or returns should be submitted in the
same package.

2.5.4
Approving Offices

Because only the Program is authorized to approve substitute forms, unnecessary delays may
occur if forms are sent to the wrong office. You may receive an interim letter about the delay. The
Program may then coordinate the response with the originator responsible for revising that particular form. Such coordination may include allowing the originator to officially approve the form.
No IRS office is authorized to allow deviations from this revenue procedure.

2.5.5
IRS Review of Software
Programs, etc.

The IRS does not review or approve the logic of specific software programs, nor does the IRS
confirm the calculations on the forms produced by these programs. The accuracy of the program
remains the responsibility of the software package developer, distributor, or user.
The Program is primarily concerned with the pre-filing quality review of the final forms that are
expected to be processed by IRS field offices. For this purpose, you should submit forms without
including any taxpayer information such as names, addresses, monetary amounts, etc.
If the software used is programmed to produce copies with populated fields, then you must use
dummy information. This will allow the Program to review and provide feedback or approval.
Vendors should use “0” for all number values and “X” for any information that requires alpha
characters.

2.5.6
When To Send Proposed
Substitutes

Proposed substitutes, which are required to be submitted per this revenue procedure, should be
sent as much in advance of the filing period as possible. This is to allow adequate time for analysis
and response.

2.5.7
Accompanying Statement

When submitting sample substitutes, you should include an accompanying statement that lists
each form number and its changes from the official form (position, arrangement, appearance, line
numbers, additions, deletions, etc.). With each of the items, you should include a detailed reason
for the change.
When requesting approval, please include a checksheet. Checksheets expedite the approval process. The checksheet may look like the example in Exhibit B displayed in the back of this procedure or may be one of your own design.
Please include your email address on the checksheet.

2.5.8
Approval/ Nonapproval
Notice

October 25, 2021

The Program will email the checksheet or an approval letter to the originator, unless:
•

The requester has asked for a formal letter, or

•

Significant corrections to the submitted forms are required.

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Notice of approval may impose qualifications before using the substitutes. Notices of unapproved
forms may specify the changes required for approval and require resubmission of the form(s) in
question. When appropriate, you will be contacted by telephone.

2.5.9
Duration of Approval

Most signature tax returns and many of their schedules and related forms have the tax year printed
in the upper right corner. Approvals for these annual forms are usually good for 1 calendar year
(January through December of the year of filing). Quarterly tax forms in the 94X series and Form
720 require approval for any quarter in which the form has been revised.
Because changes are usually made to an annual form every year, each new filing season generally
requires a new submission of a substitute form. Very rarely is updating the preprinted year the only
change made to an annual form. However, if no significant content, formatting, or layout changes
were made to a tax form, then review and approval received for the prior tax year can be carried
over into the current tax year.

2.5.10
Limited Continued Use of
an Approved Change

Limited changes approved for one tax year may be allowed for the same form in the following tax
year. Examples are the use of abbreviated words, revised form spacing, compressed text lines, and
shortened captions, etc., which do not change the integrity of lines or text on the official forms.
If the vendor or filer makes substantial changes to the form, new substitutes must be submitted
for approval. If the vendor or filer makes only minor editorial changes to the form, or makes any
changes that mirror changes the IRS makes to the form’s official version, the new substitute does
not need to be submitted for approval. It is the responsibility of each vendor who has been granted
permission to produce substitute forms to monitor and revise forms to mirror any revisions to the
official forms made by the IRS. If there are any questions, please contact the Program.

2.5.11
When Approval Is Not
Required

If you received approval for a specific change on a form last year, you may make the same change
this year if the item is still present on the official form.
•

The new substitute form does not have to be submitted to the IRS and approval based on that
change is not required.

•

However, the new substitute form must conform to the official current year IRS form in
other respects, such as date, Office of Management and Budget (OMB) approval number,
attachment sequence number, Paperwork Reduction Act Notice statement, arrangement, item
caption, line number, line reference, data sequence, etc.

•

The new substitute form must also comply with changes to the guidelines in this revenue procedure. The procedure may have eliminated, added to, or otherwise changed the guideline(s)
that affected the change approved in the prior year.

•

An approved change is authorized only for the period from a prior tax year substitute form to
a current tax year substitute form.

Exception. Forms with temporary, limited, or interim approvals (or with approvals that state a
change is not allowed in any other tax year) are subject to review in subsequent years.

2.5.12
Required Copies

Bulletin No. 2021–43

Generally, you must send us one copy of each form being submitted for approval. However, if
you are producing forms for different computer platforms (for example, Microsoft vs. Apple),
different tax preparation software (for example, TurboTax® vs. TaxSlayer®), or different types

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October 25, 2021

of printers (for example, inkjet vs. impact), and these forms differ significantly in appearance,
submit one copy for each type of platform, tax preparation software, or printer.

2.5.13
Requestor’s Responsibility

2.5.14
Source Code

Following receipt of an initial approval for a substitute forms package or a software output program to print substitute forms, it is the responsibility of the originator (designer or distributor) to
provide client firms or individuals with forms that meet the IRS’s requirements for continuing
acceptability. Examples of this responsibility include:
•

Using the prescribed print paper, font size, legibility, state tax data deletion, etc.; and

•

Informing all users of substitute forms of the legal requirements of the Paperwork Reduction
Act Notice, which is generally found in the instructions for the official IRS forms.

The Program will assign a unique source code to each firm that submits substitute forms for
approval. This source code will be a permanent identifier that must be used on every submission
by a particular firm.
The source code consists of three alpha characters and should generally be printed under or to the
left of the “Paperwork Reduction Act” statement. Vendors must ensure that the source code is not
printed too close to or within the left or bottom 1/2-inch margin to avoid the source code from
being cut off during printing.

Section 2.6 – Office of Management and Budget (OMB) Requirements for All Substitute Forms

2.6.1
OMB Requirements for
All Substitute Forms

There are legal requirements of the Paperwork Reduction Act of 1995 (the Act). Public Law 10413 requires the following.
•

OMB approves all IRS tax forms that are subject to the Act.

•

Each IRS form contains (in the upper right corner) the OMB number, if assigned.

•

Each IRS form (or its instructions) states why the IRS needs the information, how it will be
used, and whether or not the information is required to be furnished to the IRS.

This information must be provided to every user of official or substitute IRS forms or instructions.

2.6.2
Application of the
Paperwork Reduction Act

2.6.3
Required Explanation to
Users

October 25, 2021

On forms that have been assigned OMB numbers:
•

All substitute forms must contain in the upper right corner the OMB number that is on the
official form, and

•

The required format is: OMB No. 1545-XXXX (preferred) or OMB # 1545-XXXX (acceptable).

You must inform the users of your substitute forms of the IRS use and collection requirements
stated in the instructions for official IRS forms.

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•

If you provide your users or customers with the official IRS instructions, each form must
retain either the Paperwork Reduction Act Notice (or Disclosure, Privacy Act, and Paperwork
Reduction Act Notice), or a reference to it as the IRS does on the official forms (usually in the
lower left corner of the forms).

•

This notice reads, in part, “We ask for tax return information to carry out the tax laws of the
United States. ”

Note. If no IRS instructions are provided to users of your forms, the exact text of the Paperwork
Reduction Act Notice (or Disclosure, Privacy Act, and Paperwork Reduction Act Notice) must be
furnished separately or on the form.

2.6.4
Finding the OMB Number
and Paperwork Reduction
Act Notice

The OMB number and the Paperwork Reduction Act Notice, or references to it, may be found
printed on an official form (or its instructions). The number and the notice are included on the
official paper format and in other formats produced by the IRS.
Part 3
Physical Aspects and Requirements

Section 3.1 – General Guidelines for Substitute Forms

3.1.1
General Information

The official form is the standard. Because a substitute form is a variation from the official form,
you should know the requirements of the official form for the year of use before you modify it to
meet your needs. To obtain the most frequently used tax forms, visit IRS.gov/Forms.

3.1.2
Design

Each form must follow the design of the official form as to format arrangement, item caption, line
numbers, line references, and sequence.

3.1.3
State Tax Information
Prohibited

Generally, state tax information must not appear on the federal tax return, associated form, or
schedule that is filed with the IRS. Exceptions occur when amounts are claimed on, or required by,
the federal return (for example, state and local income taxes on Schedule A (Form 1040)).

3.1.4
Vertical Alignment of
Amount Fields

THEN...
IF a form is to be...
manually prepared and the official IRS form 1. the entry column must have a vertical line or
still has a separate cents entry field
some type of indicator in the amount field to
separate dollars from cents, and
2. the cents column must be at least 3/10″ wide.
computer generated
1. vertically align the amount entry fields
where possible,and
2. use one of the following amount formats.
a) 0,000,000.
b) 0,000,000.00.

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October 25, 2021

IF a form is to be...
computer prepared

THEN...

1.

2.

3.1.5
Attachment Sequence
Number

you may remove the vertical line in the
amount field that separates dollars from
cents, and
use one of the following amount formats.
a) 0,000,000.
b) 0,000,000.00.

Many individual income tax forms have a required “attachment sequence number” located just
below the year designation in the upper right corner of the form. The IRS uses this number to
indicate the order in which forms are to be attached to the tax return for processing. Some of the
attachment sequence numbers may change from year to year.
The following applies to computer-prepared forms.

3.1.6
Assembly of Forms

•

The sequence number may be printed in no less than 12-point boldface type and centered
below the form’s year designation.

•

The sequence number may also be placed following the year designation for the tax form and
separated with an asterisk.

•

The actual number may be printed without labeling it the “Attachment Sequence Number.”

When developing software or forms for use by others, please inform your customers/clients that
the order in which the forms are arranged may affect the processing of the package. A return must
be arranged in the order indicated below.
IF the form is...
THEN the sequence is...
1040 or 1040-SR
• Form 1040 or 1040-SR, and schedules and forms in attachany other tax return (Form
mentsequence number order.
1120, 1120-S, 1065, 1041, • the tax returns, directly associated schedules (Schedule
etc.)
D, etc.),directly associated forms, additional schedules in
alphabetical order, and additional forms in numerical order.
Supporting statements should then follow in the same sequence as the forms they support. Additional information required should be attached last.
In this way, the forms are received in the order in which they must be processed. If you do not send
returns to the IRS in order, processing may be delayed.

3.1.7
Paid Preparer’s
Information and Signature
Area

On Forms 1040, 1040-SR, 1120, and any other applicable tax forms, the “Paid Preparer Use Only”
area may not be rearranged or relocated. You may, however, add three extra lines to the paid preparer’s address area, and remove the horizontal rules in that area without prior approval.

3.1.8
Some Common Reasons
for Requiring Changes to
Substitute Forms

Some reasons that substitute form submissions may require changes include the following.

October 25, 2021

•

Shading areas incorrectly.

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•

Failing to include a reference to the location of the Paperwork Reduction Act Notice.

•

Not including parentheses for losses.

•

Not including “Attach Statement” when appropriate.

•

Including line references or entry spaces that do not match the official form.

•

Printing text that is different from the official form.

•

Altering the jurat (perjury statement).

•

Having an incorrect OMB number.

•

Including the IRS catalog number (Cat. No.) on the form.

•

Failing to include preprinted amounts in entry fields.

•

Missing IRS source code or NACTP software ID.

•

Incorrect dimensions.

Section 3.2 – Paper

3.2.1
Paper Content

3.2.2
Paper With Chemical
Transfer Properties

The paper must be:
•

Chemical wood writing paper that is equal to or better than the quality used for the official
form,

•

At least 18 pound (17″ x 22″, 500 sheets), or

•

At least 50 pound offset book (25″ x 38″, 500 sheets).

There are several kinds of paper prohibited for substitute forms. These are:
1.

Carbon-bonded paper, and

2.

Chemical transfer paper except when the following specifications are met.
a.

Each ply within the chemical transfer set of forms must be labeled.

b.

Only the top ply (ply one and white in color), the one that contains chemical on the back
only (coated back), may be filed with the IRS.

Example. A set containing three plies would be constructed as follows: ply one (coated back),
“Federal Return, File with IRS”; ply two (coated front and back), “Taxpayer’s copy”; and ply
three (coated front), “Preparer’s copy.”
The file designation, “Federal Return, File with IRS” for ply one, must be printed in the bottom
right margin (just below the last line of the form) in 12-point boldface type.
It is not mandatory, but recommended, that the file designation “Federal Return, File with IRS” be
printed in a contrasting ink for visual emphasis.

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3.2.3
Paper and Ink Color

It is preferred that the color and opacity of paper substantially duplicate that of the original form.
This means that your substitute must be printed in black ink and may be on white paper or on the
colored paper the IRS form is printed on. Form 1040 or 1040-SR substitute reproductions may be
in black ink without the colored shading. The only exception to this rule is Form 1041-ES, which
should be printed with a PMS 100 yellow shading in the color screened area. This is necessary to
assist us in expeditiously separating this form from the very similar Form 1040-ES.

3.2.4
Page Size

Substitute or reproduced forms and computer-prepared/-generated substitutes may be the same
size as the official form or they may be the standard commercial size (8.5″ x 11″). The thickness
of the stock cannot be less than 0.003 inches.

Section 3.3 – Printing

3.3.1
Printing Medium

The private printing of all substitute tax forms must be by conventional printing processes, photocopying, computer graphics, or similar reproduction processes.

3.3.2
Legibility

All forms must have a high standard of legibility as to printing, reproduction, and fill-in matter.
Entries of taxpayer data may be no smaller than 8 points. The IRS reserves the right to reject those
with poor legibility. The ink and printing method used must ensure that no part of a form (including text, graphics, data entries, etc.) develops “smears” or similar quality deterioration. This standard must be followed for any subsequent copies or reproductions made from an approved master
substitute form, either during preparation or during IRS processing.

3.3.3
Type Font

Many federal tax forms are printed using “Helvetica” as the basic type font. It is preferred that you
use this type font when composing substitute forms.

3.3.4
Print Spacing

Substitute forms should be printed using a 6 lines/inch vertical print option. They should also be
printed horizontally in 10-pitch pica (that is, 10 print characters per inch) or 12-pitch elite (that is,
12 print positions per inch).

3.3.5
Image Size

The image size of a printed substitute form should be as close as possible to that of the official
form. You may omit any text on both computer-prepared and computer-generated forms that is
solely instructional.

3.3.6
Title Area Changes

To allow a large top margin for marginal printing and more lines per page, the title line(s) for all
substitute forms (not including the form’s year designation and sequence number, when present)
may be photographically reduced by 40% or reset as one line of type. When reset as one line, the
type size may be no smaller than 14 points. You may omit “Department of the Treasury—Internal
Revenue Service” and all references to instructions in the form’s title area.

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3.3.7
Remove Government
Printing Office Symbol and
IRS Catalog Number

When privately printing substitute tax forms, the Government Printing Office (GPO) symbol and/
or jacket number must be removed. In the same place using the same type size, print the Employer
Identification Number (EIN) of the printer or designer or the IRS-assigned source code. (We prefer this last number be printed in the lower left area of the first page of each form.) Also, remove
the IRS catalog number (Cat. No.) and the recycle symbol if the substitute is not produced on
recycled paper.

3.3.8
Printing Single Page Forms

Substitute single page forms should be reproduced the same as IRS single page forms. Other
forms or schedules should not be printed on the back or on blank portions of a single page form.
However, printing instructions on the back or on blank portions of a single page form is acceptable.

3.3.9
Photocopy Equipment

The IRS does not undertake to approve or disapprove the specific equipment or process used in
reproducing official forms. Photocopies of forms must be entirely legible and satisfy the conditions stated in this and other revenue procedures.

3.3.10
Reproductions

Reproductions of official forms and substitute forms that do not meet the requirements of this
revenue procedure may not be filed instead of the official forms. Illegible photocopies are subject
to being returned to the filer for resubmission of legible copies.

3.3.11
Removal of Instructions

Generally, you may remove references to instructions. No prior approval is needed. However, in
some instances, you may be requested to include references to instructions.
Exception. The words “For Paperwork Reduction Act Notice, see instructions” must be retained,
or a similar statement indicating the location of the Notice must be provided on each form.

Section 3.4 – Margins

3.4.1
Margin Size

3.4.2
Marginal Printing

Bulletin No. 2021–43

The format of a reproduced tax form when printed on the page must have margins on all sides at
least as large as the margins on the official form. This allows room for IRS employees to make
necessary entries on the form during processing.
•

A 1/2-inch to 1/4-inch margin must be maintained across the top, bottom, and both sides of
all substitute forms.

•

The marginal, perforated strips containing pin-fed holes must be removed from all forms
prior to filing with the IRS.

Prior approval is not required for the marginal printing allowed when printed on an official form
or on a photocopy of an official form.

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October 25, 2021

•

With the exception of the actual tax return forms (for example, Forms 1040, 1040-SR, 1120,
940, 941, etc.), you may print in the left vertical margin and in the left half of the bottom
margin.

•

Printing is never allowed in the top right margin of the tax return form (for example, Forms
1040, 1040-SR, 1120, 940, 941, etc.). The IRS uses this area to imprint a Document Locator
Number for each return. There are no exceptions to this requirement.

Section 3.5 – Miscellaneous Information for Substitute Forms

3.5.1
Filing Substitute Forms

To be acceptable for filing, a substitute form must print out in a format that will allow the filer to
follow the same instructions that accompany official forms.
The form must be legible, must be on the appropriately sized paper, and must include a jurat (perjury statement) where one appears on the published form.

3.5.2
Caution to Software
Publishers

The IRS has received returns produced by software packages with approved output where either
the form heading was altered or the lines were spaced irregularly. This produces an illegible or
unrecognizable return or a return with the wrong number of pages. We realize that many of these
problems are caused by individual printer differences but they may delay input of return data and,
in some cases, generate correspondence to the taxpayer. Therefore, in the instructions to the purchasers of your product, both individual and professional, please stress that their returns will be
processed more efficiently if they are properly formatted. This includes:
•

Having the correct form numbers, six-digit form identifying numbers, and titles at the top of
the return; and

•

Submitting the same number of pages as if the form were an official IRS form with the line
items on the proper pages.

3.5.3
Caution to Producers of
Software Packages

If you are producing a software package that generates name and address data onto the tax return,
do not, under any circumstances, program either the IRS preprinted check digits or a practitioner-derived name control to appear on any return prepared and filed with the IRS.

3.5.4
Programming to Print
Forms

Whenever applicable:

October 25, 2021

•

Use only the following label information format for single filers: JOHN Q. DOE 000 OAK
DRIVE HOMETOWN, STATE 00000

•

Use only the following information for joint filers: JOHN Q. DOE MARY Q. DOE 000 OAK
DRIVE HOMETOWN, STATE 00000

•

Use “0” for number values and “X” for alpha characters entered in data entry fields as dummy
copy.

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Part 4
Additional Resources

Section 4.1 – Guidance From Other Revenue Procedures

4.1.1
General

The IRS publications listed below provide guidance for substitute tax forms not covered in this
revenue procedure. These publications are available on the IRS website. Use the publication number listed below to search for the requested document.
•

Pub. 1141, General Rules and Specifications for Substitute Forms W-2 and W-3.

•

Pub. 1179, General Rules and Specifications for Substitute Forms 1096, 1098, 1099, 5498,
and Certain Other Information Returns.

•

Pub. 1223, General Rules and Specifications for Substitute Forms W-2c and W-3c.

•

Pub. 4436, General Rules and Specifications for Substitute Form 941, Schedule B (Form
941), Schedule D (Form 941), Schedule R (Form 941), and Form 8974.

•

Pub. 5223, General Rules and Specifications for Affordable Care Act Substitute Forms 1095A, 1094-B, 1095-B, 1094-C, and 1095-C.

Section 4.2 – Electronic Tax Products

4.2.1
The IRS Website

Copies of tax forms, their instructions, publications, fillable forms, and prior year forms and publications may be found on the IRS website at IRS.gov/FormsPubs.
Draft forms and instructions may be found at IRS.gov/DraftForms.
Other tax-related information may be found at IRS.gov.

4.2.2
System Requirements
and Ordering Forms and
Instructions

For system requirements, contact the National Technical Information Service (NTIS) at NTIS.gov.
Prices are subject to change.
You can order IRS forms and other tax material at IRS.gov/OrderForms.
Part 5
Requirements for Specific Tax Returns

Section 5.1 – Tax Returns (Forms 1040, 1040-SR, 1120, etc.)

5.1.1
Acceptable Forms

Bulletin No. 2021–43

Tax return forms (such as Forms 1040, 1040-SR, and 1120) require a signature and establish tax
liability. Computer-generated versions are acceptable under the following conditions.

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October 25, 2021

5.1.2
Prohibited Forms

•

These substitute forms must be printed on plain white paper.

•

Substitute forms must conform to the physical layout of the corresponding IRS form although
the typeface may differ. The text should match the text on the officially published form as
closely as possible. Condensed text and abbreviations will be considered on a case-by-case
basis. Caution. All jurats (perjury statements) must be reproduced verbatim. No text can be
added, deleted, or changed in meaning.

•

Various computer graphic print media such as laser printing, inkjet printing, etc., may be used
to produce the substitute forms.

•

The substitute form must be the same number of pages and contain the same text on the lines
as the official form.

•

All substitute forms must be submitted for approval prior to their original use. You do not
need approval for a substitute form if its only change is the preprinted year and you had
received a prior year approval letter. Exception. If the approval letter specifies a one-time
exception for your form, the next year’s form must be approved.

The following are prohibited.
•

Computer-generated tax forms (for example, Form 1040, 1040-SR, etc.) on lined or color-barred paper.

•

Tax forms that differ from the official IRS forms in a manner that makes them nonstandard or
unable to process.

5.1.3
Changes Permitted to Form
1040

Certain changes (listed in Section 5.2) are permitted to the graphics of the form without prior
approval, but these changes apply to only acceptable preprinted forms. Changes not requiring
prior approval are good only for the annual filing period, which is the current tax year. Such
changes are valid in subsequent years only if the official form does not change.

5.1.4
Other Changes Not Listed

All changes not listed in Section 5.2 require approval from the IRS before the form can be filed.

Section 5.2 – Changes Permitted to Graphics (Form 1040 or 1040-SR)

5.2.1
Adjustments

You may make minor vertical and horizontal spacing adjustments to allow for computer or word
processing printing. This includes widening the amount columns or tax entry areas if the adjustments comply with other provisions stated in revenue procedures. No prior approval is needed for
these changes.
Schedules 1–3 cannot be combined for filing purposes. For the client copy of the return, the numbered schedules may be printed two to a page (for example, Schedule 3 below Schedule 2, if both
are completed as part of the return). If numbered schedules are combined on the client copy, it
must include a statement that it is “Not for Filing.”

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5.2.2
Name and Address Area

The horizontal rules and instructions within the name and address area may be removed and the
entire area left blank. No line or instruction can remain in the area. The heavy-ruled border (when
present) that outlines the name, address area, and social security number must not be removed,
relocated, expanded, or contracted.

5.2.3
Required Format

When the name and address area is left blank, the following format must be used when printing
the taxpayer’s name and address.

5.2.4
Conventional Name and
Address Data

•

1st name line (35 characters maximum).

•

2nd name line (35 characters maximum).

•

In-care-of name line (35 characters maximum).

•

City, state (25 characters maximum), one blank character, and ZIP code.

When there is no in-care-of name line, the name and address will consist of only three lines (single
filer) or four lines (joint filer).
Example of joint filer. Name and address (joint filer) with no in-care-of name line:
JOHN Q. DOE
MARY Q. DOE
000 ANYWHERE ST., APT. 000
ANYTOWN, STATE 00000
Example of in-care-of name line. Name and address (single filer) with in-care-of name line:
JOHN Q. DOE
C/O JOHN R. DOE
0000 SOMEWHERE AVE.
SAMETOWN, STATE 00000

5.2.5
SSN and Employer
Identification Number
(EIN) Area

The broken vertical lines separating the format arrangement of the SSN/EIN may be removed.
When the vertical lines are removed, the SSN and EIN formats must be 000-00-0000 or
00-0000000, respectively.

5.2.6
Entering Cents

•

You may remove the vertical rule that separates the dollars from the cents if it is still included
on the official IRS form.

•

All entries in the amount column should have a decimal point following the whole dollar
amounts whether or not the vertical line that separates the dollars from the cents is present.

•

You may omit printing the cents, but all amounts entered on the form must follow a consistent
format. You are strongly urged to round off the figures to whole dollar amounts, following the
official form instructions.

•

When several amounts are added together, the total should be rounded off after addition (that
is, individual amounts should not be rounded off for computation purposes).

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•

When printing money amounts, you must use one of the following formats: (a) 0,000,000;
(b) 0,000,000.00.

•

When there is no entry for a line, leave the line blank.

5.2.7
Changes to Lines

No prior approval is needed for the following changes (for use with computer-prepared forms
only). Specific line numbers in the following headings may have changed due to tax law changes.

5.2.8
Dependents on Form 1040

The vertical lines separating columns (1) through (4) may be removed. The captions may be shortened to allow a one-line caption for each column.

5.2.9
Other Lines

Any other line with text that takes up two or more vertical lines may be compressed to one line by
using contractions, etc., and by removing instructional references.

5.2.10
Form 1040 – Tax

You may change the line caption to read “Tax” and computer print the words “Total includes tax
from” and either “Form(s) 8814” or “Form 4972” or “962 election.” If both forms are used, print
both form numbers. This specific line number may have changed.

5.2.11
Color Screening

It is not necessary to duplicate the color screening used on the official form. A substitute Form
1040 or 1040-SR may be printed in black and white only with no color screening.

5.2.12
Other Changes Prohibited

No other changes to the Form 1040 or 1040-SR graphics are permitted without prior approval
except for the removal of instructions and references to instructions.
Part 6
Format and Content of Substitute Returns

Section 6.1 – Acceptable Formats for Substitute Forms and Schedules

6.1.1
Exhibits and Use of
Acceptable Formats

October 25, 2021

Exhibit A is an acceptable format for Form 1040-ES.
•

If your computer-generated Form 1040-ES appears exactly like Exhibit A, no prior authorization is needed.

•

You may computer-generate forms not shown here, but you must design them by following
the manner and style discussed in Part 3.

•

Take care to observe the other requirements and conditions in this revenue procedure. The
IRS encourages the submission of all proposed forms covered by this revenue procedure.

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6.1.2
Instructions

The format of each substitute form or schedule must follow the format of the official form or
schedule as to item captions, line references, line numbers, sequence, form arrangement and format, etc. Basically, try to make the form look like the official one, with readability and consistency
being primary factors. You may use periods and/or other similar special characters to separate the
various parts and sections of the form. Do not use alpha or numeric characters for these purposes.
All line numbers and items must be printed even though an amount is not entered on the line.

6.1.3
Line Numbers

When a line on an official form is designated by a number or a letter, that designation (reference
code) must be used on a substitute form. The reference code must be printed to the left of the text
of each line and immediately preceding the data entry field, even if no reference code precedes
the data entry field on the official form. If an entry field contains multiple lines and shows the line
references once on the left and right side of the form, use the same number of line references on
the substitute form.
In addition, the reference code that is immediately before the data field must either be followed
by a period or enclosed in parentheses. There must also be at least two blank spaces between the
period or the right parenthesis and the first digit of the data field. (See Section 6.1.4.)

6.1.4
Decimal Points

A decimal point (a period) should be used for each money amount regardless of whether the
amount is reported in dollars and cents or in whole dollars, or whether or not the vertical line that
separates the dollars from the cents is present. The decimal points must be vertically aligned when
possible.
Example:
5 State and local taxes
a State and local income taxes.....................
b State and local real estate taxes................
c State and local personal property taxes....

5a.

000.00

5b.

5c.

000.00

(5a)

000.00

or

a State and local income taxes.....................
b State and local real estate taxes................
c State and local personal property taxes....

6.1.5
Multi-Page Forms

(5b)

(5c)

000.00

When submitting a multi-page form, send all its pages in the same package. If you will not be
producing certain pages, please note that in your cover letter.

Section 6.2 – Additional Instructions for All Forms

6.2.1
Use of Your Own Internal
Control Numbers and
Identifying Symbols

You may show the computer-prepared internal control numbers and identifying symbols on the
substitute if using such numbers or symbols is acceptable to the taxpayer and the taxpayer’s representative. Such information must not be printed in the top 1/2-inch clear area of any form or
schedule requiring a signature.
Except for the actual tax return form (Forms 1040, 1040-SR, 1120, 940, 941, etc.), you may print
in the left vertical and bottom left margins. The bottom left margin you may use extends 31/2

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October 25, 2021

inches from the left edge of the form. You may print internal control numbers in place of the
removed IRS catalog number.

6.2.2
Required Software ID
Number (Source Code)
on Computer- Prepared
Substitutes

In the February 2009 Government Accountability Office (GAO) report, “Many Taxpayers Rely on
Tax Software and IRS Needs to Assess Associated Risks” (GAO-09-297), the GAO recommended
that the IRS require a software identification number on all individual returns to specifically identify the software package used to prepare each tax return. The IRS already has this capability for
all e-filed returns. In addition, many tax preparation software firms already print an IRS-issued
3-letter Source Code on paper returns that are generated by their individual tax software. This
Source Code was assigned when the firms were seeking substitute forms approval under this
current publication.
In order to follow this GAO recommendation, the IRS will require that all tax preparation software firms include the 3-letter Source Code on all paper tax returns created by their individual tax
preparation software. The many firms that currently have and display their Source Code on paper
returns generated from their software should continue to do so, and no change is necessary.
We have reviewed all software companies that passed Assurance Testing System (ATS) testing
last filing season and have determined that some firms do not currently have a Source Code. To
save you the burden of contacting us and for your convenience, we have assigned Source Codes
to those firms.
You should program your Source Code to be placed in the bottom left-hand corner of page one of
each paper form that will be generated by your individual tax return package. You do not need to
apply for a new Source Code annually.
If you already use a 3-letter Source Code and we have issued you one in error, you are unsure if
you were ever issued one, or have other questions or concerns, you may contact Tax Forms and
Publications Special Services Section at substituteforms@irs.gov.

6.2.3
Descriptions for Captions,
Lines, etc.

Descriptions for captions, lines, etc., appearing on the substitute forms may be limited to one print
line by using abbreviations and contractions, and by omitting articles, prepositions, etc. However,
sufficient keywords must be retained to permit ready identification of the caption, line, or item.

6.2.4
Determining Final Totals

Explanatory detail and/or intermediate calculations for determining final line totals may be
included on the substitute. We prefer that such calculations be submitted in the form of a supporting statement. If intermediate calculations are included on the substitute, the line on which they
appear may not be numbered or lettered. Intermediate calculations may not be printed in the right
column.
This column is reserved only for official numbered and lettered lines that correspond to the ones
on the official form. Generally, you may choose the format for intermediate calculations or subtotals on supporting statements to be submitted.

6.2.5
Instructional Text on the
Official Form

October 25, 2021

Text on the official form, which is solely instructional (for example, “See instructions,” etc.), may
generally be omitted from the substitute form.

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6.2.6
Intermingling Is Prohibited

Showing more than one form or schedule on the same printout page is prohibited. Both sides of
the paper may be used for multi-page forms, but it is unacceptable to intermingle forms.
For instance, Schedule E can be printed on both sides of the paper because the official form is
multi-page, with page 2 continued on the back. However, do not print Schedule E on the front
page and Schedule SE on the back page, or Schedule A on the front and Form 8615 on the back,
etc. Both pages of a substitute form must match the official form. The back page may be left blank
if the back page of the official form contains only the instructions.

6.2.7
Identifying Substitutes

Identify all computer-prepared substitutes clearly. Print the form designation 1/2 inch from the
top margin and 11/2 inches from the left margin. Print the title centered on the first line of print.
Print the tax year and, where applicable, the sequence number on the same line 1/2 inch to 1 inch
from the right margin.
Include the taxpayer’s name and SSN on all forms and attachments. Also, print the OMB number
as reflected on the official form.

6.2.8
Negative Amounts

Negative (or loss) amount entries should be enclosed in brackets or parentheses or include a minus
sign. This assists in accurate computation and input of form data. The IRS preprints parentheses
in negative data fields on many official forms. These parentheses should be retained or inserted on
printouts of affected substitute forms.
Part 7
Miscellaneous Forms and Programs

Section 7.1 – Specifications for Substitute Schedules K-1

7.1.1
Requirements for Schedules
K-1 That Accompany
Forms 1041, 1065, and
1120-S

Because of significant changes to improve processing, prior approval is now required for substitute
Schedules K-1 that accompany Form 1041 (for estates and trusts), Form 1065 (for partnerships),
or Form 1120-S (for S corporations). Substitute Schedules K-1 should be as close as possible to
exact replicas of copies of the official IRS schedules and follow the same process for submitting
other substitute forms and schedules. Before releasing their substitute forms, software vendors are
responsible for making any subsequent changes that have been made to the final official IRS forms
after the draft forms have been posted.
Submit substitute Schedule K-1 forms, in PDF format, to scrips@irs.gov for scannability acceptance. Schedule K-1 forms that require testing do not need to be mailed to the Program. You must
include information on the substitute that can be tested. This information should be dummy information. Use an “X” for alpha characters and “0” for numbers. The IRS will review and provide
feedback of any changes needed so that your forms can be recognized correctly.
Include the 6-digit form ID code in the upper right of Schedules K-1 of Forms 1041, 1065, and
1120-S. Please allow at least 1/4 inch of white space around the 6-digit code.

Bulletin No. 2021–43

•

661117 for Form 1041.

•

651121 for Form 1065.

•

671121 for Form 1120-S.

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October 25, 2021

Schedules K-1 that accompany Forms 1041, 1065, or 1120-S must meet all specifications. The
specifications include, but are not limited to, the following requirements.
•

You will no longer be able to produce Schedules K-1 that contain only those lines or boxes
that taxpayers are required to use. All lines must be included.

•

The words “*See attached statement for additional information.” must be preprinted in the
lower right-hand side on Schedules K-1 of Forms 1041, 1065, and 1120-S.

•

All Schedules K-1 that are filed with the IRS should be printed on standard 8.5” x 11” paper
(the international standard (A4) of 8.27” x 11.69” may be substituted).

•

10-point Helvetica Light Standard is preferred for all entries that are typed or made using a
computer.

•

Submissions should include IRS Source Code or NACTP vendor ID code printed on the
lower left corner of the form or in place of the IRS catalog number.

•

Each recipient’s information must be on a separate sheet of paper. Therefore, you must separate all continuously printed substitutes, by recipient, before filing with

[Text truncated at 120,000 characters. The full text is on the page linked above.]

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/agency%3Airs%3A4be5ae4c2dc63bcd. Public record. Not legal advice.
