Request for Informal Conference Form
You may use this form to request an informal conference to review a proposed assessment or refund denial
- DO use this form if you disagree with either the amount due on a Notice of Proposed Assessment or the Department’s denial of your request for a refund.
- DO attach a copy of the Proposed Assessment or Refund Denial, as well as any supporting documents.
- DO NOT submit this form if you want to request an installment payment agreement, seek a penalty waiver, or submit an offer in compromise based on ability to pay. These forms are available online in the General Purpose Forms section of the Department of Revenue’s website.
- DO NOT submit this form if you have not received a Denial of Refund letter from the Department. A conference will not be granted for a “deemed denial” of a refund claim.
Note - Items marked with an asterisk (*) are required fields.