Independent form guide. BrieflyGo is not affiliated with or endorsed by IRS, USCIS, SSA, DOL, or any U.S. government agency. Official forms are sourced from public government websites.
Official form guide
Form 12203A: Request for Appeal
The IRS Form 12203A is used to request an appeal of a Notice of Denial or Revocation of CE Provider status for Continuing Education Providers. The form must be received within 30 calendar days of the denial or revocation letter date.
Need help with Form 12203A?
Open it in the AI Editor for field guidance, checks, and PDF export.
Need help? AI Editor guides you through every field of Form 12203A.
Start filling →Form Overview
IRS Form 12203A - Request for Appeal
The IRS Form 12203A is used to request an appeal of a Notice of Denial or Revocation of CE Provider status for Continuing Education Providers. The form must be received within 30 calendar days of the denial or revocation letter date.
Risk Radar
Scan points- 1Failing to submit the appeal within 30 calendar days of the denial/revocation letter date may result in a two-year prohibition from reinstatement.
- 2Omitting the signature(s) and date from the form's designated spaces.
- 3Failing to identify which item(s) are disagreed with on Letter 4890 or Letter 5015.
- 4Not attaching all supporting information, explanations, or documents for the appeal.
- 5Missing the 30 calendar day deadline following a notice of denial or revocation letter.
Plain English
This form allows Continuing Education Providers to formally appeal decisions made by the IRS regarding their approved CE Provider status. If a provider disagrees with a Notice of Denial or Revocation, they must submit this appeal and supporting documents using Form 12203A.
Submission Date
- Filing date: 2019-05-08 22:10:08
- Preparation window: collect IDs, supporting records, and signatures in advance.
- Final review: verify names, dates, and required fields before submission.
AI co-pilot
Fill it faster. Catch mistakes before you file.
Glossary Terms
No matched glossary terms in this overview yet.
Hover a term to preview the meaning.
What this form is for
- Use this form when appealing a Letter 4890 Notice of Denial or a Letter 5015 Notice of Revocation regarding IRS-approved CE Provider status.
- Do not use this form if the appeal relates to matters other than the specific denial or revocation notices listed.
- No alternative forms are referenced in the official source.
Form selector
Use this form or another form?
Received a Notice of Denial (Letter 4890)
The notice specifies the items that require an appeal for CE Provider status.
✓ Ensure your disagreement is specific to an item listed on this letter.
Received a Notice of Revocation (Letter 5015)
This letter establishes the deadline and consequences if no action is taken within 30 calendar days.
✓ Confirm the revocation date used for calculating the appeal deadline.
Need to submit outstanding PTIN records
These records must be submitted separately within a different timeframe (10 calendar days).
✓ Verify that any required PTIN submissions are handled via a separate process.
Deadline or filing window
The IRS must receive this form within 30 calendar days of the date on the Letter 4890 Notice of Denial or Letter 5015 Notice of Revocation. There is no mention of an automatic extension period for this appeal.
Checklist
What you need before filling it out
Identifying item(s) disagreed with
Details regarding disagreement must be taken directly from the Letter 4890 Notice of Denial or the Letter 5015 Notice of Revocation. · [Form p.1] Catalog Number 68271P
Reason why you disagree
A detailed explanation referencing appropriate Continuing Education Provider Standards. · [Form p.1] Catalog Number 68271P
Provider Name and Address
The full legal name and mailing address of the continuing education provider. · [Form p.1] Catalog Number 68271P
Designated Official Signature(s)
Physical signatures and corresponding dates from the designated official for the provider. · [Form p.1] Catalog Number 68271P
Before you submit
- 1Complete all information in the spaces provided, including Program name, Year of review, and mailing address.
- 2Identify every item disagreed with on Letter 4890 or Letter 5015 Notice.
- 3Provide clear reasons for disagreement, referencing appropriate Continuing Education Provider Standards.
- 4Attach all supporting information, explanations, or documents to the appeal.
- 5Sign and date the form as the Designated Official for the Provider Name.
- 6If mailing, use the address listed on the original denial or revocation letter.
- 7Ensure the IRS receives the completed form within 30 calendar days of the date of the denial or revocation letter.
How to file this form
- 1Complete all required information on Form 12203A, including the provider's name, program details, and mailing address.
- 2Identify every item disagreed with and provide a detailed reason for disagreement, citing CE Provider Standards.
- 3Attach all supporting documentation and explanations that validate the appeal.
- 4Submit the completed form either by uploading it through your secure email in your online CE provider account or by mailing it to the required address. Proof of submission is necessary.
Known limitations
- 1The form is used only to appeal a Letter 4890 Notice of Denial or a Letter 5015 Notice of Revocation regarding CE Provider status.
- 2If the appellant received a Letter 5015 Notice of Revocation and takes no action within 30 calendar days, they will be removed from the public listing and prohibited from reinstatement for two years.
- 3Outstanding PTIN records must be submitted separately within 10 calendar days.
Field map
Compact field-by-field guide
General Info
2 items
Full legal name and taxpayer identification number (SSN or EIN).
Current mailing address.
Details
2 items
Complete all applicable sections of this form according to the official IRS instructions.
Enter the relevant dollar amount if this form involves tax calculation.
Certification
1 items
Read and acknowledge any certifications required by this form.
Signatures
1 items
Sign and date. Unsigned forms cannot be processed.
Almost done reviewing the fields?
Fillable formOpen in Editor->The current edition is Rev. 4-2019, dated April 2019. The official source does not point to a 'latest information' page or describe any changes since this revision.
What changed or needs a fresh check
- Edition date — confirm the revision is 4-2019, dated April 2019.
- Fee — Not stated in the official source.
- Mailing address — Use the address provided on the Letter 4890 or Letter 5015 notice.
- Signature — The form requires signatures and dates from the Designated Official for Provider Name.
Quick Facts
Downloads
After you file
- 1The user must complete this form in its entirety.
- 2All supporting information, explanations, or documents for the appeal must be attached to the form.
- 3The completed form can be uploaded through the secure email in the online CE provider account.
- 4Alternatively, the form can be mailed to the address listed on the Letter 4890 or Letter 5015.
Sources
- SRCInstructions p.1 — The appeal must be received by the IRS within 30 calendar days of the date of the denial or revocation letter.
- SRCInstructions p.1 — Appeals are for a Letter 4890 Notice of Denial or a Letter 5015 Notice of Revocation.
- SRCInstructions p.1 — Submission options include uploading through secure email in an online CE provider account or mailing it to the address on the Letter 4890 or Letter 5015.
- SRCInstructions p.1 — If no action is taken within 30 calendar days after receiving a Letter 5015 Notice of Revocation, the individual will be removed from the public listing and prohibited from reinstatement for two years.
- SRCInstructions p.1 — Any outstanding PTIN records not uploaded must be submitted within 10 calendar days.
- SRCInstructions p.1 — The form requires the appellant to identify items they disagree with on Letter 4890 or Letter 5015.
Common confusion points
If I disagree with something that is not a Notice of Denial or Revocation, can I still use this form?
This form is specifically for appealing Letters 4890 (Notice of Denial) or Letter 5015 (Notice of Revocation).
→ Use this form only if your appeal relates to one of those two specific notices.
What are the acceptable ways to submit my completed appeal?
The form can be uploaded through a secure email in an online CE provider account, or it can be mailed.
→ Always use the submission method specified on the Letter 4890 or Letter 5015 notice.
How long do I have to file this appeal after receiving the denial or revocation letter?
The IRS must receive the form within 30 calendar days of the date of the denial or revocation letter.
→ Missing this deadline may invalidate the appeal.
Where should I send the physical copy of the completed form?
Mail the form to the address provided on the Letter 4890 or Letter 5015 notice.
→ Do not use a general IRS mailing address; check the specific notice letter for instructions.
If my appeal is successful, what happens next regarding my status?
Once a valid appeal is received, a determination will be made, and the appellant will receive a notice stating if the appeal was upheld or overturned.
→ The form does not guarantee reinstatement; it only initiates the review process.
Do I need to include documents with my appeal?
Yes, the user must attach all supporting information, explanations, or documents for the appeal to be considered valid.
→ Supporting documentation is required alongside completing the form in its entirety.
Questions about IRS Form 12203A
What is IRS Form 12203A used for?
This form allows Continuing Education Providers to formally appeal decisions made by the IRS regarding their approved CE Provider status. If a provider disagrees with a Notice of Denial or Revocation, they must submit this appeal and supporting documents using Form 12203A.
Who must file IRS Form 12203A?
Continuing Education Providers (CE Providers) must file IRS Form 12203A to appeal a Letter 4890 Notice of Denial or a Letter 5015 Notice of Revocation.
What information does IRS Form 12203A require?
The form collects the provider's mailing address and details regarding the program name(s) and number(s). It requires identifying specific items disagreed with, along with corresponding CE Provider standard numbers and reasons why they disagree.
When is IRS Form 12203A due?
A valid appeal must be received by the IRS within 30 calendar days of the date of the denial or revocation letter (Letter 4890 or Letter 5015).
Where do I file IRS Form 12203A?
Providers can submit the form either by uploading it through their secure email in their online CE provider account or by mailing it to the address listed on the Letter 4890 or Letter 5015.
How do I complete IRS Form 12203A?
The user must complete all information in the spaces below, including signatures(s) and the date. Supporting documents, explanations, or details regarding disagreement with specific CE Provider standards must also be attached to the form.
What happens if IRS Form 12203A is filed incorrectly?
If a provider receives a Letter 5015 Notice of Revocation and takes no action within 30 calendar days, they will be removed from the public listing and prohibited from reinstatement for two years.
If I disagree with something that is not a Notice of Denial or Revocation, can I still use this form?
This form is specifically for appealing Letters 4890 (Notice of Denial) or Letter 5015 (Notice of Revocation). Use this form only if your appeal relates to one of those two specific notices.
Source transparency
Copyright & Licensing - US Government Forms
BrieflyGo links to and explains official public form sources. We are not a government agency, and this page is for general form guidance, not legal advice.
Understand the agreement before you sign it.
Review risky clauses in plain English, fix the document, and keep it moving toward signature.