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Official form guide
Form 12203A: Request for Appeal
Internal Revenue Service Form 12203-A is a Request for Appeal that CE providers use to contest a Letter 4890 Notice of Denial or a Letter 5015 Notice of Revocation of their IRS‑approved continuing education provider status. The IRS must receive it within 30 calendar days.
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IRS Form 12203A - Request for Appeal
Internal Revenue Service Form 12203-A is a Request for Appeal that CE providers use to contest a Letter 4890 Notice of Denial or a Letter 5015 Notice of Revocation of their IRS‑approved continuing education provider status. The IRS must receive it within 30 calendar days.
Risk Radar
Scan points- 1Missing the 30‑day filing deadline results in loss of listing and a two‑year reinstatement ban.
- 2Submitting the appeal after the 30‑calendar‑day deadline.
- 3Leaving the provider’s signature(s) and date blank.
- 4Failing to identify the specific item(s) from the denial or revocation letter.
- 5Not linking the reason for disagreement to a CE Provider standard number.
Plain English
Form 12203-A lets a continuing education provider ask the IRS to reconsider a denial or revocation of its approved status. The provider must fill out the form, explain why it disagrees, attach any evidence, sign it, and send it within the required time.
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.
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What this form is for
- Use this form when you need to appeal a Letter 4890 Notice of Denial or a Letter 5015 Notice of Revocation of your IRS‑approved continuing education provider status.
Form selector
Use this form or another form?
Appealing a Letter 4890 Notice of Denial
Required to request an appeal of denial
✓ Verify the denial letter date
Appealing a Letter 5015 Notice of Revocation
Required to request an appeal of revocation
✓ Verify the revocation letter date
Submitting supporting documents for an appeal
Form must include all attachments for validity
✓ Confirm all documents are attached
Deadline or filing window
The filing window opens when the provider receives a Letter 4890 Notice of Denial or a Letter 5015 Notice of Revocation. The appeal must be received by the IRS within 30 calendar days of that letter. No extension is provided in the instructions.
Checklist
What you need before filling it out
Continuing Education Provider name
Provider’s legal name · Provider’s records
Program number(s)
Program identification numbers · Program documentation
Identify the item(s) you disagree with
Reference to Letter 4890 or Letter 5015 item(s) · The denial or revocation notice
Reason why you disagree
Explanation text · Provider’s appeal narrative
Signature of Designated Official
Signed form with date · Authorized official
Before you submit
- 1Verify the Continuing Education Provider name is entered correctly
- 2Enter the program name and program number(s) accurately
- 3Provide the year of review in the designated field
- 4Identify the specific item(s) from Letter 4890 or Letter 5015 you dispute
- 5Explain the reason for disagreement for each cited CE Provider standard
- 6Include the designated official’s signature and date
- 7Attach all supporting documents referenced in the appeal
How to file this form
- 1Complete all required fields on Form 12203‑A, including provider information and appeal details
- 2Gather and attach the denial or revocation notice and any supporting documentation
- 3Sign the form as the designated official and date it
- 4Upload the completed form through the secure email in the online CE provider account or mail it to the address indicated on the denial/revocation letter
- 5Retain a copy of the submitted form and attachments for your records
Known limitations
- 1This form cannot be used to appeal notices other than Letter 4890 Notice of Denial or Letter 5015 Notice of Revocation.
- 2It applies only to IRS‑approved continuing education providers, not to other taxpayers or entities.
- 3The appeal must be submitted in full with all supporting documentation; partial submissions are invalid.
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->Form 12203-A (Rev. 4‑2019) is the current edition, dated April 2019. The source does not indicate a “latest information” page or note any changes.
What changed or needs a fresh check
- Edition date — confirm the form shows Rev. 4‑2019 (April 2019)
- Fee — Not stated in the official source
- Mailing address — mail to the address on the Letter 4890 or Letter 5015
- Signature — confirm the designated official’s signature and date are provided
Quick Facts
Downloads
After you file
- 1Retain a signed copy of the completed Form 12203‑A for your records.
- 2Await a determination notice from the IRS indicating the appeal is upheld or overturned.
- 3If the appeal concerns a Letter 5015 and no decision is received promptly, verify the two‑year prohibition status before proceeding.
- 4Submit any outstanding PTIN records within 10 calendar days as required.
- 5Ensure the provider’s website no longer claims IRS‑approved status if the revocation stands.
- 6If an error is discovered in the submitted form, prepare and submit a corrected Form 12203‑A as a new appeal.
Sources
- SRCForm p.1 — purpose: appeal a Letter 4890 Notice of Denial or a Letter 5015 Notice of Revocation.
- SRCForm p.1 — filing deadline: IRS must receive the form within 30 calendar days of the denial or revocation letter.
- SRCForm p.1 — submission methods: upload through secure email in online CE provider account or mail to address on the Letter.
- SRCForm p.1 — consequence of no action on Letter 5015: removal from public listing and two‑year prohibition.
- SRCForm p.1 — PTIN requirement: outstanding PTIN records must be submitted within 10 calendar days.
- SRCForm p.1 — required signatures: signature(s) of designated official for provider and date.
- SRCForm p.1 — complete form and attach all supporting information for appeal to be valid.
Common confusion points
Can I use this form for a Letter 4865?
The form’s purpose is limited to Letter 4890 and Letter 5015.
→ Check that the denial or revocation notice is numbered 4890 or 5015.
Do I have to mail the form or can I email it?
Instructions specify upload through secure email in the online CE provider account or mail to the address on the letter.
→ Use the secure upload option or the exact mailing address shown on the letter.
What is the exact filing deadline?
The source mentions a 30‑calendar‑day window from the date of the denial or revocation letter.
→ Count 30 calendar days from the letter’s date.
What happens if I miss the 30‑day deadline?
The source does not provide an exception; missing the deadline leads to removal and a two‑year prohibition for revocations.
→ Confirm the deadline was met; otherwise assume the prohibition applies.
Do I need to attach PTIN records with the appeal?
PTIN submission is a separate requirement, due within 10 calendar days, not part of the appeal form.
→ Submit any outstanding PTIN records within 10 days in addition to the appeal.
How many signatures are required?
The form requires the signature(s) of the designated official for the provider.
→ Include the designated official’s signature and date.
Workflow map
Related forms and next steps
Before
Current
After
Often used with
⚠ If something goes wrong
- Form 12203-A – if no action is taken within 30 calendar days after receiving a Letter 5015 Notice of Revocation, the provider will be removed from the public listing and prohibited from reinstatement for two years.
Questions about IRS Form 12203A
What is IRS Form 12203A used for?
Form 12203-A lets a continuing education provider ask the IRS to reconsider a denial or revocation of its approved status. The provider must fill out the form, explain why it disagrees, attach any evidence, sign it, and send it within the required time.
Who must file IRS Form 12203A?
Continuing Education Providers whose IRS‑approved CE Provider status has been denied (Letter 4890) or revoked (Letter 5015) must file Form 12203-A.
What information does IRS Form 12203A require?
The form collects the provider name, program name and numbers, year of review, mailing address, the specific items disputed from the denial or revocation letter, reasons for disagreement linked to CE Provider standard numbers, and the designated official’s signature and date.
When is IRS Form 12203A due?
The IRS must receive this form within 30 calendar days of the date of the denial or revocation letter.
Where do I file IRS Form 12203A?
Upload the completed form through the secure email option in the provider’s online CE account or mail it to the address shown on the Letter 4890 or Letter 5015.
How do I complete IRS Form 12203A?
First, enter the provider’s name, program details, and mailing address. Next, identify the item(s) from the denial or revocation letter that are being contested and state the reason for disagreement, citing the relevant CE Provider standard numbers. Then attach all supporting documents, have the designated official sign and date the form, and finally submit it via the secure email portal or mail it to the address on the denial/revocation letter.
What happens if IRS Form 12203A is filed incorrectly?
If a provider does not act within 30 calendar days after a Letter 5015 revocation, it is removed from the public listing of IRS‑approved CE providers and barred from reinstatement for two years.
Can I use this form for a Letter 4865?
The form’s purpose is limited to Letter 4890 and Letter 5015. Check that the denial or revocation notice is numbered 4890 or 5015.
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