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Official form guide
Form 15230A: Mobility Statement for the Senior Executive Service Candidate Development Program
Internal Revenue Service Form 15230-A is a Mobility Statement for participants in the Senior Executive Service Candidate Development Program, requiring applicants to acknowledge that SESCDP assignments are at least 120 days and to sign and date the agreement.
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IRS Form 15230A - Mobility Statement for the Senior Executive Service Candidate Development Program
Internal Revenue Service Form 15230-A is a Mobility Statement for participants in the Senior Executive Service Candidate Development Program, requiring applicants to acknowledge that SESCDP assignments are at least 120 days and to sign and date the agreement.
Risk Radar
Scan points- 1Signing the form without indicating agreement or disagreement.
- 2Leaving the Applicant name field blank, which prevents identification of the SESCDP participant.
- 3Failing to sign the statement, resulting in an unsigned mobility acknowledgment that cannot be accepted.
- 4Omitting the date of signature, making it unclear when the applicant agreed to the mobility conditions.
- 5Checking both the “agree” and “do not agree” boxes, creating a contradictory response to the mobility statement.
Plain English
This form is a statement that anyone joining the IRS Senior Executive Service Candidate Development Program must sign. It confirms the person understands they may have to move and work away from their current location for at least 120 days.
Submission Date
- Filing date: 2020-06-16 22:13:48
- 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 are applying to the IRS Senior Executive Service Candidate Development Program and must acknowledge the mobility requirement.
- Do not use it when you are not a candidate for the SESCDP or when the mobility requirement does not apply.
- Check the appropriate IRS form instead when a different program or filing requirement is needed.
Form selector
Use this form or another form?
Applicant declines the mobility requirement
Decline may disqualify from SESCDP
✓ Verify applicant’s decision before submission
Applicant needs to modify the statement language
Modifications are not permitted on this form
✓ Ensure no alterations are made
Applicant submits after the 120‑day assignment period
Assignment length must be at least 120 days
✓ Check that assignment meets minimum days
Deadline or filing window
Not stated in the official source.
Checklist
What you need before filling it out
Applicant name
Full legal name of the applicant · Form field 'Applicant name'
Mobility agreement statement
Acknowledgment of 120‑day minimum assignment · Statement text on the form
Agreement selection
Mark either 'agree' or 'do not agree' box · Checkboxes on the form
Signature
Applicant’s handwritten signature · Signature line
Date
Current date of signing · Date field next to signature
Before you submit
- 1Print the latest Form 15230-A on white paper.
- 2Enter the applicant’s full legal name in the Applicant name field.
- 3Read the mobility statement carefully.
- 4Mark the 'I agree' box if you accept the conditions.
- 5Mark the 'I do not agree' box if you reject the conditions.
- 6Sign on the signature line.
- 7Enter the date of signing next to the signature.
- 8Verify the form revision date reads June 2020.
- 9Ensure no fields are left blank.
- 10Keep a copy of the completed form for your records.
How to file this form
- 1Print the June 2020 edition of Form 15230-A — obtain a hard copy.
- 2Complete the Applicant name field with the full legal name — ensure the field is filled.
- 3Select the appropriate agreement option (agree or do not agree) — record the choice.
- 4Sign the signature line and enter the date — provide a signed and dated form.
- 5Submit the signed form to the SESCDP coordinator — achieve submission receipt.
- 6Retain a copy of the submitted form for your records — preserve proof of filing.
Known limitations
- 1You must verify that the form edition still reads June 2020 (6‑2020); later revisions may change requirements, so re‑check the IRS website.
- 2Because the official source does not list a fee, you cannot assume any payment is required; confirm fee status on the agency portal.
- 3The mailing address is not stated in the official source, so you should locate the correct IRS submission address before sending the form.
- 4Ensure you sign the signature line as required; the official source confirms a signature is mandatory for the Mobility Statement to be valid.
- 5Enter the date next to your signature; the official source specifies a date must be entered, and you should verify its format matches the form.
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 form shows a revision date of June 2020 (6‑2020) on its header. The source does not reference a separate “latest information” page or any changes since that date.
What changed or needs a fresh check
- Edition date — confirm the form shows June 2020 (6‑2020) revision.
- Fee — not stated in the official source.
- Mailing address — not stated in the official source.
- Signature — confirm applicant signs the signature line.
- Date — confirm date is entered next to the signature.
Quick Facts
Downloads
Sources
- SRCForm p.1 — Catalog Number is 74610O
- SRCForm p.1 — Form number is 15230-A (June 2020)
- SRCForm p.1 — Revision date is 06/20
- SRCForm p.1 — Official title is Mobility Statement for the Senior Executive Service Candidate Development Program
- SRCForm p.1 — SESCDP developmental work assignments are a minimum of 120 days
- SRCForm p.1 — Applicant must sign the statement
- SRCForm p.1 — Applicant must date the statement
Common confusion points
Do I need to write my name on the form?
The form includes an 'Applicant name' line.
→ Enter your full legal name in the Applicant name field.
Do I have to sign the form even if I do not agree?
The form provides separate checkboxes for agreeing or not agreeing to the conditions.
→ Select the appropriate checkbox, then sign and date the form.
What revision date should the form have?
The form header displays the revision as (June 2020).
→ Confirm the top of the form reads 'Form 15230-A (June 2020)'.
Is there a catalog number I must reference?
The form lists Catalog Number 74610O at the top.
→ Verify the Catalog Number 74610O appears on the form.
How long must I be willing to be mobile?
The statement requires participation in activities that may require functional, organizational, and geographic mobility, including assignments away from the current duty station.
→ Acknowledge acceptance of potential mobility and assignments away from your current location.
What is the minimum duration for SESCDP developmental work assignments?
The statement specifies assignments are a minimum of 120 days.
→ Ensure any developmental assignment you accept is at least 120 days long.
Questions about IRS Form 15230A
What is IRS Form 15230A used for?
This form is a statement that anyone joining the IRS Senior Executive Service Candidate Development Program must sign. It confirms the person understands they may have to move and work away from their current location for at least 120 days.
Who must file IRS Form 15230A?
The applicant for the Internal Revenue Service Senior Executive Service Candidate Development Program must file IRS Form 15230-A.
What information does IRS Form 15230A require?
The form collects the applicant’s name, the applicant’s agreement or disagreement with the mobility conditions, and the applicant’s signature and date.
How do I complete IRS Form 15230A?
The applicant writes their full name in the Applicant name field. They read the mobility statement and check either the “agree” or “do not agree” box. Finally, they sign the form and enter the date.
Do I need to write my name on the form?
The form includes an 'Applicant name' line. Enter your full legal name in the Applicant name field.
Do I have to sign the form even if I do not agree?
The form provides separate checkboxes for agreeing or not agreeing to the conditions. Select the appropriate checkbox, then sign and date the form.
What revision date should the form have?
The form header displays the revision as (June 2020). Confirm the top of the form reads 'Form 15230-A (June 2020)'.
Is there a catalog number I must reference?
The form lists Catalog Number 74610O at the top. Verify the Catalog Number 74610O appears on the form.
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