Section 1: claimant
Name of the individual claimant and the last four digits of the SSN or ITIN, the spouse's name and TIN if applicable, address, claim number(s) and telephone number.
14693
Application for Reduced Rate of Withholding on Whistleblower Award Payment
- Agency
- IRS
- Revision
- February 2017
- Fillable fields
- 22
- Pages
- 2
- Official source
- IRS form page
- Checked
- October 21, 2026
Form 14693: Application for Reduced Rate of Withholding on Whistleblower Award Payment
Form 14693 is the application for a reduced rate of withholding on a whistleblower award payment. Its instructions say to use it only if you have been notified that you are due to receive a whistleblower award under Section 7623(b) and you want to reduce the rate of withholding on the award.
The form asks for the claimant's details, the attorney whose fees will be deducted, the amount of attorney fees and court costs connected with the award that the claimant intends to claim on a federal income tax return, and documents that support those amounts. The instructions say the application is considered only if the Whistleblower Office receives it within 30 days from the date printed on the form.
This edition is dated February 2017 and prints its instructions on page 2. You can fill out Form 14693 free in your browser on this page and download the result without an account.
What's on Form 14693
Section 2: attorney
Name, address and telephone number of the attorney whose fees will be deducted, if applicable.
Section 3: attorney fees and court costs
Line 3a is the amount of the deduction for attorney fees and court costs connected with the award. Line 3b asks whether any attorney fees are paid on a contingency basis.
Section 4: attachments
A list of supporting documents: the fee agreement, bills for attorney fees, bills for court costs, and any other supporting information.
Declaration and signature
A declaration under penalties of perjury, signed and dated by the claimant or authorized representative.
How to fill out Form 14693
- 1
Section 1
Enter the claimant's last name, first name and middle initial, the spouse's if applicable, the address, only the last four digits of the SSN or ITIN, the claim numbers and the phone number.
- 2
Section 2
Enter the name, address and phone number of the attorney whose fees will be deducted.
- 3
Section 3
Enter the dollar amount of attorney fees and court costs the claimant intends to deduct on the tax return, and check Yes or No for fees paid on a contingency basis.
- 4
Section 4
Attach the agreement between claimant and attorney, the bills for attorney fees and court costs, and any other documents that support the amounts.
- 5
Sign and date
The instructions say the request is not complete or valid unless the declaration is signed with an original signature and date. A representative attaches a valid Form 2848.
Why fill Form 14693 on indox
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Where to send it and the deadline
Where to send
The form says to send it, with supporting attachments, to Internal Revenue Service, Whistleblower Office, 1111 Constitution Ave., NW, Washington, DC 20224.
30-day window
The instructions say the Whistleblower Office receives the application within 30 days from the date printed on the form for it to be considered for a reduced withholding rate.
Original signature
The instructions say the request is not considered complete or valid without an original signature and date on the declaration.
Representative signing
If an authorized representative signs, the form says to provide a valid Form 2848, Power of Attorney and Declaration of Representative, with original signatures.
Related forms
Who files Form 14693?
The claimant files it with the IRS Whistleblower Office. The top of the form has a box for the date the form was sent to the claimant, for IRS use only.
Official sources and the blank
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Questions about Form 14693
Who can use Form 14693?
The instructions say to use it only if you have been notified that you are due to receive a whistleblower award under Section 7623(b) and want to reduce the rate of withholding on it.
What is the deadline for Form 14693?
The instructions say the Whistleblower Office receives it within 30 days from the date printed on the form for it to be considered.
Where do I send Form 14693?
To Internal Revenue Service, Whistleblower Office, 1111 Constitution Ave., NW, Washington, DC 20224, with the supporting attachments.
Does the form ask for the full Social Security number?
No. The form asks for the last four digits only of the claimant's and the spouse's SSN or ITIN.
Can someone else sign it?
The instructions say the claimant or an authorized representative may sign. A representative provides a valid Form 2848 with original signatures and date.
What documents go with it?
The form lists the fee agreement with the attorney, bills for attorney fees, bills for court costs, and any other information that supports the deduction.