Names and date of birth
Full name at birth, date of birth and any other name used on your returns.
15116
Information Sheet
- Agency
- IRS
- Revision
- April 2022
- Fillable fields
- 17
- Pages
- 1
- Official source
- IRS form page
- Checked
- October 21, 2026
Form 15116: Information Sheet
Form 15116, Information Sheet, is a one-page Department of the Treasury, Internal Revenue Service form dated April 2022. It asks for your full name at birth and date of birth, any other name used on your returns, your mother's full name at birth and your father's full name, and whether you have ever applied for or had a Social Security number. If the answer is yes, it asks for the state, the date received and the number you received.
It also asks for your current mailing address, work and home telephone numbers and convenient hours for the IRS to call you. The form prints no instructions beyond one line, and no purpose statement, mailing address or signature line.
You can fill it out free in your browser on this page and download the result without an account.
What's on Form 15116
Parents' names
Mother's full name at birth and father's full name.
Social Security number history
A Yes or No question on whether you have ever applied for or had a Social Security number, then the name of state, the date received and the number you received.
Current mailing address
Street, city, state and ZIP code.
Telephone and call times
Work and home telephone numbers and convenient hours for the IRS to call you.
How to fill out Form 15116
- 1
Names and date of birth
Enter your full name at birth and date of birth, then any other name used on your returns.
- 2
Parents
Enter your mother's full name at birth and your father's full name.
- 3
Social Security number question
Check Yes or No. If you answered yes, the form says to complete the information about where and when you received your Social Security number: the state, the date and the number.
- 4
Mailing address
Enter your current street, city, state and ZIP code.
- 5
Telephone
Enter work and home telephone numbers and the hours when a call is convenient.
Why fill Form 15116 on indox
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- The official blank straight from the IRS, not a copy someone retyped
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Where it goes and what it leaves out
Where it goes
The form prints no mailing address, fax number or deadline. Its header names the Department of the Treasury, Internal Revenue Service.
No signature line
The form has no signature or date line and no penalties of perjury statement.
No separate instructions
Apart from the line under the Social Security number question, the form carries no instructions.
Related forms
Who fills out Form 15116?
The questions are written to the person the sheet describes, and the answers go to the IRS.
Official sources and the blank
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Questions about Form 15116
Does Form 15116 have instructions?
No separate instructions. Apart from the line telling you to complete the Social Security number details if you answered yes, the form carries no instructions.
Do I sign Form 15116?
The form has no signature or date line.
What if I never had a Social Security number?
The form asks for the state, the date received and the number only if you answered yes to having applied for or had one.
Where do I send Form 15116?
The form prints no address. It is an IRS form, and it asks for "Convenient hours for us to call you."