Name and Social Security number
The name(s) shown on the return and the taxpayer's Social Security number.
2624
Consent for Third Party Contact
- Agency
- IRS
- Revision
- Rev. 11-2017
- Fillable fields
- 26
- Pages
- 2
- Official source
- IRS form page
- Checked
- October 21, 2026
Form 2624: Consent for Third Party Contact
Form 2624, Consent for Third Party Contact, is a two-page IRS form: page 1 is the form and page 2 holds its instructions. The form says it is used to authorize the IRS to contact a third party on the taxpayer's behalf, or to revoke that authorization. The third party is the financial institution, employer or other payer that reported the income amount in question to the IRS.
The instructions say that before completing the form, the taxpayer first requests corrected income statements or written verification of the correct amount of income from that financial institution, employer or payer. If the taxpayer is unable to get the information, they may ask the IRS to contact the payer, and the IRS requires the taxpayer's consent to do so. The consent lets the payer disclose the records to the IRS for three months from the date of the consent.
You can fill out Form 2624 free in your browser on this page and download it without an account.
What's on Form 2624
Part 1: consent
A statement authorizing a named payer to disclose to the IRS, for three months, records about information returns it filed for a taxable year, with signatures, dates and daytime phone numbers.
Financial institution notice
Part 1 says a financial institution may not disclose financial records except as permitted or required by law, and cannot require the consent as a condition of doing business.
Part 2: payer details
Lines 1 to 5: taxpayer identification number, payer name, account number, payer street address, and payer city, state and ZIP code.
Part 3: revoking consent
A statement revoking a previous consent for a named payer and taxable year, with signatures, dates and daytime phone numbers.
Page 2: instructions
Instructions for each part, an example of a completed consent statement and where to return the form.
How to fill out Form 2624
- 1
Name and SSN
Enter the name(s) shown on the return and the Social Security number.
- 2
Part 1
Fill in the name of the financial institution, employer or other payer that reported the income amount in question, and the tax year. The instructions give an example: Pine Bank for the taxable year 2016.
- 3
Sign Part 1
The income recipient signs and dates it and adds a daytime phone number. If both spouses are on the information document, both sign.
- 4
Part 2
Line 1 is the taxpayer identification number or employer number for the information document. Lines 2 to 5 are the payer's name, the account number if available, and the payer's address.
- 5
Part 3, only to revoke
To revoke a previous consent, fill in the payer's name and the tax year, then sign and date. Spouses on the document both sign.
- 6
Send it
The instructions say to return the signed form to the IRS office listed on the most recent notice or letter received. Part 1 states the consent is mailed to both the IRS and the payer.
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Where it goes and how long it lasts
Where to send it
The instructions say to return the signed Form 2624 to the IRS office listed on the most recent notice or letter received. The form prints no address.
Copy to the payer
The Part 1 statement reads "I am mailing this consent both to the IRS and to" the named payer.
How long it lasts
The consent covers disclosure to the IRS for a period of three months from the date of the consent.
Revoking
The form says the consent may be revoked at any time before the records are disclosed. Part 3 is used for that.
Signed consent
The form says the financial institution, employer or payer cannot be contacted on the taxpayer's behalf without a signed consent.
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Who fills out Form 2624?
The income recipient named on the information return completes and signs it. The form says the consent is mailed both to the IRS and to the payer.
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Questions about Form 2624
What is Form 2624 for?
The form says it authorizes the IRS to contact a third party on the taxpayer's behalf, or revokes that authorization. The third party is the bank, employer or other payer that reported the income in question.
Is anything done before filing Form 2624?
The instructions say to first request corrected income statements or written verification of the correct income from the payer, and to ask the IRS to contact the payer only if that information cannot be obtained.
How long does the consent last?
It lets the payer disclose records to the IRS for three months from the date of the consent.
Do both spouses sign?
The instructions say that if both spouses are on the information document in question, both sign.
Where is Form 2624 sent?
To the IRS office listed on the most recent notice or letter received, according to the instructions. The consent statement also says it is mailed to the payer.
Can the consent be withdrawn?
Yes. The form says it may be revoked at any time before the records are disclosed, using Part 3.