Sección I, lines 1 to 3
Current names and taxpayer identification numbers (SSN or ITIN for people, EIN for businesses), the current address, and a phone number for calls between 8 a.m. and 9 p.m.
3911
Taxpayer Statement Regarding Refund (Spanish Version)
- Agency
- IRS
- Revision
- Rev. 10-2022
- Fillable fields
- 49
- Pages
- 2
- Official source
- IRS form page
- Checked
- October 21, 2026
Form 3911 (sp): Taxpayer Statement Regarding Refund, Spanish Version
Form 3911 (sp) is the Spanish version of Form 3911, Taxpayer Statement Regarding Refund. The IRS prints it in Spanish under the title "Declaración del Contribuyente sobre el Reembolso" for taxpayers who read Spanish. The About page says Form 3911 is completed by the taxpayer to give the IRS the information needed to trace the nonreceipt or loss of an already issued refund check.
The form says to complete all of it if you did not receive your refund or if the refund check you received was lost, stolen or destroyed, and that parts that do not apply may be marked N/A. Its three sections, notes and certification are in Spanish. The Treasury header line, the catalog number and the footer "Form 3911 (sp) (Rev. 10-2022)" are in English. For how to complete it or where to send it, the form points to the Form 3911 About page and notes that the page is in English.
This is the October 2022 revision (Rev. 10-2022), dated "octubre de 2022" in its header. The English edition is Form 3911. The PDF can be filled out free in the browser on this page and downloaded without an account.
What's on Form 3911 (sp)
Lines 4 to 6
The names and address exactly as shown on the tax return, and the name and mailing address of a representative authorized to receive the refund check.
Line 7: return and refund details
Type of return (individual, business with form number, or other), tax period, check or direct deposit, refund amount, date filed, bank name, account type, routing number and account number.
Sección II: refund information
Line 8 for a refund not received, or a check that was lost, stolen or destroyed. Line 9 for a refund check that was received and endorsed.
Sección III: certification
A statement under penalties of perjury that asks for a replacement refund and promises to return one if two refunds arrive, with signatures and dates on lines 10 and 11.
How to fill out Form 3911 (sp)
- 1
Names and numbers
Print current names, taxpayer identification numbers and the address with ZIP code, plus a phone number with area code. For a joint return, enter both spouses on lines 1 and 2.
- 2
Line 4
Enter the names and address exactly as they appear on the tax return. If nothing changed from above, the form says to write N/A.
- 3
Line 7
Check the type of return and the type of refund, then enter the tax period, refund amount, date filed and bank details.
- 4
Sección II
Check every box that applies. The form notes that the law does not allow a replacement check if you endorsed it and someone other than you cashed it, since that person did not forge your signature.
- 5
Sign
Sign and date on line 10. A spouse signs on line 11 when the refund was from a joint return. For a business, line 11 holds the title of the person who signed above.
Why fill Form 3911 on indox
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
- Fill the form right in your browser, no software to install
- Free to fill and free to download, with no account
- The official blank straight from the IRS, not a copy someone retyped
- Works on a phone, tablet or computer
Where to send it and what to know
How to return it
The form says to return it in the envelope provided or fax it. Its privacy notice says not to send it to the Rancho Cordova comments office, but to mail it to the IRS office where you would normally file a paper return.
Addresses and fax numbers
The About page lists a refund inquiry unit for each group of states, for example the Andover Refund Inquiry Unit, Andover, MA 01810, with 855-253-3175 for Maine, Maryland, Massachusetts, New Hampshire and Vermont.
Fax only Form 3911
The About page says not to send anything other than a Form 3911 to the fax numbers it lists.
One form per refund
The form says a separate Form 3911 (sp) is completed for each refund you are asking about.
Checks older than one year
The form says a check not cashed within one year of its issue date can no longer be cashed, and to contact the IRS for instructions on how to return it.
Time to complete
The form estimates an average of less than 5 minutes to complete and file it.
Related forms
Who fills out Form 3911 (sp)?
The About page says the taxpayer completes Form 3911. The form covers individual and business returns, and it goes back to the IRS.
Official sources and the blank
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Questions about Form 3911
What language is Form 3911 (sp) in?
Spanish. The questions, notes and certification are in Spanish. The Treasury header line, the catalog number and the footer are in English.
Is there an English version?
Yes. Form 3911, Taxpayer Statement Regarding Refund, is the English edition. The About page the Spanish form points to covers Form 3911 and is in English.
When is Form 3911 (sp) used?
The form says to complete it if you did not receive your refund or if the refund check you received was lost, stolen or destroyed.
Do both spouses sign?
The form says that if the refund was from a joint return, both spouses sign before the IRS can begin an investigation.
What if I endorsed the check and someone else cashed it?
The form says the law does not allow a replacement check in that case, since the person who cashed it did not forge your signature.
Can I send a letter instead?
The privacy notice says the information can be given in a letter. It also says that without the information the IRS cannot investigate the refund and may not be able to replace it.