14568

Model VCP Compliance Statement

Agency
IRS
Revision
Rev. 7-2023
Fillable fields
45
Pages
3
Official source
IRS form page
Checked
October 21, 2026
Fill 14568 online
Page 1 of form 14568

Form 14568: Model VCP Compliance Statement

Form 14568 is the Model VCP Compliance Statement, used with a Voluntary Correction Program (VCP) submission for a retirement plan. The Applicant fills in Sections I through VI: identifying information for the plan, a description of each failure, the proposed method of correction, procedures to locate and notify former employees or beneficiaries, revised administrative procedures, and requests related to excise taxes, additional tax and tax reporting.

Section VII, Enforcement Resolution, is marked "to be completed by IRS only." It states that the IRS will not pursue revocation of the tax-favored status of the plan under IRC Section 401(a), 403(b), 408(k) or 408(p) on account of the failures described, and that the statement is conditioned on completing all corrections within 150 days of its date. The form refers to the current EPCRS Revenue Procedure for Paperwork Reduction Act information.

This page has the July 2023 revision. The PDF can be filled out free in the browser on this page and downloaded without an account.

What's on Form 14568

Section I: Identifying Information

Applicant's name, Applicant's EIN (the form says do not use SSN), plan number and plan name. Later pages repeat the EIN, plan number and plan name at the top.

Sections II and III: failures and correction

Section II is the Applicant's description of the failures. Section III is the proposed method of correction for each failure listed in Section II.

Sections IV and V: notice and procedures

Section IV covers procedures to locate and notify former employees or beneficiaries. Section V covers the proposed revision to administrative procedures.

Section VI: excise taxes, additional tax and reporting

Boxes asking the IRS not to pursue excise tax under IRC Section 4972, 4973, 4974 or 4979 or additional tax under Section 72(t), and boxes for Form 1099-R relief on plan loan failures under Section 72(p).

Section VII: Enforcement Resolution

Completed by the IRS only. It sets out what the IRS will not pursue, the limits of the reliance given, the 150-day correction condition and the approval signature.

How to fill out Form 14568

  1. 1

    Section I and page headers

    Enter the Applicant's name, EIN, plan number and plan name. The form says to include the plan name, Applicant's EIN and plan number on each page of the compliance statement, including attachments.

  2. 2

    Section II

    List and number each failure separately. Label any added pages "Section II. Applicant's Description of Failures." If Form 14568 Schedules are used, specify which ones and attach them.

  3. 3

    Section III

    Describe the correction method for each failure listed in Section II, labeling added pages as the form shows.

  4. 4

    Section IV

    Describe the methods that will be used to locate and notify former employees and beneficiaries, or give an affirmative statement that none were or will be affected.

  5. 5

    Section V

    Explain how and why the failures arose and the measures implemented, or that will be implemented, so the same failures will not recur.

  6. 6

    Section VI

    Check each tax the Applicant asks the IRS not to pursue, enter the failure numbers and attach supporting rationale. For plan loan failures, check the Form 1099-R reporting option requested.

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How it is used, conditions and limits

Part of a VCP submission

The form is a compliance statement for a VCP submission. It prints no mailing address and no filing deadline.

150-day correction condition

The form says the compliance statement is conditioned on no misstatement or omission of material facts and on completing all corrections within 150 days of the date of the compliance statement.

Governmental plan amendments

For governmental plans, the form says corrective plan amendments are adopted by the later of 150 days after the statement's date or the close of the first regular legislative session that begins on or after 91 days after that date.

Limits of reliance

The form says reliance is limited to the specific failures and years specified, and the statement is not a letter ruling or a determination letter.

User fee

The form says the Applicant and plan sponsor will not amortize, deduct or recover any portion of the paid user fee or receive any federal tax benefit for paying it.

Related forms

Who completes Form 14568?

  • The Applicant

    Sections I through VI are written by the Applicant, identified by name, EIN, plan number and plan name. The form says the Applicant and plan sponsor will not recover any portion of the paid user fee.

  • Plans with tax-favored status

    Section VII refers to the tax-favored status of the plan under IRC Section 401(a), 403(b), 408(k) or 408(p).

  • Governmental plans

    For governmental plans within the meaning of IRC Section 414(d), the form gives a separate time limit for adopting corrective plan amendments.

  • Pre-approved plans

    Section VII addresses corrective amendments to a pre-approved IRC Section 401(a) or pre-approved IRC Section 403(b) plan and the six-year remedial amendment cycle.

  • IRS Employee Plans Voluntary Compliance

    Section VII is approved by the Manager, Employee Plans Voluntary Compliance, Tax Exempt and Government Entities Division, with a date.

The form is completed by the Applicant for the plan as part of a VCP submission. The IRS completes Section VII.

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Questions about Form 14568

Who fills in Section VII?

The form marks Section VII, Enforcement Resolution, as "to be completed by IRS only." It is approved by the Manager, Employee Plans Voluntary Compliance, Tax Exempt and Government Entities Division.

Can a Social Security number be used?

No. The form asks for the Applicant's EIN and says "do not use SSN."

How are additional pages labeled?

The form gives a label for each section, such as "Section III. Applicant's Description of the Proposed Method of Correction," and says to include the plan name, EIN and plan number on each page.

How long is there to complete the corrections?

The form says the compliance statement is conditioned on completing all corrections described in it within 150 days of the date of the compliance statement.

Does the statement cover failures that are not listed?

No. The form says the reliance is limited to the specific failures and years specified and does not provide reliance for any other failure or year.

Does the form come with instructions?

The PDF has no separate instruction section. Each section carries its own directions, and the form says Paperwork Reduction Act information is in the current EPCRS Revenue Procedure.