15111

Earned Income Credit (EIC) Worksheet (CP 09)

Agency
IRS
Revision
Rev. 2-2026
Fillable fields
37
Pages
2
Official source
IRS form page
Checked
October 21, 2026
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Page 1 of form 15111

Form 15111: Earned Income Credit (EIC) Worksheet (CP 09)

Form 15111 is the Earned Income Credit (EIC) Worksheet that goes with an IRS CP09 notice. The form says to complete it and determine if you qualify for EIC, then upload it electronically using the Document Upload Tool or mail it in the enclosed envelope, and to refer to the CP09 notice for more about the Document Upload Tool.

This revision asks about the 2025 tax year. After contact information, Step 1 lists statements that, if checked, end the worksheet. Step 2 collects the name, SSN and residency answer for up to three children who were listed as dependents on the original Form 1040. Step 3 counts how many of them meet the requirements and lists the conditions the form gives for the credit without a qualifying child.

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What's on Form 15111

Contact information

Name and SSN, spouse's name and SSN, current address if it changed, and primary and secondary phone numbers with the best time to call.

Step 1: statements

Three boxes: living in the U.S. for 6 months or less in 2025, a Social Security card that reads "Not Valid for Employment", and being an EITC qualifying child of another person.

Step 2: child information

For up to three children: first and last name, the child's SSN, and whether the child lived with the filer in the U.S. for more than 6 months.

Step 3: result

A box for how many dependents meet the requirements, a note pointing to Publication 596, and the conditions for the credit without a qualifying child.

How to fill out Form 15111

  1. 1

    Contact information

    Enter names and SSNs as on the return. If the address changed, the form says to give the current address, call 800-829-0922 or visit www.irs.gov.

  2. 2

    Step 1

    Check any statement that describes the filer or spouse. The form says that if any box is checked, stop there: it states the filer does not qualify for EITC and does not need to respond.

  3. 3

    Step 2

    For each EITC qualifying child listed as a dependent on the original Form 1040, enter the name and SSN and answer question 3. The form says the dependent must have an SSN.

  4. 4

    Step 3

    Count the dependents with a Yes to question 3 and enter the number. The form says a dependent who meets the requirements can only be claimed by one person, and points to Publication 596.

  5. 5

    Send it back

    Upload the completed form with the Document Upload Tool described in the CP09 notice, or mail it in the enclosed envelope.

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How to return it and what to know

Upload or mail

The form says to upload it electronically using the Document Upload Tool or mail it in the enclosed envelope. The CP09 notice has more on the Document Upload Tool.

Address change

The form says to give the current address on the form, call 800-829-0922 or visit www.irs.gov if the address has changed.

Child not on the original return

The form says that for an EITC qualifying child who wasn't listed as a dependent on the original Form 1040, Form 1040-X is filed instead of this worksheet.

Next year's return

The form says to use the EITC Assistant toolkit at IRS.Gov/EITC before filing the next tax return.

Related forms

Who fills out Form 15111?

  • Taxpayers with a CP09 notice

    The form refers to "your CP09 notice" and comes with an enclosed envelope for mailing it back.

  • Joint filers

    The contact block has lines for the spouse's name and Social Security number, and Step 1 covers either spouse if a joint return was filed for 2025.

  • Filers with a dependent child

    Step 2 is for an EITC qualifying child who was listed as a dependent claimed on the original Form 1040 return.

  • Filers with no qualifying child

    Step 3 lists the conditions the form gives for the credit without a qualifying child, including age and living in the United States for more than half the year.

  • Not for children left off the return

    For a child who wasn't listed as a dependent on the original Form 1040, the form says to file Form 1040-X and not to complete this form.

The worksheet is completed by a taxpayer who received a CP09 notice and is returned to the IRS.

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Questions about Form 15111

What is Form 15111 for?

It is the Earned Income Credit (EIC) Worksheet sent with a CP09 notice. The form says to complete it and determine if you qualify for EIC.

How is Form 15111 sent back?

The form says to upload it with the Document Upload Tool or mail it in the enclosed envelope.

What if a box in Step 1 is checked?

The form says to stop there. It states that the filer does not qualify for EITC and does not need to respond.

What if the child was not listed on the original return?

The form says to file Form 1040-X and not to complete Form 15111.

How many children can be listed?

Step 2 has rows for three children, each with a name, an SSN and a Yes or No answer about living in the U.S. for more than 6 months.

Which tax year does this revision cover?

The February 2026 revision asks about 2025, such as where the filer lived in 2025 and whether a joint return was filed for 2025.