Provide Your Contact Information
First, middle and last name, street address, city, state and ZIP code, and primary and secondary telephone numbers with best times to call.
15118
Response to Notice CP562A
Form 15118, Response to Notice CP562A, is a two-page Department of the Treasury, Internal Revenue Service form dated December 2024. It opens with "Provide the information requested below. Return this Response form along with any requested documents."
Page 1 asks for your contact information, the adoptive child's name, date and place of birth and gender, the placement agency or agent and the placement date, and signatures. It says "You didn't sign your application" and that if two people are adopting the child, both sign. Page 2 is for adoptive parents whose last name or SSN entered on Form W-7A doesn't match Social Security Administration (SSA) records, and for a change of address or telephone number.
The form prints no mailing address of its own. You can fill it out free in your browser on this page and download the result without an account.
First, middle and last name, street address, city, state and ZIP code, and primary and secondary telephone numbers with best times to call.
The child's full name as it will appear on your tax return, date of birth, city and state of birth, and gender.
The placement agency or agent's name and address, and the date the child was placed in your home for the purpose of adoption.
A penalties of perjury declaration with signature, telephone number and date lines for adoptive parent 1 and adoptive parent 2.
On page 2, the SSN and full name of each adoptive parent and an explanation of name change, if applicable.
A new street address, city, state, ZIP code, telephone number and best time to call.
Enter your first, middle and last name, your address and two telephone numbers, marking a.m. or p.m. for each best time to call.
Enter the child's full name as it will appear on your tax return, the date of birth (Month/Day/Year), the city and state of birth, and check Male or Female.
Enter the name and address of the placement agency or agent who placed the child in your home, and the placement date (Month/Day/Year).
Each adoptive parent signs and enters a telephone number and the date. The declaration is made under penalties of perjury.
Enter each adoptive parent's SSN and full name and explain a name change if applicable. For a change due to marriage, divorce or other legal action, the form says to include a copy of the legal document that supports it.
If your address has changed, enter the new address, a telephone number and the best time to call.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form says to return it along with any requested documents. The PDF prints no mailing address or deadline.
Any documents requested and, for a name change due to marriage, divorce or other legal action, a copy of the legal document that supports it.
The form says to contact SSA to verify or correct the information they have on record, and that doing so may avoid additional delays in processing the application and your tax returns.
The form says both sign if two people are adopting the child.
W-7A
23 fields, 1 page
15100
36 fields, 1 page
15101
25 fields, 2 pages
15119
19 fields, 1 page
The form is written to the adoptive parents who received Notice CP562A about a Form W-7A application, and it goes back to the IRS.
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It is the response form for Notice CP562A. It collects contact details, the adoptive child's and placement agency's information, signatures, and SSN or name details for the adoptive parents.
The form says "If two people are adopting the child, both must sign."
The form says this can happen if you used a maiden, married or professional name that SSA doesn't have on record.
Any requested documents. For a name change due to marriage, divorce or other legal action, the form says to include a copy of the legal document that supports it.
The form prints no address of its own. It says to return the response form along with any requested documents.