Form CMS-1-MN Request for Conciliation Conference Revised 9/21 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name and Taxpayer ID number (EIN or SSN) in the designated fields. Ensure accuracy as this information is crucial for identification.
3. Fill in your current address, including city, state, and ZIP code. This helps the Tax Department contact you regarding your request.
4. Provide a daytime telephone number where you can be reached. This is important for any follow-up communication.
5. If applicable, include details of your representative by filling out their name, firm, address, and contact number. Remember to attach a completed power of attorney if someone else is representing you.
6. Indicate the tax type and years or periods related to your request. Attach copies of any relevant notices received from the department.
7. If you require an interpreter during the conference, specify your language preference in the provided field.
8. Select your preferred location for the conference or indicate if you wish to hold it by telephone.
9. In the final section, explain why you disagree with the department's notice. You may attach additional pages if necessary.
10. Finally, print your name, sign, and date the form before submitting it via fax or mail as instructed.

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