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The document is a Taxpayer Statement Regarding Refund (Form CT-3911) from the Connecticut Department of Revenue Services. It allows taxpayers to report issues with their tax refund, such as not receiving it, losing it, or needing to update their information. The form requires personal details, signatures, and provides instructions for filing and contacting the Refund Unit.

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form 3911 instructions pdf

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Can a form 3911 be faxed to the IRS?

Mail or fax the form Find the state you live in and use the mailing address, or fax number list below. Do not send anything other than a Form 3911 to the fax numbers below.

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This policy includes forms printed from IRS.gov and output on high-quality devices such as laser or ink-jet printers, unless otherwise specified on the form itself. Forms that must be ordered from the IRS are labeled for information only and can be ordered online.

Where can I get a 3911 form?

You can download a copy of Form 3911 from the IRS website. The form is straightforward and asks for basic information, including: Your personal information, including name, address, social security number, and phone number.