Form online 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Part I, where you will enter your Taxpayer Information. Fill in your name or business name, Social Security Number or Connecticut Tax Registration Number, and your mailing address including city, state, and ZIP code.
3. If your physical address differs from your mailing address, provide that information as well.
4. In Part II, for DRS use only, leave the Case ID Number and Notice number blank as these are filled by the Department of Revenue Services.
5. List the tax type(s) for which you are requesting a waiver in section A. In section B, indicate the date you were notified of your obligation to file or pay electronically.
6. Answer section C by stating whether you currently pay any bills electronically. In section D, describe why electronic filing or payment would create an undue hardship for you.
7. Complete the Declaration section on the reverse side by signing and dating it. Ensure all required documentation is attached before submission.

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