DOR: Electronic Filing Program Registration Form

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DOR > Software Developers > Electronic Filing Program Registration Form Electronic Filing Program Registration Form

This area is for developers who support Indiana Electronic Filing Program. Please complete the following form and send it to us by selecting the Register button at the bottom of the form. Please provide one submission per registration channel: EMS, MEF, IND Barcode, COR Barcode.

This registration form should not be used for software packages that generate hard (paper) copy forms.

:: These are required fields.

Company Information
:: New Update Remove
:: Company Name:
:: Street Address:
:: City: State: Zip:
:: EFIN #:

Product/Contact Information
:: New Update Remove
:: Product Name - Only One Per Submission:

Product Registration Changes
Software Developer Code - Only One Per Submission (required field, unless adding):
NACTP Code:

Platform Information
Please indicate the filing platform for which you are registering this product. If you plan to register for multiple platforms under this same product, you must submit a separate registration form for each platform. Once you select the platform, please check which forms (listed to the immediate right of the platform) your product will support from this platform. You must select at least one form per platform.

:: Platform	Forms Supported Under This Platform
EMS	IT-40EZ IT-40
MeF	IT-40
2D IND	IT-40EZ IT-40 IT-40PNR IT-40RNR
2D COR	IT-20 IT-20S IT-20NP IT-65

Contact Information Changes
New Update Remove
Contact #1 Name:
E-mail Address:
Phone Number: (include area code) ext
Fax Number: (include area code)

New Update Remove
Contact #2 Name:
E-mail Address:
Phone Number: (include area code) ext
Fax Number: (include area code)

Additional Information/comments:

NOTE: You must fill in all of the blanks marked with the required field marker (::) or you will receive an error when you submit this form. You must also include a full, valid e-mail address such as yourname@yourcompany.com