Massachusetts Department of Revenue and Department of Labor and Workforce Development
Please complete the following information:
- Part I, Section A: Taxpayer Information
- Part I, Section E: Signature of or for taxpayer(s)
- Part I, Section F: This form will need to be signed by a notary public and have a notary seal
If you have any questions please call (877)-328-6505, and ask for Tax and Compliance. You may also create a ticket by selecting "Submit a Request" at the top of this page.
You may send completed power of attorney forms via fax, scan and email the forms, or submit the forms through a help desk ticket by following the steps above.
**Please complete and fax/scan/email a completed power of attorney form for each state that your company currently has a tax obligation for. Ex: If you are located in both Alabama and Georgia, please completed and return a power of attorney for each state.**