This form contains 19 fields organized into 5 sections, giving it a Form Complexity Index of 31/100 (basic). Below is a complete list of every field, its type, and what information is expected.

Field Name	Type	Description
Relationship to taxpayer (Step 2) - select one
Self (you are the taxpayer)	Checkbox	Check this box if you are the taxpayer named in Step 1 (the person whose SSN was used on the fraudulent return).
Parent or guardian of a minor child	Checkbox	Check this box if you are the parent or legal guardian of the minor child who is the taxpayer named in Step 1.
Representative named on Form 2848, Power of Attorney	Checkbox	Check this box if you are authorized to act for the taxpayer named in Step 1 and that authorization is documented on Form 2848 (Power of Attorney).
Guardian, executor, or representative named on court documents	Checkbox	Check this box if you are a guardian, executor, or other representative who has authority to act for the taxpayer named in Step 1 as shown by court documents.
Requestor Identification and Mailing (Step 2)
Requestor's SSN or TIN (if different from Step 1)	Text	Enter the requestor's Social Security Number (SSN) or Taxpayer Identification Number (TIN) if it is different from the taxpayer information provided in Step 1. Fill only if 'Self (you are the taxpayer)' is 'No'. Depends on: Self (you are the taxpayer)
Requestor's name (if different from Step 1)	Text	Enter the requestor's full legal name when the requestor is not the taxpayer named in Step 1. Fill only if 'Self (you are the taxpayer)' is 'No'. Depends on: Self (you are the taxpayer)
Mailing address for documents (if different from Step 1)	Text	Enter the street address or P.O. box where the IRS should mail the requested documents if that address is different from the one given in Step 1. Fill only if 'Self (you are the taxpayer)' is 'No'. Depends on: Self (you are the taxpayer)
City, state, and ZIP for mailing address	Text	Enter the city, two-letter state abbreviation, and ZIP code for the mailing address where the documents should be sent if different from Step 1. Fill only if 'Self (you are the taxpayer)' is 'No'. Depends on: Self (you are the taxpayer)
Representative CAF number (if applicable)	Text	Enter the representative's CAF (Centralized Authorization File) number if a representative is acting on behalf of the requestor and a CAF number is available. Fill only if 'Representative named on Form 2848, Power of Attorney' is 'Yes'. Depends on: Representative named on Form 2848, Power of Attorney
Requestor Signature and Contact (Step 4)
Requestor's signature	Text	Enter the requestor's signature (the person signing to certify they are the taxpayer or an authorized person requesting the tax return).
Requestor's name (print/type)	Text	Print or type the requestor's full name exactly as it should appear on the request.
Date signed	Date	Enter the date the requestor signed this form.
Requestor's daytime telephone number	Text	Provide a daytime telephone number, including area code, where the requestor can be reached about this request.
Tax Year(s) Requested (Step 3)
Tax Year(s) Requested	Text	Enter the tax year or years of the individual income tax return(s) you are requesting (e.g., 2019 or 2018, 2019, 2020).
Taxpayer Information (Step 1)
SSN used on fraudulent return	Text	Enter the nine-digit Social Security Number (SSN) that was used on the fraudulent tax return.
Name used on fraudulent return	Text	Enter the full name (first, middle, last, and suffix if any) exactly as it appears on the fraudulent return.
Current mailing street address	Text	Enter the SSN owner's current mailing street address, including apartment, unit, or PO box information if applicable.
Current mailing city, state, and ZIP	Text	Enter the SSN owner's current mailing city, state (use the standard two-letter abbreviation), and ZIP code.
Address shown on last return (if different)	Text	If different from the current mailing address, enter the complete address shown on the last tax return; otherwise leave this field blank.

Form 4506-F, Identity Theft Victim’s Request Instructions