ITIN Application Intake Form Form W-7 – Individual Taxpayer Identification Number Reason You Are Applying – Check All That Apply Nonresident alien required to get an ITIN to claim a tax treaty benefitNonresident alien filing a U.S. federal tax returnU.S. resident alien filing a U.S. federal tax returnDependent of a U.S. citizen / resident alienSpouse of a U.S. citizen / resident alienNonresident alien student, professor, or researcher filing a return or claiming an exceptionDependent/spouse of a nonresident alien visa holderOther (explain below) If “Other,” please explain Applicant Information (As It Appears On Your ID Documents) First Name Middle Name Last Name Name at Birth (if different) Date of Birth Gender Select...MaleFemaleOther City & Country of Birth Citizenship Type SingleDual – list both below Country(ies) of Citizenship Foreign Tax ID (if any) Addresses Foreign Address Street City State/Province Country & Postal Code U.S. Mailing Address Street City State ZIP Phone Number Email U.S. Visa Information (If Applicable) Visa Number Visa Type Visa Expiration Date Identification Document A passport is the only document that can stand alone; otherwise two documents may be required[cite: 2]. Document Type (e.g., Passport) Issued By (Country) Document Number Issue Date Expiration Date Document includes a photographDocument is being submitted as an original / certified copyRequesting IRS return the original document by mail If Applying as a Dependent or Spouse Name of U.S. Citizen / Resident Alien Relationship to Applicant SSN or ITIN Tax Year on Return Acceptance Agent / Tax Return Information This ITIN application is attached to a federal tax returnTax return is being filed for a prior year (delinquent)Applicant has applied for an ITIN before Previously Assigned ITIN (if any) Name Used on Prior Application Document Checklist & Uploads Please upload or check off the supporting documents you are providing[cite: 2]: Valid passport (or certified copy)National ID card (if no passport)U.S. visaBirth certificate (required for dependents under 18 without passport)Foreign driver's licenseSchool records (dependents under 14, or under 18 if a student)Medical records (dependents under 6)Federal tax return the ITIN application will be attached toProof of U.S. residency (if claiming resident alien status) Upload Supporting Documents (Passport, Visa, IDs, Tax Return) Additional Notes / Questions for Your Preparer Signature Client Signature (Type Full Name) Date By signing, you confirm the information provided is accurate and complete to the best of your knowledge. If signing on behalf of a dependent, the signature must be that of a parent or court-appointed guardian.