Sign On ID & Access Code Request Form
For ACH DEBIT Method E-Payments Only!
Do NOT use this request form if you currently make e-payments via ACH CREDIT Method.

Do NOT use this request form to apply for a tax account number.

If you have not received your Sign On ID and Access Code to login to the Alabama Department of Revenue (ADOR) Paperless Filing & Payment System, you may use this form to request the information.  Upon the ADOR receiving a properly completed and submitted request form, we will mail your Sign On ID and Access Code letter to the mailing address we currently have on file for your account.  Allow 4 to 6 business days for delivery.  If you need to talk with an ADOR representative, please call 1-800-322-4106.

In order to receive a Sign On ID and Access Code, you must have a valid tax account number with the ADOR; or for taxes where a tax account number is not required, you must have filed a tax return with the ADOR within the last three years.  To register online for a tax account number, click here.

COMPLETE THE FORM BELOW, PRINT A COPY, THEN FAX OR MAIL TO THE EFT UNIT
AT 334-242-0251, OR P.O. BOX 327950, MONTGOMERY, AL 36132-7950
(All fields are required.)

Account Information
Tax Account Number(s) Assigned by ADOR: (Enter NA if not applicable.)
FEIN (if your tax payment does not require a Tax Account Number): (Enter NA if not applicable.)
Tax Type associated with your tax account number or FEIN: (Ex: Sales Tax, Tobacco Tax, Corporate Tax, Withholding, etc.)
   
Business Entity Information
Legal Name:
D/B/A: (Enter NA if not applicable.)
   
Contact Information
Name:
Title:
Telephone Number: [xxx-xxx-xxxx format]

E-Mail Address:

   
Third Party Representatives
Are you a third party representative requesting information on behalf of your client?

If you are a third party representative requesting confidential information on behalf of your client, you must include a properly executed Power of Attorney (form 2848A) or Tax Information Authorization Form (form 8821A) with your request if you have authority from your client to receive their Sign On Id and Access Code.