IRS Form 13369 – Fillable PDF for Mediation Rules Acknowledgment

Form 13369 is the official Internal Revenue Service (IRS) document used to acknowledge that a taxpayer agrees to the mediation rules, authorizes disclosures, and consents to the conditions set by the IRS. Instead of printing, printing, and hand‑signing a paper copy, you can now complete this form directly in your browser with Formize’s secure fillable PDF.

What Is IRS Form 13369?

This form serves three main purposes:

• Confirming your agreement to the IRS mediation process.
• Providing a signature (or authorized representative’s signature) for the required disclosures.
• Granting consent to all conditions stipulated in the mediation agreement.

How to Fill Out Form 13369 Online

Follow these simple steps to complete the form without leaving the page:

1. Click the "Fill out this form" button below.
2. Wait a few seconds while the Formize PDF Filler app loads.
3. Enter your information in each fillable field – the interface highlights required fields.
4. Use the Signature field to draw or type your signature.
5. When finished, click Submit to download a completed copy or email it directly to the IRS.

Common Mistakes to Avoid

• Leaving required fields blank – the filler will block submission until all required items are filled.
• Using an illegible signature – the digital signature tool ensures a clear, printable signature.
• Submitting the form to the wrong address – always double‑check the IRS mailing instructions on the final page.

Where to Submit the Completed Form

After you download the completed PDF, you can either:

• Mail it to the address listed on the form’s instructions.
• Upload it through the IRS online portal if you have an existing account.

Benefits of Using Formize’s Fillable PDF

Formize provides a fast, secure, and mobile‑friendly way to complete Form 13369. No software installation is required, and your data is encrypted during the entire process.