Get Extension Request - Illinois.gov - Illinois

Filling out the Extension Request form is an essential task for providers seeking to extend deadlines for submitting audit or financial reports. This guide will take you through the process step-by-step, ensuring that you submit a complete request and avoid potential penalties.

Follow the steps to fill out the Extension Request form accurately.

1. Press the ‘Get Form’ button to access the Extension Request form and open it in your preferred editor.
2. Begin with the 'Provider Name' field by entering the full legal name of your organization.
3. In the 'Address' section, provide the complete mailing address where your organization can be reached.
4. Enter your 'FEIN' (Federal Employer Identification Number) in the designated field.
5. For 'Date of Provider's Fiscal Year End,' input the date using the format MM/DD/YYYY.
6. Indicate the 'Fiscal Year of Request' by entering the relevant year.
7. In the 'Contact Person' field, write the name of the individual who will be the primary contact for this request.
8. Fill in the 'Phone #' with a valid contact number for the person listed above.
9. Provide a 'Fax #' if applicable.
10. Enter the email address of the contact person in the 'E-Mail Address' field.
11. Check the appropriate category that describes the type of request you are making, such as requesting an extension or notifying of fiscal year end.
12. In the 'Explanation and Justification' section, provide a clear and concise reason for your request, including any relevant details.
13. Have the form signed and dated by an individual with executive management authority or a board member.
14. Fax the completed request to 217-785-1765 or mail it to the Office of Planning & Budget at 406 East Monroe, Mail Station #440, Springfield, IL 62701-1498.
15. After submission, keep an eye out for a signed form indicating approval or denial, which will be returned to you by mail, fax, or email within 30 business days.

Start filling out your Extension Request form online today to ensure timely submission.