Pennsylvania E-TIDES Administrative Access Change Request Form

Form REV-1176 is obsolete, and is no longer supported by the Pennsylvania Department of Revenue.

E-TIDES Administrative Access Change Request Form
e-TIDES Administrative Access Change Request Form (REV-1176)(SU) 07-20

REV-1176

OFFICIAL USE ONLY

E-TIDES
ADMINISTRATIVE ACCESS
CHANGE REQUEST FORM
This form is used to reassign e-TIDES Administrative Access to another person or to request access as an additional e-TIDES filer. When using this form
for multiple tax types, each tax account must be registered under the requester’s User ID and Password and listed below to have access granted. You
must complete the registration steps below before submitting this form.
TO REGISTER ON e-TIDES
First-time e-TIDES users must register at www.etides.state.pa.us, creating a User ID and Password.
STEP ONE
● Select “Enter e-TIDES”.
● Select “Register,” located at the bottom of the page.
● Select “I Agree” to the e-Signature Agreement to create your User ID and Password.
STEP TWO
● Select “Register Enterprise” from the left navigation.
● Choose your tax type and select “Next”.
● Select “I Agree” to the agreement.
● Enter your account number, Entity ID and type of Entity ID, then select “Next”.
● Select “Submit” to process your request to be added as a user on e-TIDES.
For additional information, please visit the department’s Online Customer Service Center at www.revenue.pa.gov or call the e-Business Tax Unit at
717-783-6277.

SECTION I
START

➜

CHANGE TAX ACCOUNT ADMINISTRATIVE ACCESS

This document must be accompanied by the REV-677, Power of Attorney and Declaration of Representative form, or written authorization on company’s
letterhead signed by both the owner and person requesting access.
This will remove access from the current administrator for this tax account.
Requesting access as an additional e-TIDES filer only.
EIN

Business Name

Requesters Relationship to Business

Check all tax types that apply and provide the account number(s).
Sales and Use Tax

Corporate Tax

Employer Withholding

Other Tax Type

SECTION II

REQUESTER CONTACT INFORMATION
User ID of Registered Individual

Individual Registered on e-TIDES
Email Address

Business Name

SECTION III

Telephone Number

SIGNATURE OF REGISTERED INDIVIDUAL AND TITLE
Title

Signature

Date

MM/DD/YYYY

PLEASE SIGN AFTER PRINTING
Completed forms can be emailed to [email protected] or faxed to 717-787-0145.

RESET FORM

Extracted from PDF file 2021-pennsylvania-form-rev-1176.pdf, last modified November 2011

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More about the Pennsylvania Form REV-1176 Other

We last updated the E-TIDES Administrative Access Change Request Form in March 2023, and the latest form we have available is for tax year 2021. This means that we don't yet have the updated form for the current tax year. Please check this page regularly, as we will post the updated form as soon as it is released by the Pennsylvania Department of Revenue. You can print other Pennsylvania tax forms here.

Other Pennsylvania Other Forms:

TaxFormFinder has an additional 174 Pennsylvania income tax forms that you may need, plus all federal income tax forms.

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Form PA-1000	Property Tax or Rent Rebate Claim
Form PA-1000 Booklet	Property Tax or Rent Rebate Program Instruction Booklet Tax Credit
Form PA-1000 RC	PA Rent Certificate - PA Rent Certificate and Rental Occupancy Affidavit (PA Property Tax/Rent Rebate)
Form REV-1176	E-TIDES Administrative Access Change Request Form
Form REV-181	Application for a PA Tax Clearance Certificate

Download all PA tax forms View all 175 Pennsylvania Income Tax Forms

Form Sources:

Pennsylvania usually releases forms for the current tax year between January and April. We last updated Pennsylvania Form REV-1176 from the Department of Revenue in March 2023.

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