Community Volunteer Income Tax Program Registration Form

Are you modest income? Single person under $40,000, Couple under $50,000, Dependents $2,500? If yes, keep filing, if no, we will not be able to file for you this year.

Was your total income last year below:(Required)

Are you filing for someone else? If so what is your name and phone number

Name of person(s) having the filing done:(Required)

Phone Number:(Required)

Email(Required)

What area you live: (eg: Perth, Smiths Falls)(Required)

What year(s) are you filing for?(Required)

Name of preferred volunteer?

Best time of day to reach you (eg: mornings, afternoons)(Required)

Security Word: (for our volunteer to say to you when they call, so you’ll know it’s our tax program calling)(Required)

Thank you for filing out this form, a volunteer will be contacting you by phone within the next couple weeks. Due to a high volume of requests, there may be a delayed waiting period. Do not resubmit this form.

Please let us know in the Notes/Comments box below if you require any accommodations for a Disability. ConnectWell is committed to ensuring our programs and services are accessible to everyone.
Please see our Accessibility Pledge for more information.

Notes and Comments

Community Volunteer Income Tax Program Registration Form

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