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Specific Instructions

Line 1.   Enter the name, address, and telephone number of the plan sponsor/employer. A “plan sponsor” means:
  1. In the case of a plan that covers the employees of one employer, the employer;

  2. In the case of a plan sponsored by two or more entities required to be combined under sections 414(b), (c), or (m), one of the members participating in the plan; or

  3. In the case of a plan that covers the employees and/or partner(s) of a partnership, the partnership.



The name of the plan sponsor/ employer should be the same name that is used when the Form 5500 series, Annual Return/Report is filed for this plan. Line 1a is limited to 70 characters.

Line 1f.   Enter the nine-digit employer identification number (EIN) assigned to the plan sponsor/employer. This should be the same EIN that is used when the Form 5500 series Annual Return/Report is filed for this plan.

Do not use a social security number or the EIN of the trust.

  The plan sponsor/employer must have an EIN. A plan sponsor/employer without an EIN can apply for one.
  • Online—Generally, a plan sponsor/ employer can receive an EIN over the Internet and use it immediately to file a return. Go to the IRS website at and click on Employer ID Numbers (EINs).

  • By telephone - Call 1-800-829-4933.

  • By mail or fax - Send in a completed Form SS-4, Application for Employer Identification Number, to apply for an EIN.

  The plan of a group of entities required to be combined under section 414(b), (c), (m), or (o) whose sponsor is more than one of the entities required to be combined, should only enter the EIN of one of the sponsoring members.

  This EIN must be used in all subsequent filings of DL requests, and annual returns/reports unless there is a change of sponsor.

Line 1i.   Enter the two digits representing the month the plan sponsor/employer’s tax year ends.


If you have a foreign address, do not enter information in lines 1c - 1e.

Line 1j-m.   If applicable, complete these lines and follow the country’s practice for entering the name of the province, county, or state and the postal code.

Line 2.   The contact person will receive copies of all correspondence as authorized on a Form 2848 or Form 8821. Either complete the contact’s information on this line, or check the box and attach a completed Form 2848 or Form 8821.


If your person to contact has a foreign address, do not enter information in lines 2c - 2e.

Lines 2h-k.   If a foreign contact, follow the country's practice for entering the name of the province, country or state, and the postal code.

Line 3a.    Enter the number that corresponds to the request being made:

Enter 1 for Initial Qualification – New Plan.

For this purpose, a new individually designed plan is a new plan with an initial remedial amendment period within the meaning of Regulations section 1.401(b)-1(d)(1).

Enter 2 for Initial Qualification – Existing Plan.

If the IRS has not issued a DL for the plan or the plan sponsor previously did not rely on an opinion/advisory letter.

Enter 3 for Request after Initial Qualification.

If the IRS has previously issued a DL for this plan or the plan sponsor previously relied on an opinion/advisory letter.

Line 3b.   If the initial plan is a proposed plan document, enter “09/09/9999.

Line 3c.   A VS plan may, but is not required to, contain a provision that authorizes the VS practitioner to amend the plan on behalf of employers who have previously adopted the plan. For purposes of reliance on the advisory letter, the practitioner will no longer have the authority to amend the plan on behalf of the employer as of the date of the adoption of an employer amendment to the plan to incorporate a type of plan not allowable in the VS program or as of the date the IRS notifies the practitioner that the plan is an individually designed plan. See section 15.03 of Rev. Proc. 2011-49.

Line 3e.   An identical adopter of a pre-approved M&P or VS plan is an employer that made no changes to the pre-approved plan document other than to select among options provided under the plan or certain changes described in section 19.03 of Rev. Proc. 2011-49, 2011-44 I.R.B. 608 available at

Line 3f.   If this answer is “No,” stop. You cannot use Form 5307. If you are seeking a determination letter, use Form 5300.

Line 3g.   Use the table in line 3g to list all the amendments to the plan that have been adopted during the RAC of the plan in which the application is submitted (the “current cycle”), other than amendments described in the following paragraph.

Do not list:   
  1. Any amendment that was adopted during the current cycle as a condition of a DL for the preceding cycle (but include a copy of the amendment with the application);

  2. Any amendment to a pre-approved plan that was adopted by the sponsor or practitioner on behalf of the employer and considered by the IRS in issuing an opinion or advisory letter for the plan;

  3. Any amendment to a pre-approved plan that is effective after the year of the CL that was considered by the IRS in issuing an opinion or advisory letter for the plan, regardless of whether the amendment was adopted by the sponsor or practitioner of the pre-approved document or the employer;

  4. Any interim amendment regarding a change not included on the CL for which this determination is being requested.



If the plan does not have a DL for the preceding remedial amendment cycle, the plan sponsor must include with this application filing, copies of interim and discretionary amendments adopted for the preceding cycle. See What to File. However, do not list these amendments in the table in Line 3g.

Column (i).

Note each amendment using an identifying number or name (for example Amendment 1, or PPA Amendment). An amendment may consist of modifications made to several plan provisions that are adopted on the same date. Two or more amendments with the same adoption date may be grouped and listed on a single line of the table. In this case, enter in column (ii) the effective date of the amendment with the earliest effective date of any of the grouped amendments.

Column (ii).

Enter the date the amendment is actually effective under the plan. For example, if an amendment is effective on the first day of the first plan year beginning on or after January 1, 2014, and the plan year of the plan ends on June 30, the date to be entered in column (ii) is 07/01/2014.

Column (iii).

If the amendment is in proposed form enter “09/09/9999.”

Column (iv).

If the answer to question 3f is "yes", and the amendment contains both interim and discretionary provisions, mark an "X" in subcolumn (a) and (b) of column (iv) in the table.

Column (v).

For each individual amendment listed, did the pre-approved plan sponsor have the power to amend the plan on behalf of the adopting employer? If yes, enter "X" in sub-column (a), if no, enter “X” in sub-column (b).

Column (vi).

Note the due date of the employer's federal income tax return, including extensions, if applicable, for the year in which the amendments were adopted. If the relevant amendment is discretionary only, this field should be blank.

Line 3h.   Enter the number of amendments listed in the table in line 3g.

Line 3i.   Designate the specific tax return that the employer uses to file its federal income tax return, for example, Form 1120, 1040, 1065 or Form 990 series (in the case of a tax-exempt employer). If no federal income tax return is filed by the entity (such as a governmental employer) enter type of entity (e.g. Govt). See section 5.06(2) of Rev. Proc. 2007-44 for details.

Line 4a.   This field is limited to 70 characters, including spaces. Fill in the plan name as it should appear on the determination letter to the extent permitted. Keep in mind that “Employees” and “Trust” are not necessary in the plan name and will be left off if space does not permit.

Line 4b.   Enter the three-digit number, beginning with ‘‘001’’ and continuing in numerical order for each plan the employer adopts (001-499). This numbering will differentiate the plans. The number assigned to a plan must not be changed or used for any other plan. This should be the same number that is used when the Form 5500 series Annual Return/Report is filed.

Line 4c.   Plan month means the month in which the plans year ends. Enter the two-digit month (MM).

Line 4e.   Enter the total number of participants. A “participant” is:

  1. Any employee participating in the plan, including employees under section 401(k) qualified cash or deferred arrangement who are eligible but do not make elective deferrals,

  2. Retirees and other former employees who have a nonforfeitable right to benefits under the plan, and

  3. The beneficiaries of a deceased employee who is receiving or will in the future receive benefits under the plan. Include one beneficiary for each deceased employee regardless of the number of individuals receiving benefits. For example, payment of a deceased employee’s benefit to three children is considered a payment to one beneficiary.

Lines 4f and 4g.    See Notice 2002-1, 2002-1 C.B. 283, (as amplified by Notice 2003-49, 2003-32 I.R.B. 294 and Notice 2011-86, 2011-45 I.R.B. 698), for further details, including how to determine compensation.

Line 6a(1).   If the employer is a member of a controlled group of corporations, trades or businesses under common control, or an affiliated service group (ASG), all employees of the group will be treated as employed by a single employer for purposes of certain qualification requirements. Attach a statement that provides the following in detail:
  1. All members of the group,

  2. The relationship of each member to the plan sponsor,

  3. The type(s) of plan(s) maintained by each member, and

  4. Plans common to all members.

Line 6a(2).   Mark “Yes” if the plan sponsor is a foreign entity, a member of an ASG, a controlled group of corporations, or a group of trades or businesses under common control that includes:
  • a foreign entity;

  • a nonresident alien individual;

  • foreign corporation;

  • foreign partnership;

  • foreign trust;

  • foreign estate; or

  • any other person that is not a United States person.

See Section 1473(5) and 7701(a)(30).

Line 6b.   If “Yes,” complete only applicable sections of this form. Governmental plans under section 414(d) are exempt from certain qualification requirements and are deemed to satisfy certain other qualification requirements under certain conditions. For example, the nondiscrimination, minimum participation rules, top heavy rules, and minimum funding standards do not apply to governmental plans. In addition, such plans meet the vesting rules if they meet the pre-ERISA vesting requirements.

Line 6c(2).   Church plans described in section 414(e) that have not made the election provided by section 410(d) are not eligible to have a VS plan.

Line 6e.   Fully-insured section 412(e)(3) plans, other than plans that by their terms satisfy the safe harbor in Regulations section 1.401(a)(4)-3(b)(5), are not eligible to have a VS plan.

Line 7.   Section 3001 of the Employee Retirement Income Security Act of 1974 requires the applicants subject to section 410 to provide evidence that each employee who qualifies as an interested party has been notified of the filing of the application. If “Yes” is marked, it means that each employee has been notified as required by Regulations section 1.7476-1. If this is a one-person plan or if this plan is not subject to section 410, a copy of the notice is not required to be attached to this application. If “No” is marked or this line is blank, the application will be returned.

  Rules defining “interested parties” and the form of notification are in Regulations section 1.7476-1.

Line 8b.   See Rev. Proc. 2007-44 for explanation of on-cycle filing for pre-approved plans.

Line 12.   If “Yes”, attach a separate statement providing the name, EIN and plan type of the other plan and a copy of pertinent plan provisions from the related plan regarding the offset.

Line 13.   Attach a statement that provides the following for the plans involved:
  1. Name of plans,

  2. Type of plan,

  3. Date of merger, consolidation, spinoff, or a transfer of plan assets or liabilities, and

  4. Verification that each plan involved was qualified at the time of the merger, consolidation, spinoff, or a transfer of plan assets or liabilities.

   Note. Verification includes a copy of a prior DL, if any, interim and discretionary amendments effective for the applicable submission period and the appropriate opinion or advisory letter and/or adoption agreement and plan document. Otherwise, provide a signed and dated copy of the most recent restatement and any subsequent amendments.

  The plan and amendments submitted to verify the plan was qualified prior to the merger, consolidation, spinoff, or a transfer of plan assets or liabilities, are for information purposes only and will not be ruled on.

  If applicable, file Form 5310-A, Notice of Plan Merger or Consolidation, Spinoff, or Transfer of Plan Assets or Liabilities; Notice of Qualified Separate Lines of Business, 30 days prior to the merger, consolidation, or transfer of assets or liabilities.

Line 15a.   Attach a statement for each plan, which includes the following information:
  1. Name of plan,

  2. Type of plan,

  3. Form of plan (standardized, non-standardized, VS, or individually designed),

  4. Plan number,

  5. Vesting schedule,

  6. Whether the plan has received a DL or an application for a letter is pending with IRS.

Lines 15b and 15c.   See M-8, M-12, and M-14 of Regulations section 1.416-1.

Line 16.   Section 411(d)(6) protected benefits include:
  • The accrued benefit of a participant as of the later of the amendment’s adoption date or effective date;

  • Any early retirement benefit, retirement-type subsidy, or optional form of benefit for benefits from service before such amendment.

  If the answer is “Yes,” explain on an attachment how the amendments satisfiy one of the exceptions to the prohibition on reductions or elimination of section 411(d)(6) protected benefits.

How To Get Forms and Publications


You can access the IRS website 24 hours a day, 7 days a week at to:

  • Download forms, instructions, and publications, including accessible versions for people with disabilities.

  • Order IRS products.

  • Use the Interactive Tax Assistant (ITA) to research your tax questions. No need to wait on the phone or stand in line. The ITA is available 24 hours a day, 7 days a week, and provides you with a variety of tax information related to general filing topics, deductions, credits, and income. When you reach the response screen, you can print the entire interview and the final response for your records. New subject areas are added on a regular basis.

    Answers not provided through ITA may be found in Tax Trails, one of the Tax Topics on which contain general individual and business tax information or by searching the IRS Tax Map, which includes an international subject index. You can use the IRS Tax Map, to search publications and instructions by topic or keyword. The IRS Tax Map integrates forms and publications into one research tool and provides single-point access to tax law information by subject. When the user searches the IRS Tax Map, they will be provided with links to related content in existing IRS publications, forms and instructions, questions and answers, and Tax Topics.

  • Sign up to receive local and national tax news and more by email. Just click on “subscriptions” above the search box on and choose from a variety of options.

By Phone and in Person

Call 1-800-TAX-FORM (1-800-829-3676) to order current-year forms, instructions and publications, and prior-year forms and instructions (limited to 5 years). You should receive your order within 10 business days.

For questions regarding this form, call the Employee Plans Customer Service, toll-free, at 1-877-829-5500.

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