CT-3911 Form PDF Details

Connecticut taxpayers who are missing a state income tax refund, or believe a refund check was lost or stolen, can file this taxpayer statement to begin an investigation with the Department of Revenue Services (DRS). This document applies to both individual and business tax filers who expected a direct deposit refund or a paper check. It does not apply to debit card refunds. Before submitting, check with your bank to verify the direct deposit was not received.

When to File the CT-3911 Taxpayer Statement

Allow at least six weeks from the date you filed your Connecticut tax return before submitting this form. Common reasons to file include a direct deposit that never posted to your bank account, a paper refund check that was lost in the mail, or a refund check that was stolen before it could be cashed. The DRS recommends reviewing any prior correspondence about your refund before completing the form. Both individual and business taxpayers are eligible to file.

What You Need to Complete the Form

Use blue or black ink when completing the paper version of this taxpayer statement. Required information includes your full name, Social Security number or Federal Employer Identification Number (for business returns), the tax year and filing status, and the amount of the expected refund. Attach any prior DRS correspondence about the refund. If filing a joint return, both spouses must sign the declaration. Business taxpayers must also include their title in the signature section.

How to Submit and What to Expect

Mail or fax the completed statement to the Department of Revenue Services at the address or fax number printed on the form. After receiving the form, the DRS will provide written updates on the status of the investigation. If the original refund check was never cashed, the DRS will issue a replacement check. If you receive no response within six weeks of filing, contact the DRS directly by phone or mail to follow up. Connecticut takes refund investigations seriously and works to resolve each case in writing.

Taxpayers who are also missing a federal income tax refund should file the IRS Form 3911 separately with the Internal Revenue Service. In some cases where a refund check was fraudulently cashed, a replacement check request form from your bank may be needed as supporting documentation.

QuestionAnswer
Form NameCT-3911 Form
Form Length1 pages
Fillable?Yes
Fillable fields31
Avg. time to fill out6 min 31 sec
Other namesct 3911 form, ct taxpayer statement form, form ct 3911, 3911 statement tax form

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Frequently Asked Questions

How long does the DRS take to respond after I file this form?

The Department of Revenue Services typically responds within six weeks of receiving the completed taxpayer statement. If you do not hear back within six weeks, contact the DRS by phone or mail to check on the status of your refund investigation.

Can I file this form if my tax refund was loaded onto a debit card?

No. This form applies only to direct deposit refunds and paper refund checks. If your Connecticut tax refund was issued to a debit card, contact CHASE CUSTOMER SERVICE directly for assistance with the missing funds.

What happens after I submit the taxpayer statement?

The DRS reviews your information and investigates the original refund. If the refund check was never cashed, the DRS will issue a replacement and notify you in writing. Keep copies of the form and all supporting documents during the review period.

Is there a federal version of this form for missing federal tax refunds?

Yes. For missing federal refunds, file the IRS Form 3911 with the Internal Revenue Service separately. The state CT-3911 and federal IRS 3911 are handled independently through different agencies.

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