Form Omb100 E PDF Details

have you ever wondered what the point of form omb100e is? many people, including myself, filled out this form and wasn't quite sure why. well, wonder no more! this form is an annual economic survey that the office of management and budget (omb) requires from all federal agencies. the information collected helps omb to assess our nation's economy and make informed decisions about government spending. so, next time you fill out this form, be sure to take your time and answer all the questions as accurately as possible. thanks for your help in keeping our economy strong!

QuestionAnswer
Form NameForm Omb100 E
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesformulaire, ppu, contribuables, franais

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Taxpayers' Ombudsman – Complaint Form

Section 1 – Identification

All fields are mandatory unless otherwise indicated

Title (optional)

 

 

 

 

First name

Last name

Mr.

Ms.

Other:

 

 

 

 

 

 

 

 

 

Name of corporation or organization (optional)

Mailing address: Apt. no. – Street no. and name

P.O. Box / R.R.

City

Prov./Terr./State (and/or country, if outside Canada)

Postal/ZIP Code

Telephone number

Best time to contact you?

Fax or alternate telephone number. Please indicate which number you provide. (optional)

Email address (optional).

No information will be sent or received by email. Please note email will only be used by the Office of the Taxpayers' Ombudsman in exceptional circumstances, if identification is required, or for a satisfaction survey. Do you consent to the Office of the Taxpayers' Ombudsman contacting you by email for a short survey on your satisfaction with our service?

Yes

No

Our office hours are Monday to Friday (except holidays) from 8:15 a.m. to 4:30 p.m. (EST).

We may contact you by mail and/or telephone. Do you have any contact requirements or restrictions? Please state below:

Section 2 – Information about your complaint (If you need more space, attach a separate sheet of paper.)

1.Please describe your complaint and submit all relevant documentation (e.g. correspondence sent to or received from the Canada Revenue Agency). * Please note we do not require your social insurance number to review your file.

Section 3 – Actions taken to resolve your complaint (If you need more space, attach a separate sheet of paper.)

1. Have you contacted the Canada Revenue Agency (CRA) – Service Complaints regarding your complaint? (please tick one)

Yes, I have

No, I have not

2.What actions have you taken to resolve your complaint? Include the actions taken by the CRA staff and provide the name, title, telephone number and the name of the tax services office or tax centre with whom you have dealt regarding this situation.

 

(Vous pouvez obtenir ce formulaire en français à

OMB100 E (18)

canada.ca/fr/ombudsman-contribuables ou en composant le 1-866-586-3839.)

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Section 4 – Consent to disclose information

I understand that, in reviewing my complaint, the Office of the Taxpayers' Ombudsman (OTO) may need to share my information with the CRA. This includes my complaint form, any supporting documentation, and any additional information provided to the OTO, and I consent to such disclosure. I give consent to the OTO to refer my complaint and the aforesaid information and documentation to the CRA Service Complaints program for a first level review if my complaint has not already been addressed through the CRA Service Complaints program. I further understand the CRA may also need to share information with the OTO for the purpose of the OTO reviewing my complaint, and I consent to such disclosure.

Signature of complainant (or, if a corporation or organization, signature of authorized representative)

Year/Month/Day

Section 5 – Third party authorization

1. If you are designating a representative to file this complaint on your behalf, provide the following information and authorization:

Name and title of representative

 

 

Mailing address of representative

 

 

 

 

 

 

 

 

 

 

 

 

Telephone number

Fax or alternate telephone number

 

Email Address

*No information will be sent or received by email. Please note email will only be used by the Office of the Taxpayers' Ombudsman in exceptional circumstances, if identification is required, or for a satisfaction survey. Do you consent to the Office of the Taxpayers' Ombudsman contacting your representative by email for a short survey on their satisfaction with our service?

Yes

No

2.As the taxpayer identified in Section 1 of this form, I hereby authorize this representative to act on my behalf in dealing with the Office of the Taxpayers' Ombudsman for the purpose of this complaint.

Signature of complainant

Signature of representative

Year/Month/Day

3. Who should we contact to discuss your complaint?

Taxpayer

Representative

*If you wish our Office to contact your representative, you can still contact our Office if you have an enquiry.

4.Where do you want us to send correspondence about your complaint?

Taxpayer

Representative

Both

Section 6 – Submitting this form

You can fax the completed form to 1-866-586-3855 or mail it to:

Office of the Taxpayers' Ombudsman

171 Slater Street, Suite 1000

Ottawa ON K1P 5H7

Canada

Information about your complaint is stored at the above-mentioned address.

Section 7 – Survey (optional)

How did you learn about the Office of the Taxpayers' Ombudsman (OTO)?

 

 

 

 

 

Through the media (e.g. newspaper, radio, television)

 

 

Through the Canada Revenue Agency

 

 

Another government Web site

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From a tax professional

 

 

Outreach event by the OTO

 

Internet search

 

 

 

 

 

 

 

 

 

 

 

 

 

At a community organization

 

Other:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Privacy Notice

Under the Privacy Act, individuals have the right to access their personal information, request correction, or file a complaint to the Privacy Commissioner of Canada regarding the handling of the individual's personal information. Refer to the Taxpayers' Ombudsman’s Personal Information Bank CRA PPU 222 on Info Source at canada.ca/cra-info-source.

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2. Once your current task is complete, take the next step – fill out all of these fields - Have you contacted the Canada, Yes I have, No I have not, What actions have you taken to, and the name of the tax services, OMB E, canadacafrombudsmancontribuables, and Vous pouvez obtenir ce formulaire with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Tips on how to fill out formulaire step 2

3. This next portion is mostly about Signature of complainant or if a, YearMonthDay, Section Third party authorization, If you are designating a, Name and title of representative, Mailing address of representative, Telephone number, Fax or alternate telephone number, Email Address, No information will be sent or, circumstances if identification is, Yes, As the taxpayer identified in, and Ombudsman for the purpose of this - fill out each of these blanks.

Filling out section 3 in formulaire

4. Filling in Signature of complainant, Signature of representative, YearMonthDay, Who should we contact to discuss, Taxpayer, Representative, If you wish our Office to contact, Where do you want us to send, Taxpayer, Representative, Both, Section Submitting this form, You can fax the completed form to, Office of the Taxpayers Ombudsman, and Information about your complaint is essential in this step - ensure that you spend some time and take a close look at each and every blank area!

Signature of complainant, If you wish our Office to contact, and YearMonthDay of formulaire

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Other, At a community organization, and Privacy Notice Under the Privacy of formulaire

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