Sales and Use VDA Fill-In Form

Request for Sales or Use Tax Voluntary Disclosure Agreement (VDA)

A taxpayer is not required to reveal its identity in order to request a VDA. A representative may submit an anonymous request on the taxpayer's behalf. Alternately, a taxpayer may initiate its own request and provide the company name and other information on the appropriate lines.

Fields with an * are required fields.

Representative Information
Company Information
Additional Questions
Date activities began in Ohio*
Sign and Date