The Tax U - Report Hours to IRS

The Tax U - Please Report My Hours to the IRS for Credit
I would like my participation in this course reported to the IRS:
Course taken:
IRS Program Number:
This field populates automatically based on the course you took
Date the course was taken:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
First Name:
Last Name:
PTIN:
Number begins with "P"
First Name:

First Name
Last Name:

First NameLast Name
Course taken:
Should be Empty:

The Tax U - Please Report My Hours to the IRS for Credit