## 

Name of taxpayer 
 
1 
UTR of taxpayer 
 
2 
Reason for claiming reasonable excuse: 

3 
Yes
Failure to file online due to an IT issue (S118(2) TMA 70 refers) 
No 4 
Yes
Failure to file online due to a non-IT issue (S93 or S93(A) TMA 70 refers) 
No Reason for filing on paper: 
Yes No - If no, question 6 needs 
to be completed 

Is a copy of any error message attached? 
5 
 
 
6 
Please explain why a return could not be filed online. 7 
 
What was the date when you tried to file the particular return online 

or  
realised that it could not be filed online 

 
Which software package you are using? 
8 
 
 
Date of claim 
9 
 
 
Agent name 
10 


11