2021 Tax Season Literature Request Form
Please fully complete this form for each location where you want the NYC Department of Consumer and Worker Protection (DCWP) to deliver NYC Free Tax Prep brochures. If you are ordering for multiple location, complete a separate form for each locations. DCWP will deliver all materials free of charge.

If you have additional questions, please email NYCTaxInitiative@dca.nyc.gov

Contact Information
Organization Name *
Delivery Site Name *
Cross Streets *
Delivery Contact Name *
Street Address *
City *
State*
Zip Code*
Best Days (M-F) and Hours for Delivery *
Phone # for Delivery Contact Person *
Email for Delivery Contact Person *
Literature Order
Please note that brochures come in packs of 125 each. Below please note how many packs of brochures your organization requires. The brochure is multilingual and includes ALL of the following languages: English, Spanish, Arabic, Bengali, Chinese, French, Haitian Creole, Korean, Polish, Russian and Urdu.
Total # of Packs (125 brochures per pack) *
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