Submit this form if you would like to request an extension. We only grant the extension request if you submit this form before the "Form Due" date listed below. After you submit the request, you will receive an email with your request summary. Consider this email your confirmation that your request was granted. If you have questions, contact us at firstname.lastname@example.org or (608) 264-6889.
*Please check report extension(s) your company is requesting: