CDTFA-82 REV.3 (8 -17)                                                                                              STATE OF CALIFORNIA 
AUTHORIZATION FOR                               CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION 
ELECTRONIC TRANSMISSION OF DATA 

 NAME OF TAXPAYER(S) OR FEEPAYER(S)             TAXPAYER’S/FEEPAYER’S EMAIL ADDRESS 

TAXPAYER’S/FEEPAYER’S ACCOUNT NO.               CASE IDENTIFICATION NUMBER (if applicable) 

TAXPAYER’S/FEEPAYER’S REPRESENTATIVE            TAXPAYER’S/FEEPAYER’S REPRESENTATIVE’S EMAIL ADDRESS 

The California Department of Tax and Fee Administration (CDTFA) collects and stores confidential 
information about taxpayers and feepayers and has a responsibility under the law to protect this 
information from unauthorized access, use, and disclosure. Taxpayers or feepayers may authorize the 
transmission of confidential information via email by providing written authorization to the CDTFA. If 
authorization is provided, the confidential information will only be sent to individuals who have a 
legitimate business need to view the information (taxpayer or feepayer, and/or representative). 

The following statement will be included on each transmission: 

     Confidential information of the California Department of Tax and Fee Administration (CDTFA) – 
     unauthorized use or disclosure is strictly prohibited by law. If you receive this email in error, 
     please immediately notify the CDTFA by return email and delete this message from your 
     computer, without printing the message, and without disclosing its contents to any person 
     other than the sender or recipient. Persons who copy or disclose such confidential information 
     are subject to applicable legal penalties. 

To authorize the transmission of confidential information to you and/or your representative via email, 
please sign this        CDTFA-82,    Authorization for Electronic Transmission of Data,  and provide it to a 
CDTFA representative. This authorization will remain in effect until rescinded in writing. 

 By signing, you acknowledge the following statement with respect to the account noted above: 

     I authorize the transmission of confidential or sensitive information via email. I understand that 
     transmission via email is not a secure transmission and the CDTFA is not responsible if 
     confidential or sensitive information sent via email is accessed by third parties. 

SIGNED BY* (taxpayer, feepayer, corporate officer or representative with a power of attorney)      DATE SIGNED 

PRINT NAME OF SIGNATORY                         CONTACT PERSON (if other than signatory) 

TITLE OR POSITION                                                                                  TELEPHONE NUMBER 
                                                                                                   ( ) 
TITLE OR POSITION OF CONTACT PERSON                                                                TELEPHONE NUMBER 
                                                                                                   ( ) 

                  *Signatory, if not a corporate officer, partner or owner, certifies under penalty of perjury
                        that he or she holds a power of attorney to execute this document. 

                                     CLEAR                                                    PRINT