Form 720-V for PCORI Payments

Form 720-V is a paper slip that goes with a check or money order. That is its whole job. The IRS uses it to credit your payment "more promptly and accurately." If you are mailing a check for your PCORI fee with Form 720, complete one. If you are paying any other way, you most likely won't need it.
The voucher isn't where you report the fee. The fee is figured and reported on Form 720 itself, in Part II. For how that works, see the PCORI fee on Form 720.
When do you use Form 720-V for PCORI?
| How you pay | Form 720-V? | Source of the rule |
|---|---|---|
| Check or money order with Form 720 | Yes, complete it | Voucher purpose statement |
| EFTPS | No | Voucher instructions and line 10 instructions |
| IRS Direct Pay | No | Line 10 instructions |
| Direct debit (electronic funds withdrawal) | No | Line 10 instructions |
| Card or digital wallet | Not mentioned | The voucher is described only for check or money order payments |
You can also skip the voucher if no payment is needed. The instructions say you don't have to pay if line 10 is under $1.00.
What goes in each box
The form has four numbered boxes. Here is each one, read from a PCORI filer's position:
| Box | What the form asks | For a PCORI filer |
|---|---|---|
| 1 | Your employer identification number (EIN) | The EIN on the return: the plan sponsor's or issuer's |
| 2 | Amount paid from line 10 of Form 720 | Your balance due, in dollars and cents |
| 3 | Darken the circle for the quarter. Darken only one. | 2nd Quarter |
| 4 | Name and address as shown on Form 720 | Exactly as on the return |
Box 3 is the one to think about. The fee is reported on the second-quarter return whenever your plan year ended, so a plan year ending in September or December still means the 2nd Quarter circle. The instructions apply the same second-quarter treatment to payments through EFTPS.
On box 1, the voucher instructions mention a Social Security number for a one-time filing. In the Form 720 instructions, a one-time filing refers to the gas guzzler tax. PCORI is an annual fee, so plan to use an EIN. If you don't have one, you can apply at IRS.gov/EIN.
How to send the voucher, check, and return
- Make the check or money order payable to "United States Treasury." Don't send cash.
- On the check or money order, enter your EIN, "Form 720," and the tax period.
- Detach the completed voucher along the marked line.
- Put the voucher, the payment, and Form 720 in the envelope. Don't staple the voucher or the payment to the return, or to each other.
- Mail to the address under Where To File in the instructions: Department of the Treasury, Internal Revenue Service, Ogden, UT 84201-0009.
Use the U.S. Postal Service, or a designated private delivery service, to meet the "timely mailing as timely filing/paying" rule. Private delivery services can't deliver to a P.O. box and have their own IRS street addresses, listed at IRS.gov/PDSStreetAddresses.
What if you e-file and still want to pay by check?
Line 10 of the instructions lists check or money order among the ways to pay, without limiting it to paper returns. But the voucher instructions only describe sending the voucher "with your payment and Form 720," and they don't address a return that was sent electronically. Our IRS sources don't give a separate process for that case, so we won't invent one.
If you e-file, the simpler path is a payment method with no voucher at all. Direct Pay and EFTPS are both no-fee options per the instructions, and neither uses Form 720-V.
Which version of the voucher should you use?
The voucher in the June 2026 Form 720 is labeled Form 720-V (2026). The IRS says to use the most current revision of Form 720 when reporting the fee. For a return due August 2, 2027, look for the voucher in the then-current revision at IRS.gov/Form720 rather than reusing an old one. Our sources don't include the 2027 voucher, so confirm the boxes on it before you fill it in.
If you prefer to skip paper altogether, you can file your PCORI fee online with EasyFile720. You enter your covered lives, the rate and math are handled, and you get an electronic acknowledgment from the IRS once the return is accepted. Our $39.95 filing charge doesn't include the fee you owe the IRS, so choose your payment method from the table above. Your next step is to create a free account, with no credit card needed to start. You pay the filing charge when you file.
FAQ
Is Form 720-V a separate form I have to download?▼
It is printed as part of the Form 720 package, on the last page of the June 2026 revision, with a detachable voucher at the bottom.
Do I need Form 720-V if I pay by credit card?▼
The voucher is for a payment by check or money order. Our sources do not call for one with any other payment method.
My accountant is preparing the return. Who handles the voucher?▼
The voucher instructions say that if a third party prepares your return and a payment is required, you provide the payment voucher to the return preparer.
What if my balance due is only a few cents?▼
The instructions say you don't have to pay if line 10 is under $1.00, so there would be no check and no voucher to send.
File your PCORI fee online
Create a free account with no credit card and build your return. You pay $39.95 only when you file. EasyFile720 is an IRS-authorized e-file provider, and you get an acknowledgment when the IRS accepts your return.
Sources: Form 720 and Form 720-V (Rev. June 2026); Instructions for Form 720 (Rev. June 2026); IRS PCORI Questions and Answers. General information, not tax advice. Confirm how the rules apply to you with a qualified advisor or the IRS.


