First Year Free Retroactive Eligibility Form

Please provide the following information for your First Year Free Retroactive Relief request to be reviewed. You must submit one application for each location. Our Office will review your eligibility form and provide you with instructions on how to request a refund, if eligible. Additional information about the First Year Free Retroactive Relief program can be found here, To update your business contact information visit,

Please enter your seven (7) digit Business Account Number, the last four (4) of your Tax Identification Number and your eight (8) character Online PIN to access the form.