Applications

• PS Form 109 (PDF) Application to Print Special Services Barcoded Forms/Labels (7/2005)
• PS Form 1093 (PDF) Application for Post Office Box Service (10/2008)
• PS Form 1093-C (PDF) Application for Post Office Caller Service (10/2008)
• PS Form 1111 (PDF) Bulk Insured Service (BIS) Application (11/2001)
• PS Form 1357-W (PDF) Web Access Request (5/2008)
• PS Form 1500 (PDF) Application for Listing and/or Prohibitory Order (2/2009)
• PS Form 1583 (PDF) Application of Delivery of Mail Through Agent (12/2004)
• PS Form 1583-A (PDF) Application to Act as a Commercial Mail Receiving Agency (8/2000)
• PS Form 3114 (PDF) Intelligent Mail® Tray Label Certification (10/2008)
• PS Form 3500 (PDF) Application for Periodicals Mailing Privileges (9/2007)
• PS Form 3510 (PDF) Application for Additional Entry, Reentry or Special Rate Request for Periodicals Publication (6/2006)
• PS Form 3572 (PDF) Address Change Service Application — Traditional (3/2006)
• PS Form 3573 (PDF) Address Change Service Application — OneCodeACS (6/2009)
• PS Form 3615 (PDF) Mailing Permit Application and Customer Profile (2/2008)
• PS Form 3626 (PDF) Optional Procedure (OP) Mailing System Application (10/2002)
• PS Form 5051 (PDF) Confirmation Services – Electronic Option Application (5/2008)
• PS Form 5053 (PDF) Bulk Proof of Delivery Application (11/2007)
• PS Form 5054 (PDF) Bulk Proof of Delivery Application Payment Authorization (5/2005)
• PS Form 5110 (PDF) Postnet Barcode Certification Application (4/2004)
• PS Form 5113 (PDF) Barcode Certification Customer Application (10/2008)
• PS Form 5115 (PDF) AEC Web Access Request Form (2/2009)
• PS Form 5436 (PDF) Mailing List Application – Mail Transportation Services (3/2004)
• PS Form 5639 (PDF) EMCA Account Application and Payment Authorization Form (5/2008)
• PS Form 6805 (PDF) Qualified Business Reply Mail (QBRM) Application (5/2009) (effective 5/11/2009)
• PS Form 8189 (PDF) RIBBS Web Access Request Form (5/2009)

Authorization to Hold Mail Form

• PS Form 8076 (PDF)

Beneficiary Forms for USPS Employees

• Office of Personnel Management (OPM) Forms
  • SF-1152 – Designation of Beneficiary – Unpaid compensation of Deceased Civilian Employee (PDF)
  • SF-2808 – Designation of Beneficiary – Civil Service Retirement System (PDF)
  • SF-2823 – Designation of Beneficiary – Federal Employees Group Life Insurance Program (PDF)
  • SF-3102 – Designation of Beneficiary – Federal Employees Retirement System (PDF)
• Thrift Savings Plan (TSP) Forms
• Beneficiary Forms

Centralized Account Processing System (CAPS) Forms

• PS Form 6001, CAPS Application Form
• PS Form 6002, Local Account Information Form
• PS Form 6003, Debit Authorization Form

Confirmation Services Forms

• PS Form 1357-S (PDF) (Customer) Request for Computer Access (9/2003)
• PS Form 3114 (PDF) Intelligent Mail® Tray Label Certification (10/2008)
• PS Form 3152 (PDF) Confirmation Services Certification (6/2005)
• PS Form 5051 (PDF) Confirmation Services – Electronic Option Application (5/2008)
• PS Form 5052 (PDF) Printer Certification Submission (7/2008)
• PS Form 5053 (PDF) Bulk Proof of Delivery Application (6/2004)
• PS Form 5054 (PDF) Bulk Proof of Delivery Application Payment Authorization (5/2005)
• PS Form 5113 (PDF) Barcode Certification Customer Application (10/2008)
• PS Form 5114 (PDF) Barcode Certification Printer Submission Form (10/2008)

Employment Forms

• PS Form 2181-A (PDF) Pre-Employment Screening — Authorization and Release (4/2006)
• PS Form 5999 (PDF) Motor Vehicle Operator and Tractor-Trailer Operator Assessment Worksheet (7/2004)

First Class, Priority & Express Mail Forms

• PS Form 3600-EZ (PDF) Postage Statement – First-Class Mail – Easy – Nonautomation Letters, Cards, or Flats (effective 5/11/2009)
• PS Form 3600-EZ (PDF) Postage Statement – First-Class Mail – Easy – Nonautomation Letters, Cards, or Flats (effective 11/29/2009)
• PS Form 3600-EZ (PDF) Postage Statement – First-Class Mail – Easy – Nonautomation Letters, Cards, or Flats (effective 1/4/2010)
• PS Form 3600-R (PDF) Postage Statement – First-Class Mail & Priority Mail (effective 5/11/2009)
• PS Form 3600-R (PDF) Postage Statement – First-Class Mail & Priority Mail (effective 11/29/2009)
• PS Form 3600-R (PDF) Postage Statement – First-Class Mail & Priority Mail (effective 1/4/2010)
• PS Form 4004-A (PDF) Specialized Business Case August (8/2007)
• PS Form 4004-B (PDF) Customized Packaging Business Case (8/2007)
• PS Form 4004-O (PDF) Reorder/New Specialized Order Form (8/2007)
• PS Form 5541 (PDF) Pickup Service Statement (10/2001)
• PS Form 5550 (PDF) Express Mail Service Manifest System Application (6/2009)
• PS Form 5639 (PDF) Express Mail Corporate Account Application (1/2007)
• PS Form 5640 (PDF) Online Express Mail Daily Log (4/2009)
• PS Form 6015 (PDF) Nonprofit Database Change Request (7/2005)

International Forms

• PS Form 2976 (PDF) Customs Declaration CN 22 – Reference Only: Order from MDC using PSN 7530-01-000-9833 (9/2009)
• PS Form 2976-A (PDF) Customs Declaration and Dispatch Note CP 72 – Reference Only: Order from MDC using PSN 7530-01-000-9834 (5/2009)
• PS Form 3658 (PDF) Global Direct Mailbox Service Application (7/2002)
• PS Form 3681 (PDF) Global Direct Service Agreement (7/2002)
• PS Form 3682 (PDF) Global Direct Notification of Mailing (7/2002)
• PS Form 3700 (PDF) Postage Statement – International Mail (effective 5/11/2009)
• PS Form 3700 (PDF) Postage Statement – International Mail (effective 11/29/2009)
• PS Form 3700 (PDF) Postage Statement – International Mail (effective 1/4/2010)
• PS Form 5541 (PDF) Pickup Service Statement (10/2001)
• PS Form 6182 (PDF) Commercial Invoice (5/2008)

Order Forms

• PS Form 17-G (PDF) Official Mail Stamp Requisition (6/2009)
• PS Form 17-J (PDF) Penalty Mail Printed Stamped Envelope Order (5/2008)
• PS Form 3203-X (PDF) Personalized Envelope Order Form (10/2009)
• PS Form 3203-X (HTML) Personalized Envelope Order Form – accessible version (4/2009)
• PS Form 4004-A (PDF) Specialized Business Case August (8/2007)
• PS Form 4004-B (PDF) Customized Packaging Business Case (8/2007)
• PS Form 4004-O (PDF) Reorder/New Specialized Order Form (8/2007)
• PS Form 4205 (PDF) Delivery Type File Order Form (10/2003)
• PS Form 5111 (PDF) Address Information System (AIS) Viewer Order Form (3/2008)
• PS Form 5112 (PDF) Mailpiece Quality Control Self-Study Course Order Form (2/2008)
• PS Form 5555 (PDF) CPU Write-In Stamp Order Form (8/2008)
• PS Form 5556 (PDF) CPU October 2009 Stamp Order Form (10/2009)
• PS Form 5700 (PDF) Postal Bulletin Subscription Order Form (11/2008)
• PS Form 8184 (PDF) National Zone Charts Matrix & Labeling Lists Product Order Form(5/2008)
• PS Form 8189 (PDF) RIBBS Web Access Request Form (5/2009)

Package Service Forms

• PS Form 3605-R (PDF) Postage Statement – Package Services (effective 5/11/2009)
• PS Form 3605-R (PDF) Postage Statement – Package Services (effective 11/29/2009)
• PS Form 3605-R (PDF) Postage Statement – Package Services (effective 1/4/2010)
• PS Form 8042 (PDF) Bound Printed Matter Documentation Form (3/2009)

Periodicals Forms

• PS Form 3500 (PDF) Application for Periodicals Mailing Privileges (9/2007)
• PS Form 3510 (PDF) Application for Additional Entry, Reentry or Special Rate Request for Periodicals Publication (6/2006)
• PS Form 3526 (PDF) Statement of Ownership, Management, and Circulation (All Periodicals Publications Except Requester Publications) (9/2007)
• PS Form 3526-R (PDF) Statement of Ownership, Management, and Circulation (Requester Publications Only) (9/2007)
• PS Form 3541 (PDF) Postage Statement – Periodicals – One Issue or One Edition (effective 5/11/2009)
• PS Form 3541 (PDF) Postage Statement – Periodicals – One Issue or One Edition (effective 11/29/2009)
• PS Form 3541 (PDF) Postage Statement – Periodicals – One Issue or One Edition (effective 1/4/2010)
• PS Form 3541-M (PDF) Postage Statement – Periodicals – All Issues In a Calendar Month (effective 5/11/2009)
• PS Form 3541-M (PDF) Postage Statement – Periodicals – All Issues In a Calendar Month (effective 11/29/2009)
• PS Form 3541-M (PDF) Postage Statement – Periodicals – All Issues In a Calendar Month (effective 1/4/2010)
• PS Form 3542 (PDF) Application to Mail Under the Periodicals Centralized Postage Payment (CPP) System (7/2001)
• PS Form 3548 (PDF) Review and Verification of Circulation (4/2000)
• PS Form 3624 (PDF) Application to Mail at Nonprofit Standard Mail Rates (2/2007)

Plant Verified Drop Shipment (PVDS) for Standard Mail Forms

• PS Form 3602-C (PDF) Postage Statement – Consolidated – Supplement Standard Mail and Nonprofit Standard Mail (for all PVDS) (effective 5/11/2009)
• PS Form 3602-C (PDF)
  Postage Statement – Consolidated – Supplement Standard Mail and Nonprofit Standard Mail (for all PVDS) (effective 11/29/2009)
• PS Form 3602-C (PDF) Postage Statement – Consolidated – Supplement Standard Mail and Nonprofit Standard Mail (for all PVDS) (effective 1/4/2010)
• PS Form 8017 Expedited Plant-Load Shipment Clearance (7/2008)
• PS Form 8125 (PDF) Plant-Verified Drop Shipment (PVDS) Verification and Clearance (7/2007)
• PS Form 8125-C (PDF)
  Plant-Verified Drop Shipment (PVDS) – Consolidated Verification and Clearance (7/2007)

Special Services Forms

• PS Form 152 (PDF) Delivery Confirmation – Reference Only: Order from MDC using PSN 7530-04-000-4309(5/2002)
• PS Form 153 (PDF) Signature Confirmation – Reference Only: Order from MDC using PSN 7530-05-000-4046 (1/2005)
• PS Form 2865 (PDF) Return Receipt for International Mail – Reference Only: Order from MDC using PSN 7530-01-000-9775 (2/1997)
• PS Form 3800 (PDF) Certified Mail – Reference Only: Order from MDC using PSN 7530-02-000-9047 (6/2002)
• PS Form 3804 (PDF) Return Receipt for Merchandise – Reference Only: Order from MDC using PSN 7530-02-000-9031 (7/2002)
• PS Form 3816 (PDF) COD – Reference Only: Order from MDC using PSN 7530-02-000-9062 (2/2002)

Standard Mail Forms

• PS Form 3602-C (PDF) Postage Statement – Supplement Standard Mail and Nonprofit Standard Mail (effective 5/11/2009)
• PS Form 3602-C (PDF) Postage Statement – Supplement Standard Mail and Nonprofit Standard Mail (effective 11/29/2009)
• PS Form 3602-C (PDF) Postage Statement – Supplement Standard Mail and Nonprofit Standard Mail (effective 1/4/2010)
• PS Form 3602-EZ (PDF) Postage Statement – Standard Mail – Easy – Nonautomation Letters or Flats (effective 5/11/2009)
• PS Form 3602-EZ (PDF) Postage Statement – Standard Mail – Easy – Nonautomation Letters or Flats (effective 11/29/2009)
• PS Form 3602-EZ (PDF) Postage Statement – Standard Mail – Easy – Nonautomation Letters or Flats (effective 1/4/2010)
• PS Form 3602-N (PDF) Postage Statement – Nonprofit Standard Mail (effective 7/19/2009)
• PS Form 3602-N (PDF) Postage Statement – Nonprofit Standard Mail (effective 11/29/2009)
• PS Form 3602-N (PDF) Postage Statement – Nonprofit Standard Mail (effective 1/4/2010)
• PS Form 3602-NZ (PDF) Postage Statement – Nonprofit Standard Mail – Easy – Nonautomation Letters and Flats (effective 5/11/2009)
• PS Form 3602-NZ (PDF) Postage Statement – Nonprofit Standard Mail – Easy – Nonautomation Letters and Flats (effective 11/29/2009)
• PS Form 3602-NZ (PDF) Postage Statement – Nonprofit Standard Mail – Easy – Nonautomation Letters and Flats (effective 1/4/2010)
• PS Form 3602-R (PDF) Postage Statement – Standard Mail (effective 7/19/2009)
• PS Form 3602-R (PDF) Postage Statement – Standard Mail (effective 11/29/2009)
• PS Form 3602-R (PDF) Postage Statement – Standard Mail (effective 1/4/2010)
• PS Form 3623 (PDF) Application for Nonprofit Standard Mail Rates at Additional Mailing Office (10/1996)
• PS Form 3624 (PDF) Application to Mail at Nonprofit Standard Mail Rates (6/2006)

Miscellaneous Forms

• PS Form 604 (PDF) Credit Card Non-Receipt Report (10/2006)
• PS Form 1000 (PDF) Domestic or International Claim (7/2009)
• PS Form 1357-C (PDF) (Customer) Request for Web Access (10/2000)
• PS Form 1357-W (PDF) Web Access Request (5/2008)
• PS Form 1508 (PDF) Statement by Shippers of Firearms (4/1994)
• PS Form 1509 (PDF) Sender’s Application for Recall of Mail (8/2007)
• PS Form 2937 (PDF) Importer’s Objections (8/2003)
• PS Form 3152-A (PDF) Confirm Advanced Shipping Notice (ASN) Shipment ID (9/2001)
• PS Form 3540-S (PDF) Postage Statement – Extra Services (1/2006)
• PS Form 3553 (PDF) CASS Summary Report (3/2007)
• PS Form 3602-G (PDF) Postage Statement – Penalty Permit Imprint (effective 5/11/2009)
• PS Form 3602-G (PDF) Postage Statement – Penalty Permit Imprint (effective 11/29/2009)
• PS Form 3602-G (PDF) Postage Statement – Penalty Permit Imprint (effective 1/4/2010)
• PS Form 3606 (PDF) Certificate of Bulk Mailing (5/1992)
• PS Form 3621-A (PDF) Renewal Notice for Annual Fee(s) (effective 5/11/2009)
• PS Form 3621-A (PDF) Renewal Notice for Annual Fee(s) (effective 11/29/2009)
• PS Form 3621-A (PDF) Renewal Notice for Annual Fee(s) (effective 1/4/2010)
• PS Form 3801-A (PDF) Agreement by a Hotel, Apartment House, or the Like (7/1998)
• PS Form 3817 (PDF) Certificate of Mailing (4/2007)
• PS Form 3877 (PDF) (Page from) Firm Mailing Book for Accountable Mail (2/2002)
• PS Form 3883-A (PDF) Firm Delivery Receipt (12/1994)
• PS Form 4027 (PDF File) Petition for Change in Rural Delivery (9/1988)
• PS Form 4232 (PDF File) Rural Customer Delivery Instructions (4/2007)
• PS Form 5637 (PDF) Corporate Account/Custom Designed Agreement (1/1995)
• PS Form 6011 (PDF) Agreement for Acceptance of Food Items (4/2006)
• PS Form 6241 (PDF) Recurring Appointment Request (2/2005)
• PS Form 6806 (PDF) Mailpiece Irregularity/Resolution (3/1999)
• PS Form 8026 (PDF) Expedited Shipment Agreement for Plant-Load Mailings (6/2002)
• PS Form 8096 (PDF) Request to Pay Postage Refunds to Presenter of Mail (6/1998)
• PS Form 8165 (PDF) Mail Fraud Report (1/1999)