Appendix A
Identification Statement Worksheet (DMM E211.10)
All Periodicals publications must contain an identification statement. It must
appear in easy-to-read type in one of the locations listed below. Check the
box that indicates the location of your identification statement:
One of the first five pages of the issue (count the cover only if it is
marked as page 1).
One of the last three nonadvertising pages (bound publications only).
Masthead on the editorial page if the location of the editorial page is
shown on the first page of the publication.
The first page of the table of contents.
Please check that each of these elements appears in the identification
statement and provide an example:
Publication Title
International Standard Serial Number (ISSN) or USPS number if ISSN
not assigned
Issue Date (may be on cover)
Statement of Frequency
Issue Number (may be on cover)
Subscription Price (optional)
Name and Address of Known Office of Publication
Periodicals Imprint "(Periodicals Postage Pending at ...)"
Change of Address Information
Issue dates and numbers may appear on the spine edge of
perfect-bound publications.
Note: If you don't have a correct identification statement in your publication
at the time you file this application, attach a letter to your application that
shows the corrected identification statement as it will appear in the next
printed issue of the publication.
Sample Identification Statement (Pending Publication)
THE DAILY TIMES Issue 5 March 2001 (ISSN 7132-698X) is published daily
except Sundays and holidays for $28 per year by Wright News Co.,
123 Maine Avenue, Washington, DC 20024-0001. Periodicals postage
pending at Washington, DC, and additional mailing offices.
POSTMASTER: Send address changes to THE DAILY TIMES, PO Box 4,
Boulder, CO 80302-0004.
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