Revised PS Form 1096, Customer Receipt

Effective November 19, 2009, PS Form 1096, Customer Receipt, is revised for use by rural carriers and highway contract routes only. The October 2009 edition of this form replaces the April 1998 edition. All previous editions of PS Form 1096 are obsolete and must be destroyed.

In Postal Bulletin 22266 (8-27-09, pages 15–20), the arti­cle “POM and Handbook F-101 Revision: Replacement of PS Form 1096 with PS Form 3544 for Retail Window Ser­vice Transactions” revised policies to discontinue use of PS Form 1096 for retail window service transactions. PS Form 3544, Receipt for Money or Services replaces PS Form 1096 for retail window service transactions. Excep­tion: PSIN #O13 (Routing Slip) replaces PS Form 1096 when issuing temporary cash receipts for local emergency purchases.

As a reminder, effective with the 8-27-09 Postal Bulletin:

1. Postal retail units (PRUs) must ensure all PS Form 1096s are removed from the retail window area and manual PS Form 3544s (7/04 edition) are on hand for the purpose of providing customers with manual re­ceipts when electronic receipts are not available.

n POS and IRT units must have a book of PS Form 3544s on hand to provide customer receipts in the event of a system failure or power outage.

n eMOVES units will continue to use PS Form 3544 to support PS Form 1412 entries per current pol­icy. Additionally, eMOVES units will issue PS Form 3544 as a customer receipt for purchases when a receipt is requested by the customer.

2. Rural carriers will continue to use PS Form 1096 ac­cording to procedures stated in Handbook PO-603, Rural Carrier Duties and Responsibilities.

Viewing the Form Online

PS Form 1096 is available on the Postal Service™
PolicyNet website:

n Go to

n Under “Essential Links” in the left-hand column, click Forms.

(The direct URL for the Forms website is

This form appears on page 16 of this Postal Bulletin.

Ordering Revised PS Form 1096 for PRUs With Rural and/or HCR Delivery

n Use the eBuy on-catalog requisition system to order PS 1096 from the Material Distribution Center (MDC).

n Search for items using the PSN number listed here (without the dashes).

n If your office does not have access to eBuy, you may order using touch-tone order entry (TTOE): Call 800-273-1509.

Note: You must be registered to use TTOE. To register, call 800-332-0317, option 1, extension 2925, and follow the prompts to leave a message. (Wait 48 hours after register­ing before placing your first order.) For complete TTOE ordering instructions, visit the Materials Customer Service website at or call 800-332-0317, option 4, option 4.

Use the following ordering information to order PS Form 1096:

PSIN: PS1096
PSN: 7530-02-000-7346

Unit of Measure: PD

Minimum Order Quantity: 1

Quick Pick Number: 114

Bulk Pack Quantity: NA

Price: $0.3904

Edition Date: 10/09





PS Form 1096