Publication 223 Revision: Directives and Forms Update

Effective immediately, Publication 223, Directives and Forms Catalog, is revised to include current information for the items noted in this article. See Publication 223 for complete information.

Information on how to order directives and forms is available in Chapter 1 of Publication 223.

Publication 223 is available on the Internet at http:⁄⁄about.usps.com⁄publications⁄pub223.pdf.

New

n HBK EL-521, Federal Employees Health Benefits Program Guide.

n MI AS-270-2015-4, Postal Service Headquarters Access Control System.

n MI AS-300-2015-5, Requests to Conduct Research at the Postal Service.

n MI AS-510-2016-1, Postal Service Headquarters Parking.

n MI DM-601-2016-2, Hazardous Materials Acceptance and Handling Policy.

n MI DM-453-2016-1, Parcel Select Ground for Internal Postal Service Shipping.

n MI EL-430-2015-4, Back Pay.

n MI EL-660-2016-2, Financial Disclosure Reporting Procedures for the U.S. Postal Service.

n MI EL-810-2016-1, Hazard Communication (HazCom) Program.

n MI PO-439-2016-1, ZIP Code Boundary Review Process.

n MOP CSO-04-13-2016, Reporting Releases of Hazardous and Regulated Substances to the Environment.

n MOP CSO-04-22-2016, Signature Requirements for Environmental Documents.

n MOP HR-03-03-2016-1, Equal Employment Opportunity Policy Statement.

n MOP HR-03-03-2016-2, Postal Service Policy on Workplace Harassment.

n PUB 556, Responding to Sexual Assault Allegations: A Guide for U.S. Postal Inspectors and Postal Police Officers.

n PS 2976-ES, Small Customs Form Envelope.

n PS 2976-R, USPS Customs Declaration and Dispatch Note.

n PS 5555-ACH, CPU (ACH) Write-In Stamp Order Form.

n PS 5555-CC, CPU (Credit Card) Write-In Stamp Order Form.

Revised

n HBK AS-353, Guide to Privacy, the Freedom of Information Act, and Records Management.

n HBK AS-805-C, Information Security Requirements for All Personnel.

n HBK DM-203, Periodicals Eligibility Review.

n HBK DM-204, Applying for Periodicals Mailing Privileges.

n HBK DM-901, Registered Mail.

n HBK EL-312, Employment and Placement.

n HBK EL-520, Guide to USPS Health Benefits Plan (For CCAs, MHAs, RCAs, and Non-bargaining, Non-career Employees Only).

n HBK EL-903, Agreement between the USPS and National Mail Handlers Union, AFL-CIO, A Division of the Laborers’ International Union, 2011–2016.

n HBK EL-906, Agreement between United States Postal Service and Postal Police Officers Association, 2012–2017.

n HBK F-15-C, Relocation Policy — Bargaining Employees.

n HBK F-21, Time and Attendance.

n HBK PO-209, Retail Operations Handbook.

n HBK RE-6, Facilities Environmental Guide.

n LAB 100, Nonstandard Size Surcharge.

n LAB 228, Priority Mail Address Label.

n LAB 228-C, Priority Mail Address Label (continuous feed).

n MAN ASM, Administrative Support Manual.

n MAN DMM, Mailing Standards of the United States Postal Service, Domestic Mail Manual.

n MAN ELM, Employee and Labor Relations Manual.

n MAN IMM, Mailing Standards of the United States Postal Service, International Mail Manual.

n NOT 616, Premium Forwarding Service Residential (postcard).

n POS 505, USPS Package Returns Comparison.

n PUB 22, Expedited Packaging Supplies.

n PUB 52, Hazardous, Restricted, and Perishable Mail.

n PUB 129, Safety Talks.

n PUB 141, Global Express Guaranteed Service Guide.

n PUB 223, Directives and Forms Catalog.

n PUB 312, A U.S. Postal Inspector's Guide to Internet Safety for Children.

n PUB 347, Mailing Free Matter for Persons Who Are Blind or Visually Impaired.

n PUB 370, Extra Services.

n PUB 399, Pickup Services Field Guide.

n PUB 631, Official Election Mail — Graphic Guidelines and Logos.

n PUB 632, State and Local Election Mail — User's Guide.

n PUB 640, Military Mail: FAQ.

n SGN 151, Camera Notice.

n PS 17-G, Federal Agency Stamp Requisition.

n PS 153, Signature Confirmation Receipt.

n PS 571, Discrepancy of $100 or More in Financial Responsibility.

n PS 2563-A, Certification of Receipt — Publication 133.

n PS 2564-A, Information for Pre-Complaint Counseling.

n PS 2564-B, EEO Settlement Agreement Pre-Complaint.

n PS 2564-C, Withdrawal of Complaint of Discrimination.

n PS 2565, EEO Complaint of Discrimination in the Postal Service.

n PS 2565-A, Withdrawal of Formal EEO Complaint of Discrimination.

n PS 2565-B, EEO Settlement Agreement.

n PS 2565-C, Agreement to Extend 180-Day EEO Investigative Process.

n PS 2565-D, EEO Settlement Agreement — Formal Complaint.

n PS 2565-F, EEO Settlement Agreement (Including Claims Filed Under ADEA).

n PS 2567-B, Agreement to Participate in REDRESS, an Alternate Dispute Resolution Process.

n PS 2568-A, EEO Investigative Affidavit (Complainant).

n PS 2569, EEO Investigative Affidavit (Continuation Sheet).

n PS 2570, EEO Alternative Dispute Resolution Specialist’s (ADRS) Inquiry Report.

n PS 2579-B, Notice of Right to File Class Complaint.

n PS 2579-C, Notice of Right to File Mixed Complaint.

n PS 3203-X, Personalized Stamped Envelopes and Cards Order Form.

n PS 3227-R, Rural or Highway Contract Route Carrier Stamp Purchase Order Form.

n PS 3541-1, Postage Statement — Periodicals — One Issue or One Edition.

n PS 3541-3, Postage Statement — Periodicals — One Issue or One Edition — Outside County.

n PS 3541-5, Postage Statement — Periodicals — One Issue or One Edition — Outside County.

n PS 3541-7, Postage Statement — Periodicals — One Issue or One Edition — Outside County.

n PS 3600-EZ, Postage Statement — First Class Mail — Easy Nonautomation Letters, Cards, or Flats.

n PS 3600-FCM1, Postage Statement — First-Class Mail and First-Class Package Service.

n PS 3600-FCM3, Postage Statement — First-Class Mail and First-Class Package Service — Nonautomation Prices.

n PS 3600-FCM5, Postage Statement — First-Class Mail and First-Class Package Service — Roundtrip DVD, CD, or Other Disc Mail.

n PS 3600-PM1, Postage Statement — Priority Mail — Permit Imprint.

n PS 3600-PM3, Postage Statement — Priority Mail — Permit Imprint — Com. Base⁄Com. Plus — Regional Rate Box.

n PS 3600-PM5, Postage Statement — Priority Mail — Permit Imprint — Negotiated Service Agreement (NSA).

n PS 3600-PM7, Postage Statement — Priority Mail — Permit Imprint — Negotiated Service Agreement (NSA).

n PS 3600-PM9, Postage Statement — Priority Mail — Open and Distribute — Negotiated Service Agreement (NSA).

n PS 3600-PM11, Postage Statement — Priority Mail — Open and Distribute — Commercial Plus.

n PS 3602-EZ, Postage Statement — Standard Mail — Easy Nonautomation Letters or Flats.

n PS 3602-N1, Postage Statement — Nonprofit Standard Mail.

n PS 3602-N3, Postage Statement — Nonprofit Standard Mail — Nonautomation Letters.

n PS 3602-N5, Postage Statement — Nonprofit Standard Mail — Career Route Letters.

n PS 3602-N7, Postage Statement — Nonprofit Standard Mail — Automation Flats.

n PS 3602-N9, Postage Statement — Nonprofit Standard Mail — Carrier Route Flats.

n PS 3602-N11, Postage Statement — Nonprofit Standard Mail — Carrier Route Flats.

n PS 3602-N13, Postage Statement — Nonprofit Standard Mail — Marketing Parcels.

n PS 3602-N15, Postage Statement — Nonprofit Standard Mail — Extra Services and Fees.

n PS 3602-NZ, Postage Statement — Nonprofit Standard Mail — Easy Nonautomation Letters or Flats.

n PS 3602-R1, Postage Statement — Standard Mail.

n PS 3602-R3, Postage Statement — Standard Mail — Nonautomation Letters.

n PS 3602-R5, Postage Statement —Standard Mail — Carrier Route Letters.

n PS 3602-R7, Postage Statement — Standard Mail — Automation Flats.

n PS 3602-R9, Postage Statement — Standard Mail — Carrier Route Flats.

n PS 3602-R11, Postage Statement — Standard Mail — Carrier Route Flats.

n PS 3602-R13, Postage Statement — Standard Mail — Marketing Parcels.

n PS 3605-R1, Postage Statement — Package Services and Parcel Select (Pages 1–2).

n PS 3605-R3, Postage Statement — Package Services (Pages 3–4).

n PS 3605-R5, Postage Statement — Package Services (Pages 5–6).

n PS 3605-R7, Postage Statement — Parcel Select (Pages 7–8).

n PS 3605-R9, Postage Statement — Package Services and Parcel Select — Extra Services and Fees (Page 9 and Instructions).

n PS 3606-D, Certificate of Bulk Mailing — Domestic.

n PS 3621-A, Renewal Notice for Annual Fee(s).

n PS 3665, Certificate of Mailing — Firm (Domestic).

n PS 3700-1, Postage Statement — International Mail.

n PS 3700-3, Postage Statement — International Mail — FCPIS — Permit Imprint.

n PS 3700-5, Postage Statement — International Mail — ISAL — Permit Imprint.

n PS 3700-7, Postage Statement — International Mail – IPA — Permit Imprint.

n PS 3700-9, Postage Statement — International Mail — IPA — Permit Imprint.

n PS 3700-11, Postage Statement — International Mail — PMI — Permit Imprint.

n PS 3700-13, Postage Statement — International Mail — PMEI — Permit Imprint.

n PS 3700-15, Postage Statement — International Mail — Commercial ePacket — Permit Imprint.

n PS 3700-17, Postage Statement — International Mail — International Extra Services and Fees.

n PS 3760, Package Search Request.

n PS 3804, Return Receipt for Merchandise.

n PS 3811-A, Request for Delivery Information⁄Return Receipt.

n PS 3816, COD Mailing and Delivery Receipt.

n PS 3824, Temporary Bulk Receipt.

n PS 3826, Registry Irregularity Report.

n PS 3867, Accountable Mail Matter Received for Delivery.

n PS 3876, Notice to Firm Mailer of Incorrect Fees.

n PS 3972, Leave Year 2016 Absence Analysis.

n PS 4584, Observation of Driving Practices.

n PS 5111, Address Information System (AIS) Viewer Order Form.

n PS 5111-R, Revenue Protection Placard (self-adhesive label).

n PS 5541, Pickup Service Statement — Priority Mail Express, Global Express Guaranteed, Priority Mail, or Standard Post.

n PS 5541-C, Pickup Service Statement — Priority Mail Express, Global Express Guaranteed, Priority Mail, or Standard Post (3-part continuous, pinfed).

n PS 5630, Shipment Confirmation Acceptance Notice.

n PS 5118, County Project Web Access Request Form.

n PS 5659, Daily Passport Application (DS-11) Transmittal.

n PS 6387, Rural Money Order Transaction Application.

n PS 8038, Employee Statement to Recover Back Pay.

n PS 8039, Back Pay Decision⁄Settlement Worksheet.

n PS 8041, Pre-Arbitration or Agency Settlement Worksheet.

n PS 8170, Freedom of Information Act (FOIA) Request Report.

n PS 8184, National and International Service Center (ISC) Zone Charts Matrix and Labeling Lists Product Order Form.

n PS 8187, Hazardous and Regulated Substance Release Notification.

n PS 8190, USPS-NALC Joint Step A Grievance Form.

Obsolete

 

PSIN

Ed. Date

Title

Replaced By

HBK EL-502

1⁄05

CSRS Retirement Guide

N⁄A

HBK RE-12

10⁄87

Repair and Alteration Surveys

N⁄A

HBK RE-13

10⁄87

Repair and Alteration of Real Property Facilities

N⁄A

MI AS-270-2014-5

7⁄14

Postal Service Headquarters Access Control System

MI AS-270-2015-4

MI AS-510-2015-3

10⁄15

Postal Service Headquarters Parking

MI AS-510-2016-1

MI DM-453-2013-1

1⁄13

Parcel Select Nonpresort for Internal Postal Service Shipping

MI DM-453-2016-1

MI EL-430-2012-4

11⁄12

Back Pay

MI EL-430-2015-4

MI EL-810-2008-4

12⁄08

Hazard Communication (HazCom) Program

MI EL 810-2016-1

MOP DD-03-10-2015

3⁄15

Equal Employment Opportunity Policy Statement

MOP HR-03-03-2016-1

MOP HR-03-10-2015

3⁄15

Postal Service Policy on Workplace Harassment

MOP HR-03-03-2016-2

POS 505-L

5⁄15

USPS Package Returns Comparison (large)

POS 505

PS 920

7⁄13

Shipping Services Operations Opportunities Form

N⁄A

PS 3816-AS

6⁄03

COD Card — Firm Mailings

N⁄A

PS 3700-19

5⁄15

Postage Statement — International Mail — Commercial ePacket — Permit Imprint — Transmits Customs Data

PS 3700-15

PS 3700-21

5⁄15

Postage Statement — International Mail — International Extra Services and Fees

PS 3700-17

PS 7314

7⁄98

Medical Agreement (4 pages)

N⁄A

PS 8085

1⁄97

Employee Maintenance Application

N⁄A