Parts A, B, and C must be completed. A copy of PS Form 3510-M is shown as Exhibit II in Appendix G.
Item 1 — Print the full title of the publication. The title must be the same as on PS Form 3500, Part A.
Item 2 — Check the “yes” box only when intending to use the Plant-Verified Drop Shipment (PVDS) program (DMM 705.17.0). Otherwise, check the “no” box.
Item 3 — Enter the publication‘s ISSN (if one has been issued) and the USPS number. If a USPS publication number has not been assigned yet (this number is provided when PS Form 3500 is approved), leave that line blank.
Item 4 — List the number of issues (same as PS Form 3500, Part A, item 5).
Item 5 — List the frequency of issue (same as PS Form 3500, Part A, item 4).
Item 6 — List the city, state, and ZIP+4® code of the original entry Post Office.
Item 7 — Enter the name and address of the known office of publication (same as PS Form 3500, Part A, item 8).
One or more additional entries may be opened at one time. When opening multiple entries, the dates opened must be within an inclusive 30-day period. Item 8 uses separate columns to capture information.
Item Number — Use the item number column on the extreme left and number each entry sequentially when listing more than one additional entry.
Post Office and ZIP Code — Enter the city, state, and ZIP Code of the Post Office where mail will be verified for acceptance. An additional entry is not required for PVDS destination offices. An additional entry is required only for a Post Office where copies of the publication are presented for Postal Service acceptance and verification.
Nature of Action — appropriate box to open, close, or modify the entry information.
Requested Effective Date — Enter the date for the additional entry to be opened. Do not enter a date earlier than the date the PS Form 3500 was filed.
Estimated Number of Copies — Enter the approximate number of copies for issues that will be mailed at this Post Office.
In items 9 through 14, print the publication‘s primary contact name, have them sign and date the application, and provide their email address and telephone number.
Submit the completed PS Form 3510-M with the completed PS Form 3500 (application for original entry).
