3 Postal Service Forms Postal Service forms — both printed and electronic — are used for collecting, sorting, transmitting, and recording data. This catalog does not list forms designed by field units. Many forms are available in automated versions. To obtain the automated versions, call Raleigh Information Systems Support at 800–USPS–HELP.   PSIN Edition Oldest Usable Date Title Stock Number Where Used Unit of Issue Org. USPS Source Public Source PS PO 810-1 9/82 9/82 Control Chart Worksheet 7530-03-000-8948 PS SH O MDC N/A PS PO 862-14A 3/86 3/86 Quality Control Test Bundle — Secondary Distribution N/A PS PD O HQO N/A PS PO 867–4A 3/83 3/83 Manual Distribution Separation Diagnostic Test N/A PC PD O HQO N/A PS 4 2/82 2/82 Employee’s City or County Withholding Certificate 7530-02-000-7199 PS SH FIN MDCIWB N/A PS 8-A 12/21 12/21 Request for a New Field Finance Number N/A PS EA FIN IWEB N/A PS 8-B 12/21 12/21 Request to Modify or Discontinue a Field Finance Number N/A PS EA FIN IWEB N/A PS 17 5/07 5/07 Stamp Requisition/Stamp Return 7530-03-000-9112 PO SH FIN MDCIWB N/A PS 17-G 7/24 7/24 Federal Agency Stamp Requisition 7530-01-000-9499 STF EA FIN IWEB WWW PS 17-R 6/88 6/88 Recapitulation Sheet 7530-01-000-9500 PS SH FIN MDC N/A PS 25 10/98 10/98 Trust Fund Account 7530-01-000-9502 PS SH FIN MDC N/A PS 35 5/83 5/83 Payroll Summary and Certification 7530-02-000-8556 SC SH FIN HQO N/A PS 42 7/22 7/22 Declaration of Voluntary Resignation to Enter Military Service For Career and Non-Career Employees N/A PS EA HR IWEB N/A PS 50 3/90 3/90 Notification of Personnel Action (3-part set) 7530-02-000-7202 SC SE ERM MDC N/A PS 61 6/15 6/15 Appointment Affidavit 7530-02-000-7226 PS SH ERM IWEB N/A PS 90 12/08 12/08 Receipt for Headquarters Parking Fee N/A HQ BK FAC HQO N/A PS 92 7/90 7/90 Headquarters Parking Application 7530-03-000-0460 HQ SH FAC HQO N/A PS 103-CC 10/90 10/90 Franked Mail Daily Control Sheet (2 pages) 7530-02-000-7338 PS SH FIN MDCIWB N/A PS 125-B 9/96 9/96 Tax Payment Authorization (4-part continuous) 7530-01-000-9050 PS SE FAC MDC N/A PS 150 1/83 1/83 Postmaster Workload Information 7530-01-000-9053 PS SH ERM MDCIWB N/A PS 153 1/23 1/23 Signature Confirmation Receipt 7530-05-000-4046 PU PG DOM MDCIWB P/F PS 153-L 1/07 1/07 International Signature Capture Label N/A PS RL GB HQO N/A PS 181-E 9/07 9/07 Ethnicity and Race Identification 7530-09-000-8973 PS SH ERM MDCIWB N/A PS 187 1/03 1/03 Document Distribution Plan N/A HQ EA CC IWEB N/A PS 202 9/95 9/95 Health Benefits Refund Payment Authorization 7530-01-000-9068 PS SE ERM HQO N/A PS 222 3/08 3/08 Statement for Postmasters and Officers in Charge 7530-03-000-9163 PS EA ERM MDCIWB N/A PS 233 8/91 8/91 International Accounts Center Summary 7530-03-000-0477 SC SH FIN SLASC N/A PS 279 6/91 6/91 Certificate of Elevator Inspection 7530-01-000-9070 PS EA FAC FMS N/A PS 279-A 11/94 11/94 Certificate of Pressure Vessel Inspection 7530-03-000-3705 AR SE FAC MDC N/A PS 292 4/22 4/22 Headquarters Clearance Checklist N/A HQ EA HR IWEB N/A PS 296 6/87 3/77 Custody Receipt 7530-02-000-8567 HQ SH FAC HQO N/A PS 300 1/85 1/85 News Inquiry Sheet (4-part set) 7530-02-000-8568 HQ SE CC HQO N/A PS 303 6/79 6/79 Separation with Indebtedness 7530-01-000-9859 SC SH FIN MDC N/A PS 313 6/73 6/73 Requisition for Printed Carrier Case Labels 7530-02-000-7188 CA SH O MDC N/A PS 316 3/05 5/87 Records Information Request (4-part set) 7530-01-000-9075 PS SE CA MDC N/A PS 337 3/20 3/20 Clearance Record for Separated Employee 7530-02-000-7192 PS EA ERM IWEB N/A PS 400 5/12 5/12 Corporate Communications PMG Hero Nomination Form N/A PS EA CC IWEB N/A PS 413 5/11 5/11 Pictorial Postmark Announcement/Report N/A PO SH GR IWEB N/A PS 468-A 12/91 12/91 Highway Transportation Contract — Bid or Renewal Worksheet 7530-03-000-8949 PS EA O MDC N/A PS 500 12/87 3/86 Rural Delivery Service Survey 7530-03-000-9324 CA SH O MDCIWB N/A PS 543 2/85 2/85 Acknowledgment of Inquiry on International Mail 7530-03-000-0512 XO EA GB HQO N/A PS 576 5/93 5/93 Criminal History File 7530-02-000-7224 IC EA IS MDC N/A PS 595–BRA 3/13 3/13 Dinero Seguro 7610-05-000-4313 PO EA GB MDCIWB P/F PS 650 3/15 3/15 Request for ELM 650 Mediation N/A PS EA HR IWEB N/A PS 666-C 4/83 4/83 Return of Form Concerning Canadian Mail 7530-03-000-0540 XO SH GB HQO N/A PS 680 10/83 10/83 Individual Firearms Qualification Record (card) 7530-03-000-3734 IC EA IS MDC N/A PS 697 12/16 12/16 Extension of City Delivery Service 7530-02-000-9349 CR EA NET IWEB N/A PS 715 9/13 9/13 Property Evidence Label 7530-03-000-8000 IC EA IS MDCIWB N/A PS 773 9/08 9/08 Records Transmittal and Receipt 7530-02-000-7498 PO SE CA MDCIWB N/A PS 777 7/16 7/16 Lean Six Sigma — Project Charter N/A PS EA COO IWEB N/A PS 794-A 8/90 10/86 Field Request for New or Revised Form 7530-02-000-7499 PS SH IT MDCIWB N/A PS 800 10/95 10/95 Listing of Differences in Postmaster’s Money Order Accountability (Domestic) 7530-03-000-0560 SC SE FIN SLASC N/A PS 800-A 10/95 10/95 Listing of Differences in Postmaster’s Money Order Accountability (Domestic Adjustment) N/A SC SE FIN SLASC N/A PS 820 3/14 3/14 Ranking of Position Request N/A PS EA HR IWEB N/A PS 824 1/07 1/07 Journal Entry Form 7530–02–000–9403 HQ SH FIN IWEB N/A PS 828 9/86 9/86 Order for Entry Statement of Account 7530-01-000-9862 SC SH FIN ISC N/A PS 833 3/83 3/83 Deceased Payment Worksheet N/A SC SH FIN SLASC N/A PS 834 3/94 3/94 Report to the Postmaster of Registered, COD Business (quarterly) (postal card) 7530-02-000-9445 PO EA MSS MDC N/A PS 919 6/99 6/99 Facility Planning Concept 7530-03-000-8950 CE SH ENG LOC N/A PS 929 3/99 3/99 Major Facility Planning Data 7530-03-000-8951 CE SH ENG LOC N/A PS 956-1 4/80 4/80 Weekly Productivity Summary (PFS) N/A HQ SH O HQO N/A PS 961-A 9/84 9/84 Post Office Property Record (1-part continuous) 7530-02-000-9512 PO EA FIN SLASC N/A PS 965 4/94 10/71 Salvage or Junk Tag 7530-02-000-9519 PS EA SM MDC N/A PS 969 2/20 2/20 Material Recycling and Disposal (Noncapital) 7530-02-000-7258 PS EA NET MDCIWB N/A PS 971 7/22 7/22 Certificate of Transfer 7530-02-000-9529 PO EA FIN IWEB N/A PS 971-P 12/21 12/21 Certificate of Transfer for an APO With RMPOs, or for a Postmaster or Manager With Multiple Retail Units (i.e., Classified Stations or Branches) N/A PS EA FIN IWEB N/A PS 990 3/94 3/94 Vacancy Announcement 7530-02-000-9530 PS SH ERM MDCIWB N/A PS 991 6/14 6/14 Application for Promotion or Assignment 7530-02-000-9547 PS EA HR IWEB WWW PS 996-A 5/97 5/97 Mortgage Interest Differential Request 7530-01-000-9863 PS SH FIN HQO, MDCIWB N/A PS 996-B 5/97 5/97 Request for Continuing Mortgage Interest Differential 7530-01-000-9864 SC SH FIN MDCIWB N/A PS 999 7/17 7/17 Application for Reinstatement N/A PS SH ERM IWEB N/A PS 1000 1/14 1/14 Domestic Claims 7530-02-000-9931 PS SH FIN NMCS NMCS PS 1007 12/21 12/21 Employee Debt Modification Request N/A PS EA FIN IWEB N/A PS 1010 9/05 9/05 eTravel Participant Enrollment Form N/A PS SH FIN IWEB N/A PS 1011 2/09 2/09 Travel Advance Request and Itinerary Schedule 7530-02-000-7164 PS EA FIN MDCIWB N/A PS 1012 9/98 5/97 Travel Voucher 7530-02-000-7334 PS SH FIN MDCIWB N/A PS 1012-A 11/90 11/90 Travel Voucher — Continuation Sheet (Schedule of Expenses and Amounts Claimed) 7530-02-000-7335 PS EA FIN MDCIWB N/A PS 1012-E 1/03 1/03 eTravel Expense Report — Overnight Travel N/A PS EA FIN IWEB N/A PS 1013 6/06 6/06 Transportation Ticketing Authorization (2-part set) 7530-01-000-9865 PS SE FIN IWEB N/A PS 1017-A 10/88 11/82 Time Disallowance Record 7530-02-000-7336 PS SH FIN MDCIWB N/A PS 1017-B 2/88 11/82 Unauthorized Overtime Record 7530-02-000-7337 PS SH FIN MDCIWB N/A PS 1018 3/14 3/14 eTravel Repayment for Overpayments or Cash Advances N/A PS EA IT IWEB N/A PS 1041 1/92 5/83 Photographic Services Loan Request (2-part set) 7530-03-000-0584 HQ SE CC HQO N/A PS 1043 10/86 10/86 Photographic Services Request (3-part set) 7530-03-000-0585 HQ SE CC HQO N/A PS 1044 10/91 10/91 News Release Order (3-part set) 7530-03-000-0586 HQ SE CC HQO N/A PS 1045 6/89 6/89 Technology Service Request (5-part set) 7530-03-000-0587 HQ SE ENG HQO N/A PS 1091-B 2/94 2/94 Register for Caller Service Fees (card) 7530-02-000-7344 PO EA RET MDC N/A PS 1093 8/19 8/19 Application for Post Office Box Service 7530-02-000-7165 PO EA RET MDCIWB P/F PS 1093-A 1/12 1/12 Application for Post Office Box Service Automatic Recurring Renewal Payment (Current Post Office Box Customers Only) 7530-13-000-7160 PO EA RET MDCIWB P/F PS 1093-A-S 5/13 5/13 Application for Post Office Box™ Service Automatic Recurring Renewal Payment (Spanish) 7530-17-000-0826 PS EA RET IWEB WWW PS 1093-C 8/23 8/23 Application for Post Office Box Caller Service 7530-11-000-5120 PO EA RET MDCIWB WWW PS 1093-T 1/12 1/12 TakeAway Application for Post Office Box Service 7530-13-000-7111 PO EA RET MDC P/F PS 1094 5/11 5/11 Request for Post Office Box Key or Lock Service 7530-02-000-7345 PO SH DEL MDCIWB N/A PS 1096 10/09 10/09 Customer Receipt 7530-02-000-7346 CR PD FIN MDCIWB N/A PS 1099 10/92 3/89 Notice to Return Keys 7530-02-000-7347 PO SH MSS MDCIWB N/A PS 1102 2/71 2/71 Failures on ADP Equipment (2-part set) 7530-02-000-8570 SC SE IT HQO N/A PS 1106 2/24 2/24 Arrow Key — Daily Accountable Log 7530-19-000-4877 PO EA CMO MDCIWB N/A PS 1110 8/16 8/16 Request for Official EEO Time for EEO Processing N/A PS EA LR IWEB N/A PS 1111 11/01 11/01 USPS Bulk Insured Service (BIS) Application N/A BC SH MSS IWEB WWW PS 1129 9/98 9/98 Cashier Reimbursement Voucher and/or Accountability Report 7530-02-000-7166 PS EA FIN MDCIWB N/A PS 1163 6/80 6/80 System for Estimating Revenue, Pieces and Weight of Domestic Mail 7530-02-000-8571 PO SH FIN HQO N/A PS 1164 3/11 3/11 Claim for Reimbursement for Expenditures on Official Business 7530-02-000-8335 PS EA FIN IWEB N/A PS 1164-A 9/98 9/98 Claim for Reimbursement for Postal Supervisors 7530-02-000-8336 PS SH FIN MDCIWB N/A PS 1164-E 1/04 1/04 eTravel Expense Report — Local Travel N/A PS SH FIN IWEB N/A PS 1186 10/96 10/96 Cancellation of APWU Dues From Payroll Withholdings 7530-03-000-8635 PS SE LR MDCIWB N/A PS 1188 5/19 5/19 Cancellation of Organization Dues from Payroll Withholdings 7530-01-000-9016 PS SE ERM MDCIWB N/A PS 1192 2/99 3/95 U.S. Savings Bond Authorization for Purchase and Request for Change 7530-02-000-7351 PS SH ERM MDCIWB N/A PS 1198 3/87 3/87 Request for State Income Tax Withholding 7530-02-000-7352 PS SH FIN MDCIWB N/A PS 1216 11/08 11/08 Employee’s Current Mailing Address 7530-02-000-7354 PS ST ERM MDIAFC N/A PS 1221 10/13 10/13 Advanced Sick Leave Authorization 7530-02-000-7356 PS EA FIN IWEB N/A PS 1223-A 11/12 11/12 Project Completion Report N/A PS SH FIN MDC N/A PS 1223-B 6/85 6/77 Earnings Statement — Net to Bank 7530-03-000-0596 SC SH FIN MDC N/A PS 1224 1/13 1/13 Court Duty Leave — Statement of Service 7530-02-000-9496 PS PD LR IWEB N/A PS 1230-C 6/92 6/92 Time Card 7530-00-270-6182 PS EA FIN MDC N/A PS 1231 2/24 2/24 Board of Governors/Officers Expense Report 7530-03-000-0597 HQ EA HR IWEB N/A PS 1232 2/86 12/82 PDC Record of Telephone Calls and/or Authorization to Wear Pager 7530-03-000-0598 SC SH FIN ISC N/A PS 1233 9/90 9/90 Project Financial Change/Completion Report 7530-02-000-7357 AR EA FIN MDCIWB N/A PS 1233-A 2/87 2/87 Project Completion Report (Mechanization Identification and Cost Allocation) 7530-02-000-7358 PS SH FAC MDCIWB N/A PS 1233-B 2/87 2/87 Project Completion Report (Personal Property Identification and Cost Allocation) 7530-02-000-7168 PS SH FAC MDCIWB N/A PS 1234 3/92 3/92 Utility Card (tab card) 7530-02-000-7359 PS EA FIN MDC N/A PS 1236-A 9/98 9/91 Weekly Loan, Transfer, and Training Hours 7530-01-000-9649 PS SH FIN MDCIWB N/A PS 1260 7/12 7/12 Non-Electronic Badge Reader Card 7530-01-000-9268 PS EA FIN MDCIWB N/A PS 1261 9/13 9/13 Non-ERB Report 7530-01-000-9269 SD EA FIN MDCIWB N/A PS 1262 3/92 3/92 PSDS Loaned Employee Non-Transactor Card 7530-02-000-9433 SD EA FIN MDCIWB N/A PS 1270 5/94 5/94 Idea Proposal (5-part set) 7530-03-000-9448 PS EA ERM MDC N/A PS 1280 5/19 5/19 Heat Illness Laminate Card 7530-18-000-4041 PS EA ERM MDC N/A PS 1291 3/71 3/71 International Indemnity Claim Information 7530-03-000-0604 XO SH GB HQO N/A PS 1311 9/04 9/04 Carrier Transportation Agreement (3-part set) 7530-01-000-9279 CR SE O MDC N/A PS 1312 4/87 3/71 Local Transportation Payments 7530-01-000-9280 PO SH O MDCIWB N/A PS 1314 10/08 10/08 Regular Rural Carrier Time Certificate 7530-01-014-6844 PS EA FIN MDCIWB N/A PS 1314-A 8/09 8/09 Auxiliary Rural Carrier Time Certificate 7530-01-000-9282 PS EA FIN MDCIWB N/A PS 1314-F 3/19 3/19 Rural Carrier FMLA Certificate 7530-03-000-8007 PS EA FIN MDCIWB N/A PS 1345 11/87 5/83 Request for Service Award Certificate/Letter 7530-01-000-3618 PS SH ERM MDCIWB N/A PS 1357 1/03 1/03 Request for Computer Access N/A PS SH FIN IWEB N/A PS 1357-C 10/00 10/00 (Customer) Request for Web Access N/A CD SH PRI IWEB WWW PS 1357-D 3/08 3/08 Data Accountability N/A PS SH N/A IWEB N/A PS 1357–IAQ 1/24 1/24 Internal Address Quality Web Access Request N/A NCS SH IMAQ IWEB N/A PS 1357-S 9/03 9/03 (Customer) Request for Computer Access N/A PU SH MSS IWEB WWW PS 1357-W 5/08 5/08 Web Access Request N/A NCS EA IMAQ IWEB WWW PS 1360 2/21 2/21 Information Security Incident Report N/A PS EA IT IWEB N/A PS 1360-A 9/86 9/86 PCC Security Incident Report 7530-03-000-0611 AR SH ENG HQO N/A PS 1362 6/08 6/08 Status Change Request/Report 7530-02-000-7308 PS SH IMAQ IWEB N/A PS 1366 6/86 6/86 Contingency Planning Data Collection N/A PS SH IT HQO N/A PS 1377 12/94 12/94 Request for Payment of Postmaster Replacement and/or RSC F Postmaster 7530-01-000-9294 PS PD FIN MDCIWB N/A PS 1412 2/14 2/14 Daily Financial Report 7530–01–000–5259 PO SH FIN IWEB N/A PS 1439 10/88 10/88 Report Abstract 7530-03-000-0625 HQ SH IT HQO, MDCIWB N/A PS 1444-B 10/15 10/15 USPS Statistical Programs Process Review — Administration N/A PS EA FIN IWEB N/A PS 1444-E 4/16 4/16 USPS Statistical Programs Process Review — ODIS-RPW N/A PS EA FIN IWEB N/A PS 1444-H 4/16 4/16 USPS Statistical Programs Process Review — CCCS N/A PS EA FIN IWEB N/A PS 1444-I 4/16 4/16 USPS Statistical Programs Process Review — RCCS N/A PS EA FIN IWEB N/A PS 1444-N 4/16 4/16 USPS Statistical Programs Process Review — TRACS Air N/A PS EA FIN IWEB N/A PS 1444-P 4/16 4/16 USPS Statistical Programs Process Review — TRACS Surface N/A PS EA FIN IWEB N/A PS 1444-Q 4/16 4/16 USPS Statistical Programs Process Review — SIRVO-IODIS N/A PS EA FIN IWEB N/A PS 1444-R 4/16 4/16 USPS Statistical Programs Process Review — IOCS N/A PS EA FIN IWEB N/A PS 1444-S 4/16 4/16 USPS Statistical Programs Process Review — SIRVI N/A PS EA FIN IWEB N/A PS 1476-D 1/92 1/92 Mail Volume Adjustments Worksheet 7530-01-000-9318 SD SH O MDC N/A   PS 1476-E 1/92 1/92 Transaction Codes 7X Worksheet 7530-01-000-9319 SD SH O MDC N/A PS 1476-F 8/95 8/95 FON Adjustment Worksheet 7530-01-000-9320 PO SH O MDC N/A PS 1476-G 1/92 1/92 Planned Hours by Functional Operation Number 7530-01-000-9321 SD SH O MDC N/A PS 1476-H 11/79 11/79 Planned Hours by Labor Distribution Code 7530-01-000-9322 SD SH O MDC N/A PS 1476-L 1/92 1/92 MOD Optional Report Request 7530-01-000-9325 SD SH O MDC N/A PS 1500 2/09 5/06 Application for Listing and/or Prohibitory Order 7530-03-000-7374 PO SE PRI MDCIWB WWW PS 1505 2/91 2/91 Report of Obstructed Mail Chute (card) 7530-01-000-9330 CA EA O MDC N/A PS 1506 12/74 12/74 Mail Chute Inspection 7530-02-000-9434 CA SH O MDCIWB N/A PS 1507 3/88 10/81 Request to Provide Proper Mail Receptacle 7530-01-000-9332 PS SH O MDCIWB N/A PS 1508 4/94 11/81 Statement by Shipper of Firearms 7530-01-000-9333 PO SH MSS MDCIWB N/A PS 1527 3/10 3/10 Application for General Delivery Service 7530-01-000-9343 PO EA RET MDC P/F PS 1528 8/19 8/19 Request for Exception to Current/Proposed Delivery Mode Due to Physical Hardship N/A PS EA NET IWEB WWW PS 1532 6/94 4/88 Semiannual Check of Overflow Mail 7530-01-000-9345 CR SH MSS MDCIWB N/A PS 1534 5/84 5/84 Vehicle Data Questionnaire 7530-03-000-0635 HQ SH O HQO N/A PS 1542 3/88 8/80 Service Point Delivery Requirements 7530-01-000-9347 PO EA O MDC N/A PS 1549-X 9/91 9/91 Contract Unit Percentage Payment Statement N/A PO EA FIN HQO N/A PS 1551 6/00 6/00 Accountbook for Post Offices and Financial Reporting Units — CAGs A-L 7530-03-000-7731 PS BK FIN MDC N/A PS 1555 6/00 6/00 Statement of Account for CAGS H-L 7560-01-000-9354 PS SH FIN MDCIWB N/A PS 1556 3/87 3/87 Suspense Items — Support Information 7530-01-000-9356 PO SH FIN MDC N/A PS 1560 8/95 8/95 U.S. Postal Installation Information Update Requirements 7530-03-000-5758 PS EA FIN MDCIWB N/A PS 1564 3/93 6/88 Address Change Sheet 7530-01-000-9357 AR SH O MDC N/A PS 1564-A 3/86 3/86 Delivery Instructions 7530-01-000-9359 PO SH O MDCIWB N/A PS 1564-B 10/83 4/79 Special Orders (card) 7530-01-000-9358 PO EA O MDCIWB N/A PS 1567 8/98 8/98 Requisition for Rubber and Steel Stamps Only 7530-01-000-9360 PS SH O MDCIWB N/A PS 1571 6/88 7/77 Undelivered Mail Report (pad/100) 7530-01-000-9361 PO PD O MDCIWB N/A PS 1576 6/90 6/90 Requisition for Duplicating Services 7530-04-000-6581 PS SH SM MDCIWB N/A PS 1583 4/23 4/23 Application for Delivery of Mail Through Agent 7530-01-000-9365 PU SH RET IWEB WWW PS 1583-A 1/23 1/23 Application to Act as a Commercial Mail Receiving Agency 7530-04-000-4564 PU EA NET IWEB WWW PS 1586 11/85 11/85 Supply Record (card) 7530-01-000-9366 PO EA SM MDCIWB N/A PS 1590 5/91 6/86 Supplies and Equipment Receipt 7530-01-000-9367 PS SH SM MDCIWB N/A PS 1597 4/89 3/86 Work Assignment and Mail Count (Messenger Operations) 7530-01-000-9369 CA SH O MDCIWB N/A PS 1620 10/70 10/70 Arrangement of Separations on Distribution Cases 7530-01-000-9372 CA SH O MDCIWB N/A PS 1621 11/86 11/86 Delivery Management Report (2-part set) 7530-01-000-9390 PO SE O MDC N/A PS 1623 4/82 4/82 Change in Delivery, Relay, and Collection Service 7530-01-000-9391 CA SH O MDCIWB N/A PS 1624 7/05 7/05 Delivery/Collection Equipment Work Request (3-part set) 7530-01-000-9392 PS ST DEL MDCIWB N/A PS 1625 1/17 1/17 Record of Entry Into Registry Section 7530-01-000-9393 PO EA DOM MDCIWB N/A PS 1627 10/72 10/72 General Purpose Ruled Form 7530-01-000-9394 PS SH O MDCIWB N/A PS 1628 6/21 6/21 Individual Key Record 7530-03-000-3661 IC EA IS IWEB N/A PS 1629 6/21 6/21 Building Keys Inventory 7530-01-000-9396 IC EA IS IWEB N/A PS 1630 6/87 5/80 Station/Branch Entrance Key Record 7530-01-000-9397 CA SH O MDC N/A PS 1639 12/74 12/74 Carrier’s Report of Recurring Missorted Mail (pad/100) 7530-01-000-9400 PO PD O MDC N/A PS 1654 7/90 12/86 Headquarters Messenger Service (pad/50) 7530-03-000-0637 HQ PD FAC HQO N/A PS 1668 4/90 4/90 Shipping Instructions (Printing and Binding Material) (4-part set) 7530-03-000-0638 HQ SE SM HQO N/A PS 1700 8/08 8/08 Accident Investigation Worksheet 7530-02-000-7362 PS SH ERM MDCIWB N/A PS 1711 9/04 9/04 AIM Accident/Incident Supervisor Worksheet N/A PS SH ERM IWEB N/A PS 1716 1/89 11/87 Notice of Vacancy in Assignment(s) 7530-02-000-7363 PS SH ERM MDCIWB N/A PS 1717 6/09 6/09 Bid for Preferred Assignment (card) 7530-02-000-7364 PO EA ERM MDCIWB N/A PS 1717-A 6/09 6/09 Preferred Assignment Multiple Bid Card 7530-01-000-9709 PO EA ERM MDCIWB N/A PS 1717-B 6/09 6/09 Bid for Preferred Assignment N/A PO SH ERM IWEB N/A PS 1723 9/13 9/13 Assignment Order 7530-02-000-7366 PS EA FIN IWEB N/A PS 1727 9/16 9/16 Award Recommendation/Authorization (Quality Step Increase) 7530-02-000-7173 PS EA HR IWEB N/A PS 1750 11/21 11/21 Employee Evaluation and/or Probationary Report 7530-02-000-7371 PS EA HR IWEB N/A PS 1766 4/86 4/86 Hazard Warning Card 7530-02-000-7374 PS EA ERM MDCIWB N/A PS 1767 3/17 3/17 Report of Hazard, Unsafe Condition, or Practice 7530-01-000-9422 PS EA ERM IWEB N/A PS 1768 5/08 5/08 Safe Driver Award Committee Decision 7530-01-000-9423 PS SE ERM MDCIWB N/A PS 1773 2/88 12/82 Report of Hazard Log 7530-01-000-9427 PS SH ERM MDC N/A PS 1778 12/08 8/82 Dog/Animal Warning Card 7530-01-000-9428 PO EA ERM MDCIWB N/A PS 1783 1/89 1/89 On-the-Job Safety Review/Analysis 7530-01-000-9430 PS SH ERM MDCIWB N/A PS 1796-A 4/06 4/06 Qualifications Rating Sheet for Senior Qualified Positions 7530-02-000-7379 PS EA ERM MDCIWB N/A PS 1796-B 4/06 4/06 Qualifications Rating Sheet for Best Qualified Positions 7530-02-000-7380 PS EA ERM MDCIWB N/A PS 1799 7/15 7/15 Quote Request N/A PS EA FIN IWEB N/A PS 1804-C 6/73 12/70 Postmaster’s Certification of SDM Equipment Maintenance (tab card) 7530-01-000-9438 PS EA FIN MDC N/A PS 1813 11/97 11/97 Late Leaving and Returning Report — First Carrier Delivery Trip (pad/100) 7530-01-000-9441 CR PD O MDCIWB N/A PS 1823 12/93 11/92 EEO Credential 7530-03-000-0645 HQ EA LR HQO N/A PS 1825 9/93 9/93 Library Loan (card) 7530-03-000-0646 HQ EA IT HQO N/A PS 1826 6/86 6/86 Interlibrary Loan (yellow card) 7530-03-000-0647 HQ EA IT HQO N/A PS 1827 3/71 3/71 Borrower’s Request (library charge card) 7530-03-000-0649 HQ EA IT HQO, MDCIWB N/A PS 1838 9/99 9/99 Carrier’s Count of Mail — Letter Carrier Routes (Management Summary) (2-part set) 7530-01-000-9461 CR SE O MDC N/A PS 1838-A 10/81 10/81 Carrier’s Count of Mail — Parcel Post and Combination Services Worksheet/Management Summary (2 pages) 7530-01-000-9462 CR SH O MDCIWB N/A PS 1838-B 1/84 1/84 Parcel Post Firm Delivery Worksheet 7530-01-000-9463 PO SH O MDCIWB N/A PS 1838-C 10/13 10/13 Carrier’s Count of Mail — Letter Carrier Routes Worksheet 7530-01-000-9464 CR SH O IWEB N/A PS 1839 3/06 3/06 Payment Record for Carrier Drive Out Agreements (3-part set) 7530-01-000-9465 PS ST FIN MDCIWB N/A PS 1840 11/97 11/97 Carrier Delivery Route — Summary of Count and Inspection (pad/50) 7530-01-000-9466 CR PD O MDCIWB N/A PS 1840-A 3/80 3/80 Summary of Carrier’s Count of Mail — Parcel Post and Combination Services 7530-01-000-9467 CR SH O MDCIWB N/A PS 1840-B 11/97 11/97 Carrier Time Card Analysis (4 pages) 7530-01-000-9468 PS SH O MDCIWB N/A PS 1846 9/79 9/79 Quarterly List of Money Orders Issued 7530-01-000-9898 PS SH FIN HQO N/A PS 1861 7/95 7/95 Classified Document Accountability Record (4-part set) 7530-03-000-0658 HQ SE FIN HQO, MDCIWB N/A PS 1864 5/82 5/82 Voucher and Schedule of Payments (4-part set) 7530-01-000-9469 PO SE FIN MDCIWB N/A PS 1865 9/91 9/91 Voucher and Schedule of Payments (4-part set) 7530-01-000-9470 AR SE FIN MDCIWB N/A PS 1868 2/07 2/07 Business Card Order Form N/A PS SH CR IWEB N/A PS 1887 10/09 10/09 Order for Overprinted PS Form 3849 N/A PO EA BMEP IWEB N/A PS 1888-A 10/95 2/90 Quickcopying, Addressing, and Mailing Services (3-part set) 7530-02-000-9748 HQ SE PM HQO N/A PS 1902 2/09 2/09 Justification for Billing Accounts Receivable 7530-01-000-9472 PS SH FIN MDIAFC N/A PS 1903-C 7/88 7/88 Credit Invoice (5-part set) 7530-02-000-8577 HQ SE FIN HQO N/A PS 1904 7/09 7/09 Batch Ticket for Remittances Received 7530-03-000-0663 SC SH FIN IWEB N/A PS 1908 4/82 4/82 Financial Adjustment Memorandum (pad/100) 7530-01-000-9475 PO PD FIN MDCIWB N/A PS 1910 3/23 3/23 Tag 191, Domestic and International Ballots, Order Form N/A PU EA CMO IWEB WWW PS 1915 6/73 6/73 Authorization to Flag Employee’s Accounts (3-part set) N/A SC SE FIN MDC N/A PS 1918 7/78 7/78 Accounts Payable Batch Control Sheet N/A SC SH FIN SMDC N/A PS 1926 2/76 2/76 Audit Information Request — Postmasters’ Statements of Account 7530-03-000-0666 SC SH FIN ISC N/A PS 1940 7/08 7/08 Remittance Register 7530-01-000-9479 AR SH FIN MDCIWB N/A PS 1952 4/75 4/75 Annual Estimate of Anticipated Penalty Mail Usage 7530-03-000-0669 HQ SH FIN HQO N/A PS 1957-A 5/89 5/89 International Airmail Tag Request (9 pages) 7530-01-000-9483 PS SH GB MDC N/A PS 1957-B 4/82 4/82 Request for International Tags (2 pages) 7530-01-000-9484 PS SH GB MDC N/A PS 1957-C 4/82 4/82 Request for Military Tags 7530-01-000-9060 PS SH GB MDC N/A PS 1957-D 4/82 4/82 Request for Military Labels 7530-01-000-9486 PS SH GB MDC N/A PS 1957-T 10/86 10/86 International Tray Label Request 7530-01-000-9488 PS SH GB MDC N/A PS 1961 10/85 10/85 Employee Uniform Allowance Statement N/A PO EA FIN SLASC N/A PS 1994 7/87 5/79 Employee’s Work Schedule 7530-01-000-9493 PO SH O MDC N/A PS 1997 4/88 4/88 Health Unit Case Record (card) 7530-01-000-9494 PS EA ERM MDCIWB N/A PS 2013 2/21 2/21 Request for Background Investigation 7530-01-000-9515 PS EA IS IWEB N/A PS 2017 1/77 1/77 Mail Cover File Envelope 7530-01-000-9518 IC EA IS MDC N/A PS 2018 1/02 1/02 Duplicate Key, Pin & Combination Inventory 7530-04-000-5309 PS EA GC HQO, MDCIWB N/A PS 2022 7/21 7/21 Inspection Service Key Inventory Record 7530-03-000-0676 IC EA IS IWEB N/A PS 2025 6/22 6/22 Contract Personnel Questionnaire 7530-01-000-9519 IC SH IS IWEB N/A PS 2026-B 6/88 6/88 Investigative History File — Firm Data 7530-01-000-9710 IC SH IS MDC N/A PS 2041-T 1/92 1/92 MTAC Headquarters ID (card) 7530-03-000-0682 HQ EA MSS HQO N/A PS 2066 3/13 3/13 Personnel Security Questionnaire Update N/A IC EA IS IWEB N/A PS 2081 3/22 3/22 Highway Contract Driver Assignment Notification N/A PS EA SM IWEB N/A PS 2088 4/04 4/04 HQ Telephone Directory Individual Update N/A HQ SH FAC LOC, MDCIWB N/A PS 2093 9/75 9/75 Courtesy Violation Notice (3-part set, book/50) 7530-02-000-7387 IC BK IS MDC N/A PS 2106 10/87 10/87 Adjudication — Tort Claims (4-part set) N/A PS SE GC HQO, IWEB N/A PS 2113 6/86 6/86 Tort Claim Summary 7530-03-000-0700 HQ SH GC HQO N/A PS 2130 3/18 3/18 Claim for Loss/Recovered Claims for Loss 7530-02-000-7390 PS SH FIN IWEB N/A PS 2131 7/06 7/06 Uncollectible Check Report N/A PS SH FIN IWEB N/A PS 2134 7/13 7/13 USPS Corporate Account (USPSCA) Uncollectible N/A PS EA FIN IWEB N/A PS 2139 4/75 4/75 Assault Report on Law Enforcement Personnel 7530-02-000-7392 IC SH IS MDCIWB N/A PS 2146 11/87 11/87 Employee’s Claim for Personal Property 7530-02-000-7393 PS SH ERM MDCIWB N/A PS 2159 3/02 3/02 Certification Sheet 7530-03-000-0701 HQ EA GC HQO, MDCIWB N/A PS 2159-A 3/02 3/02 Certification Blank 7530-03-000-0702 HQ EA GC HQO N/A PS 2181 7/17 7/17 Authorization and Release 7530-02-000-7400 PS SH ERM IWEB N/A PS 2181-A 11/22 11/22 Pre-Employment Screening — Authorization and Release 7530-02-000-7401 PS EA ERM IWEB WWW PS 2181–B 12/06 12/06 Applicant Drug Testing — Consent and Release 7530–02–000–7175 PS SH ERM MDCIWB N/A PS 2181-C 10/15 10/15 Authorization and Release — Background Investigation (USPS Contractors and Employees of Contractors) N/A PS EA ERM IWEB N/A PS 2181-D 1/21 1/21 Disclosure and Authorization for Consumer Reports and Investigative Consumer Reports N/A PS EA HR IWEB WWW PS 2181-E 3/19 3/19 Contract Driver Drug Testing — Consent and Release N/A PS EA IS IWEB N/A PS 2185 6/99 6/99 Certificate of Site Investigation for Easements or Other Evidences of Rights to Government Interests 7530-03-000-0705 HQ SH CA HQO, MDCIWB N/A PS 2192 3/75 3/75 Adjudication — Tort Claims (pad/100) 7530-03-000-0706 HQ PD GC HQO N/A PS 2198 10/91 6/87 Accident Report — Tort Claim 7530-02-000-7403 PS SH O MDCIWB N/A PS 2215 11/82 11/82 Energy and Equipment Life Cycle Cost Analysis 7530-03-000-0709 PS SH FAC HQO N/A PS 2238 5/85 5/85 Thermal Load Estimate Calculations 7530-02-000-7405 PS SH FAC MDCIWB N/A PS 2240 3/10 3/10 Pay, Leave, or Other Hours Adjustment Request 7530-02-000-7406 PS EA FIN IWEB N/A PS 2240-F 6/91 6/91 FLSA Overtime Adjustment Request 7530-01-000-9507 PS SE FIN MDCIWB N/A PS 2240-R 3/10 3/10 Rural Pay or Leave Adjustment Request for PS Form 1314 7530-02-000-7407 PS EA FIN IWEB N/A PS 2240–RA 3/10 3/10 Rural Pay or Leave Adjustment Request for PS Form 1314-A 7530-08-000-4046 PS EA FIN IWEB N/A PS 2242 2/84 2/84 Part-Time Regular Annual Leave Analysis 7530-03-000-0710 HQ SH FIN HQO N/A PS 2249 6/81 6/81 Severance Pay Computation 7530-01-000-9900 SC SH FIN MDC N/A PS 2282 6/99 6/99 Facility Evaluation Sheet (Space & Condition) 7530-02-000-7428 CE SH ENG MDCIWB N/A PS 2329 7/78 7/78 Cancelling Machine Readings and Handstamped Letter Size 7530-02-000-7429 CA SH O MDCIWB N/A PS 2332 9/98 9/98 Record of Parcel Post Pieces Processed 7530-02-000-7431 PS SH O MDCIWB N/A PS 2341 1/82 1/82 Notice of Adjustment — Separated Employee 7530-03-000-0719 SC SH FIN ISC N/A PS 2345 3/95 1/92 Personnel Workhours — FON 7530-02-000-7432 SD SH O MDC N/A PS 2345-B 10/78 10/78 Facility Manpower 7530-02-000-7434 PS SH O MDCIWB N/A PS 2345-LSM 2/76 2/76 Personnel Manpower — Letter Sorting Machine 7530-02-000-7436 CA SH O MDCIWB N/A PS 2347 3/88 2/73 Mark II Facer-Canceller Machine Cancellations 7530-02-000-7437 PO SH O MDC N/A PS 2362 4/85 4/85 Flats, Magazines, Flat Papers, Distributed to Cases 7530-02-000-7438 PO SH O MDCIWB N/A PS 2371-A 8/75 8/75 MOD 2 Performance Summary — Mail Volume 7530-02-000-7440 PO SH O MDCIWB N/A PS 2396 9/78 9/78 Request for Assistance — Headquarters/Regional Project 7530-03-000-0720 AR SH O HQO N/A PS 2430 3/01 3/01 EEO Investigation Report 7530-01-000-9628 PS SH LR MDCIWB N/A PS 2432 5/17 5/17 Individual Training Progress Report 7530-01-000-9629 PS SH HR MDIAFC N/A PS 2458 11/23 11/23 Uniform Vendors License Code of Ethical Conduct 7530-03-000-0730 HQ EA LR HQO N/A PS 2485-A 10/07 10/07 Medical Assessment — Focused Examination Report 7530-10-000-0772 PS SH ERM IWEB N/A PS 2485-B 4/08 4/08 Medical Assessment Private Medical Provider Report 7530-10-000-0772 PS EA ERM MDCIWB N/A PS 2485-C 1/11 1/11 Employee Reassignment/Change of Craft Medical Assessment Questionnaire N/A PS EA ERM IWEB N/A PS 2485-D 10/12 10/12 Applicant Medical Questionnaire N/A PS EA ERM IWEB N/A PS 2488 11/23 11/23 Authorization to Use or Disclose Protected Health Information N/A PS EA ERM IWEB N/A PS 2489 4/18 4/18 Self-Identification of a Physical or Mental Disability 7530-01-000-9640 PS SH LR MDCIWB N/A PS 2491 7/88 7/88 Medical Report — First Aid Injuries (3-part set) 7530-02-000-7178 PS SE ERM MDCIWB N/A PS 2492 7/22 7/22 Request for Fitness-for- Duty Examination 7530-05-000-4159 PS EA HR IWEB N/A PS 2499 10/07 10/07 Offer of Modified Assignment (Limited Duty) 7530-09-000-8984 PS SH ERM MDCIWB N/A PS 2548 5/17 5/17 Individual Training Record 7530-03-000-3521 PS SH HR MDCIWB N/A PS 2552 5/18 5/18 Parking Refund Request and Payment Authorization N/A HQ EA FAC IWEB N/A PS 2556 7/86 7/86 Third Party Statement of Recovery 7530-03-000-3523 PS SH ERM MDCIWB N/A PS 2558 10/90 11/87 Excess Space Used Certification (3-part set) 7530-02-000-7180 HQ SE O MDC N/A PS 2559 2/81 2/81 Third Party Claim — Information Request 7530-01-000-9695 PS SH ERM MDCIWB N/A PS 2560 11/87 11/87 Referral of Third Party Material 7530-01-000-9696 PS SH ERM MDCIWB N/A PS 2562 12/88 3/81 Injury Compensation Program — Notice of Potential Third Party Claim 7530-01-000-9697 PS SH ERM MDCIWB N/A PS 2563-A 10/15 10/15 Certification of Receipt — Publication 133 7530-02-000-7959 PS SE LR IWEB N/A PS 2563-B 3/12 3/12 Allegations of Discrimination Based on Age 7530-02-000-7960 PS EA LR IWEB N/A PS 2564-A 10/15 10/15 Information for Pre-Complaint Counseling 7530-02-000-7961 PS EA LR IWEB N/A PS 2564-B 10/15 10/15 EEO Settlement Agreement Pre-Complaint 7530-02-000-7962 PS SE LR IWEB N/A PS 2564-C 10/15 10/15 Withdrawal of Complaint of Discrimination 7530-02-000-7963 PS SE LR IWEB N/A PS 2565 10/15 10/15 EEO Complaint of Discrimination in the Postal Service 7530-03-000-3526 PS EA LR IWEB N/A PS 2565-A 10/15 10/15 Withdrawal of Formal EEO Complaint of Discrimination 7530-02-000-7964 PS SE LR IWEB N/A PS 2565-B 10/15 10/15 EEO Settlement Agreement 7530-02-000-7965 PS SH LR IWEB N/A PS 2565-C 10/15 10/15 Agreement to Extend 180-Day EEO Investigative Process 7530-02-000-7966 PS SE LR IWEB N/A PS 2565-D 10/15 10/15 EEO Settlement Agreement — Formal Complaint 7530-02-000-7967 PS SH LR IWEB N/A PS 2565-F 10/15 10/15 EEO Settlement Agreement (Including Claims Filed Under ADEA) 7530-03-000-7028 PS EA LR IWEB N/A PS 2567-A 10/15 10/15 Agreement to Extend 30-Day EEO Counseling Process 7530-02-000-7969 PS EA LR IWEB N/A PS 2567-B 10/15 10/15 Agreement to Participate in REDRESS, an Alternate Dispute Resolution Process 7530-02-000-7970 PS EA LR IWEB N/A PS 2567-D 10/15 10/15 Agreement to Participate in REDRESS, an Alternate Dispute Resolution Process (Post Investigative) 7530-05-000-4371 PS EA LR IWEB N/A PS 2568-A 10/15 10/15 EEO Investigative Affidavit (Complainant) 7530-01-000-9699 PS SE LR IWEB N/A PS 2568-B 10/15 10/15 EEO Investigative Affidavit (Witness) 7530-01-000-9700 PS SE LR IWEB N/A PS 2569 10/15 10/15 EEO Investigative Affidavit (Continuation Sheet) 7530-01-000-9701 PS SE LR IWEB N/A PS 2569-C 3/01 3/01 EEO Investigative Affidavit (Continuation Sheet/Compensatory Damages) 7530-03-000-9501 PS EA LR MDC N/A PS 2570 10/15 10/15 EEO Alternative Dispute Resolution Specialist’s (ADRS) Inquiry Report 7530-01-000-9702 PS EA LR IWEB N/A PS 2571 10/15 10/15 Certification 7530-01-000-9703 PS SE LR IWEB N/A PS 2573 6/91 5/86 Request — OWCP Claim Status 7530-01-000-9706 PS SH ERM MDCIWB N/A PS 2574 4/23 4/23 Resignation/Transfer from the Postal Service 7530-01-000-9707 PS EA HR IWEB N/A PS 2575 2/95 8/84 Penalty Action Notification (6-part set) 7530-03-000-3577 DN SE O MDC N/A PS 2576 8/01 8/01 Settlement and ADR Use N/A HQ SH GC HQO N/A PS 2577 8/98 8/98 Assignment of Claim to the USPS 7530-01-000-9726 PS EA ERM MDCIWB N/A PS 2579-A 10/15 10/15 Notice of Right to File Individual Complaint 7530-01-000-9727 PS EA LR IWEB N/A PS 2579-B 10/15 10/15 Notice of Right to File Class Complaint 7530-01-000-9728 PS EA LR IWEB N/A PS 2579-C 10/15 10/15 Notice of Right to File Mixed Complaint 7530-02-000-7977 PS EA LR IWEB N/A PS 2584 10/15 10/15 Representation/Anonymity 7530-03-000-3580 PS EA LR IWEB N/A PS 2591 11/16 11/16 Application for Employment 7530-01-000-9733 PU SH HR IWEB WWW PS 2594 4/75 4/75 Grievance Case Fact Sheet N/A HQ SH LR HQO N/A PS 2608 6/13 6/13 Grievance Summary — Step 1 7530-01-000-9740 PS EA LR IWEB N/A PS 2609 6/13 6/13 Grievance Summary — Step 2 7530-01-000-9741 PS EA LR IWEB N/A PS 2610 6/13 6/13 Grievance Summary — Step 3 7530-01-000-9742 AR EA LR IWEB N/A PS 2613 6/82 6/82 Step 4 Request for Grievance Case File 7530-03-000-0765 HQ SH EDD HQO N/A PS 2629 8/88 8/88 Free Trial Test Agreement 7530-03-000-0766 PS SH IT ISC, MDCIWB N/A PS 2630 8/87 8/87 Software Requirement Document 7530-03-000-0767 SC SH IT ISC N/A PS 2631 8/87 8/87 Request for Free Trial Test 7530-03-000-0768 SC SH IT ISC N/A PS 2632 8/87 8/87 Request for Software Procurement 7530-03-000-0769 SC SH IT ISC N/A PS 2633 8/87 8/87 Software Evaluation 7530-03-000-0770 SC SH IT ISC N/A PS 2702 2/94 8/74 Air Container Placard 7530-01-000-9749 PO EA O MDC N/A PS 2710 11/96 2/84 Statement of Net Weight of the Airmail (4-part set) 7530-01-000-9751 XO EA O MDC N/A PS 2729 10/75 10/75 Weekly Summary of Loose Sack Mail Dispatched (9-part set) 7530-03-000-0780 PO SE O ISC WADNA PS 2731 5/75 5/75 Arbitration Index — Non-Removal (card) 7530-03-000-0781 HQ EA LR HQO N/A PS 2732 5/75 5/75 Arbitration Index — Removal (card) 7530-03-000-0782 HQ EA LR HQO N/A PS 2733 9/77 9/77 Arbitration Index — Contract (card) 7530-03-000-0783 HQ EA LR HQO N/A PS 2734 1/79 1/79 Mail Exception Report 7530-03-000-0784 AC SH O HQO N/A PS 2734-A 3/87 3/87 Air Transportation Pay and Routing Adjustment (3-part set) 7530-02-000-7183 AM SE PM MDC N/A PS 2734-B 7/99 7/99 Air Transportation Pay and Routing Adjustment — International and Military Mail 7530-02-000-7184 AM EA GB MDCIWB N/A PS 2747 12/99 12/99 Intra-Alaska Payment Claim Worksheet [Note: See HBK PO-508.] N/A AC SH O N/A N/A PS 2753-A 6/93 6/93 Mail Delivery Record (3-part set) 7530-01-000-9509 AM SE O MDC N/A PS 2754 9/92 9/92 Air Taxi Service Reliability Report 7530-02-000-9978 AM EA SM MDCIWB N/A PS 2755 9/92 9/92 Air Taxi Mail Service Report (3-part set) 7530-01-000-9754 PC SE SM MDCIWB N/A PS 2756 10/88 10/88 Dispatch Record/ Certification of Air Taxi Service Performed (4-part set) 7530-01-000-9755 PS SE SM MDC N/A PS 2759 7/03 7/03 Report of Irregular Handling of Mail 7530-01-000-9756 PS SE NET MDCIWB N/A PS 2759-M 6/91 6/91 Report of Irregular Handling of Military Mail 7530-02-000-7185 PS SH O MDC N/A PS 2760 9/74 9/74 Airlines Reply to Refusal/Removal of Mail 7530-03-000-0786 AC SH O AC N/A PS 2766 8/91 8/91 Summary of Mail Handling Irregularities 7530-02-000-8183 AM SH O MDCIWB N/A PS 2767 9/92 9/92 Air Taxi Mail Service Operational Evaluation 7530-01-000-9759 PC SH SM MDCIWB N/A PS 2768 10/91 10/91 Aircraft Weight and Balance Data (2-part set) 7530-01-000-9760 AC SE SM MDC N/A PS 2769 9/92 9/92 Air Taxi Service Accident/Incident Report 7530-02-000-9979 PC SH SM MDCIWB N/A PS 2770 1/79 1/79 Weekly Summary of Air Container Dispatches (9-part set) 7530-03-000-0787 AM SE O SLASC N/A PS 2800 4/98 4/98 Subpoena, Postal Service Board of Contract Appeals 7530-03-000-0789 HQ SH JD R N/A PS 2805 3/09 3/09 Military Deposit Worksheet 7530-01-000-9761 PS SH ERM MDCIWB N/A PS 2831 6/80 6/80 Request for Return Dispatch Particulars 7530-03-000-0800 XO SH PRI HQO N/A PS 2832 6/81 6/81 Reasons for Returning C-9 7530-03-000-0801 XO SH PRI HQO N/A PS 2833 2/92 2/92 Request for Further Information on International Mail 7530-03-000-0802 XO SH PRI ICO N/A PS 2834 6/80 6/80 Dispatch Particulars for Transit Mail 7530-03-000-0803 XO SH PRI HQO N/A PS 2834-A 6/80 6/80 International Transit Mail — No Dispatch 7530-03-000-0804 XO SH PRI HQO N/A PS 2846 7/23 7/23 City Carrier Route Mail Acceptance Data N/A PO EA FIN IWEB N/A PS 2847 5/15 5/15 Rural Carrier Payment Authorization 7530-01-000-9121 CR EA FIN IWEB N/A PS 2848 7/23 7/23 Rural Carrier Route Mail Acceptance Data 7530-03-000-0807 PO EA FIN IWEB N/A PS 2855 1/14 1/14 International Claim for Indemnity 7530-01-000-9771 PO EA GB HQO N/A PS 2856 8/20 8/20 Damage Report of Insured Article and Contents 7530-09-000-3988 PO EA FIN IWEB N/A PS 2860 4/83 4/83 Instructions Concerning International Claims 7530-03-000-0810 XO SH GB HQO N/A PS 2860-A 6/80 6/80 Second Request Concerning International Claims 7530-03-000-0811 XO SH GB HQO N/A PS 2860-NY 10/92 10/92 Instructions Concerning International Claims 7530-03-000-0812 HQ SH GB ICO N/A PS 2865 7/13 7/13 Return Receipt for International Mail 7530-01-000-9775 PO EA GB MDCIWB P/F PS 2866 7/08 7/08 Presort Verification Record 7530-01-000-9776 PO SH BMEP MDCIWB N/A PS 2866-IP 4/85 6/84 In-Plant Verification for Second- and Fourth-Class Matter 7530-01-000-9778 PS SH MSS MDC N/A PS 2867 3/89 3/89 Bulk Mail Acceptance Report 7530-01-000-9779 PS SH MSS MDCIWB N/A PS 2870 11/90 4/86 International Claim Jacket (envelope) 7530-03-000-0813 XO EA GB HQO N/A PS 2871 4/85 4/85 In-Plant Verification Log of Mailings 7530-01-000-9780 CD SH MSS MDCIWB N/A PS 2872 10/97 10/97 In-Plant Verification Request for Periodicals and Standard Mail (B) 7530-01-000-9781 DC SH PRI MDC N/A PS 2880 5/20 5/20 Physical Inventory Adjustments 7530-01-000-9782 PO EA NET IWEB N/A PS 2900 10/87 4/77 U.S. Military Mail by U.S. Commercial Air Carriers Dispatch Record 7530-01-000-9783 XO SE GB MDC N/A PS 2900-C 1/93 1/93 U.S. Military Mail by U.S. Commercial Air Carriers Dispatch Record 7530-03-000-9130 AM CTN GB MDC N/A PS 2906 4/99 4/99 Steamship Notice — Departure Information 7530-01-000-9784 PH SH GB MDCIWB N/A PS 2907 5/91 5/91 International Exchange Office Mail Receipt 7530-01-000-9785 XO SH GB MDCIWB N/A PS 2911 12/81 12/81 Return to Sender (card) 7530-01-000-9787 XO EA GB MDC N/A PS 2923 1/86 1/86 Request for Return or Change of Address 7530-03-000-0814 XO SH GB HQO N/A PS 2925 10/91 10/91 USA/Canada Surface Mail Exchange N/A PO SH GB HQO N/A PS 2927 1/80 1/80 Dispatch Record — Foreign Transit Closed Mails 7530-03-000-3587 XO SH GB MDCIWB N/A PS 2933 6/21 6/21 Register of Uncollected Customs Charges 7530-01-000-9792 PO EA FIN IWEB N/A PS 2937 4/03 6/93 Importer‘s Objections 7530-01-000-9793 PO PD PRI MDCIWB WWW PS 2941 3/98 3/98 Delivery Bill — Bordereau C 18bis (computerized) 7530-01-000-9794 AE EA GB MDC N/A PS 2942 4/06 4/06 Delivery List (AV-7) 7530-01-000-9810 AE CT NET MDC N/A PS 2942-A 11/92 11/92 Military Mail — AV-7 Delivery List 7530-01-000-9811 XO CTN GB MDC N/A PS 2943 1/96 1/96 Special List — Registered Items 7530-01-000-9812 XO SE GB MDC N/A PS 2943-A 4/91 5/82 Special List — Registered Items 7530-02-000-8207 XO EA GB MDCIWB N/A PS 2944 6/71 6/71 Receipt for Customs Duty Mail 7530-01-000-9814 PO PD GB MDC N/A PS 2948 6/80 6/80 Notice — International Mail Irregularity 7530-03-000-3556 XO SE GB MDC N/A PS 2950 1/88 1/88 Load Record — Outbound 7530-01-000-9820 XO SH O MDC N/A PS 2960 1/75 1/75 Inventory Record (card) 7530-01-000-9821 PO EA FIN MDCIWB N/A PS 2963 2/03 2/03 Statement of Mail Movement 7530-01-000-9823 XO SE GB MDCIWB N/A PS 2968 4/06 4/06 Parcel Bill — Postal Parcels 7530-03-000-3562 AE CT NET MDC N/A PS 2970 4/02 4/02 Letter Bill — Exchange of Mail 7530-01-000-9831 XO EA GB MDC N/A PS 2971 11/96 1/91 Verification Note 7530-01-000-9832 PO EA GB MDCIWB N/A PS 2976 7/13 7/13 Customs Declaration CN 22 — Sender‘s Declaration 7530-01-000-9833 PO SE GB e-IWB e-WEB PS 2976-A 7/13 7/13 Customs Declarations and Dispatch Note —CP 72 7530-01-000-9834 PO EA GB e-IWB e-WEB PS 2976-B 7/13 7/13 Priority Mail Express International Shipping Label and Customs Form 7530-17-000-0377 PO EA GB e-IWB e-WEB PS 2976-C 3/21 3/21 OCPI Customs Declaration N/A PO EA GB e-IWB e-WEB PS 2976-E 7/13 9/06 Customs Declaration Envelope — CP 91 7530-03-000-5174 PO EA NET MDC P/F PS 2976-ES 4/16 4/16 Small Customs Form Envelope 7530-17-000-7993 PO EA NET MDCIWB MDCWEB PS 2976-R 4/16 4/16 USPS Customs Declaration and Dispatch Note 7530-17-000-7992 PO EA NET MDCIWB MDCWEB PS 2988 5/08 1/91 Delivery Bill — Waybill (CN 37) Surface Mail 7530-01-000-9835 XO SE NET MDC N/A PS 2988-M 1/91 1/91 Delivery Bill — Waybill (CN 37) (Manual) 7530-02-000-7186 XO EA GB MDC N/A PS 2989 1/91 1/91 Special Parcel Bill CP 12 (Computerized) 7530-01-000-9836 AE SH GB MDCIWB N/A PS 2990 1/91 1/91 International Parcel Post Verification Note CP 78 (Computerized) 7530-01-000-9837 AE SH GB MDCIWB N/A PS 2993 4/88 1/87 Returned or Redirected Parcels 7530-01-000-9838 XO EA GB MDC N/A PS 3000-G 9/97 9/97 Postage Statement Register for Penalty Mail 7530-01-000-9840 PS SH FIN MDCIWB N/A PS 3002 4/18 4/18 Data Request N/A PS EA IT IWEB N/A PS 3033 12/70 12/70 Receipt for Blank Checks or Savings Bonds 7530-01-000-9845 SC SH FIN MDCIWB N/A PS 3036 7/87 4/84 Record of Stamp Stock Requisitions 7530-01-000-9846 PO SH FIN MDCIWB N/A PS 3074 4/99 4/99 Request for Waiver of Claim for Erroneous Payment of Pay 7530-03-000-3700 PS SH FIN MDCIWB N/A PS 3077 9/11 9/11 Request to Forward Salary Check 7530-01-000-9849 PS SH FIN IWEB N/A PS 3083 12/96 8/71 Trust Accounts Receipts and Withdrawals (pad/100) 7530-01-000-9850 PS PD FIN MDCIWB N/A PS 3097 5/72 5/72 Notice of Returned Treasury Check (2-part set) 7530-03-000-0821 SC SE FIN HQO N/A PS 3101 8/89 12/86 Registered Receipt for Outgoing Mail 7530-03-000-0822 HQ SH FAC HQO N/A PS 3111 9/08 9/08 Federal Employees Health Benefits (FEHB): Coverage or Termination While in Leave Without Pay Status 7530-01-000-9851 PS SH ERM MDCIWB N/A PS 3114 10/08 10/08 Intelligent Mail Tray Label Certification N/A NCS SH BMEP IWEB WWW PS 3115 10/15 10/15 USPS Health Benefits Plan Election Form N/A PS EA LR IWEB N/A PS 3116 10/15 10/15 Notice of Change in USPS Health Benefits Plan Enrollment N/A PS EA LR IWEB N/A PS 3117 10/15 10/15 How to Use PostalEase to Manage Your USPS Health Benefits Plan Enrollment 7530-17-000-0878 PS EA LR IWEB N/A PS 3118 10/15 10/15 USPS Health Benefits Plan Certification for Foster Children N/A PS EA LR IWEB N/A PS 3119 10/15 10/15 Application to Elect or Waive Pretax USPS Health Benefits Plan Premium 7530-17-000-1506 PS EA LR IWEB N/A PS 3120 10/15 10/15 Notice to Non-Career Employees Eligible to Enroll in USPS Health Benefits Plan Coverage N/A PS EA LR IWEB N/A PS 3131 6/92 6/92 Standard Reconciliation of Accounts N/A PO SH FIN ISC N/A PS 3152 7/13 7/13 Confirmation Services Certification N/A PS EA RET IWEB WWW PS 3152-A 9/01 9/01 Confirm Advanced Shipping Notice (ASN) Shipment ID 7530-05-000-4580 PU SH PRI MDCIWB WWW PS 3152-E 1/14 1/14 Priority Mail Express Manifesting Certification N/A NCS SH BMEP IWEB WWW PS 3176 3/99 3/99 Bank Transaction Record 7530-01-000-9870 PS SH FIN MDCIWB N/A PS 3180 11/78 11/78 Pay Location Information Transmittal 7530-02-000-7189 PS SH FIN MDCIWB N/A PS 3189 6/13 6/13 Request for Temporary Schedule Change for Personal Convenience 7530-01-000-9878 PS PD FIN MDCIWB N/A PS 3189-E 5/15 5/15 Request for Temporary Schedule Change for Personal Convenience for EAS Employees 7530-17-000-6030 PS PD FIN MDCIWB N/A PS 3200 8/11 8/11 Facing Slip for ACS NIXIES 7530-13-000-7178 PS PD DEL MDCIWB N/A PS 3203 1/19 1/19 Personalized Stamped Envelopes and Cards Brochure Order Form 7530-01-000-9880 PU EA CMO HQO N/A PS 3203-X 1/24 1/24 Personalized Stamped Envelopes and Cards Order Form N/A STF EA CMO IWEB WWW PS 3204 9/92 9/92 Plain Stamped Envelope Invoice N/A PU EA MSS MDC N/A PS 3205 8/99 8/99 Requisition for Plain Stamped Envelopes (card) 7530-03-000-0848 PO EA MSS SEA P/F PS 3205-R 1/72 1/72 Replacement Card for Mutilated Plain Stamped Envelope Requisition (card) 7530-03-000-0849 HQ EA MSS SEA N/A PS 3206 8/99 8/99 Order for Forms 3205 (card) 7530-03-000-0850 PO EA MSS SEA N/A PS 3210 10/12 10/12 Receipt for Stamp Stock Submitted for Redemption N/A PS EA FIN IWEB N/A PS 3216 1/72 1/72 Requisition for Postal Cards — Bulk Quantities (card) 7530-02-000-9821 PO EA MSS GPO GPO PS 3220 10/96 10/96 Claim for Stamped Envelope Discount 7530-01-000-9883 PS EA FIN MDCIWB N/A PS 3223 5/74 5/74 Field Sales Force Personnel Register Update Transactions 7530-03-000-0859 AR SH MSS HQO N/A PS 3227-R 7/24 7/24 Rural or Highway Contract Route Carrier Stamp Purchase Order Form 7530-01-000-9885 CR EA DEL MDCIWB P/F PS 3229 3/92 3/92 Stamped Paper Transfer Order 7530-03-000-0863 HQ EA MSS HQO N/A PS 3234 2/81 2/81 Notice to Sender of Postage Due (for First Day Covers) (postal card) 7530-03-000-0865 HQ EA MSS HQO N/A PS 3236 4/93 9/87 Uniform Allowance Cap Disbursements (3-part set) 7530-01-000-9887 PO SE FIN MDCIWB N/A PS 3237 7/09 7/09 Stamp Stock Destruction Committee Notice of Appointment 7530-01-000-9888 PS SH FIN IWEB N/A PS 3239 1/10 1/10 Payroll Deduction Authorization to Liquidate Postal Service Indebtedness 7530-01-000-9890 PS SH FIN IWEB N/A PS 3241 2/99 2/99 Statement of Receipts and Disbursements (Employee Social and Recreational Funds) 7530-01-000-9893 PS SH ERM MDCIWB N/A PS 3250 11/78 11/78 Inventory of Accountable Paper 7530-03-000-0871 HQ SH MSS HQO N/A PS 3294 4/22 4/22 Cash and Stamp Stock Count and Summary N/A PS EA FIN IWEB N/A PS 3295 3/99 3/99 Daily Record of Stamps, Stamped Paper and Nonpostal Stamps on Hand 7530-01-000-9914 PS SH FIN MDCIWB N/A PS 3309 2/94 12/92 Advice of Shipment/Stamp Invoice N/A PO EA MSS ISC N/A PS 3315 7/06 7/06 Cancellation Services Workorder (4-part set) 7530-03-000-0883 STF EA GR PHL N/A PS 3317-A 2/81 2/81 Retail and Philatelic Products — Clerk‘s Daily Sales Record 7530-01-000-9916 PO SH MSS MDC N/A PS 3331 9/82 9/82 Dispatch Order (postal card) 7530-03-000-0894 HQ EA MSS HQO N/A PS 3337-A 4/21 4/21 Community Service Participation Pre-Event Evaluation N/A PS EA ERM IWEB N/A PS 3337-C 7/21 7/21 Postal Vehicle Request N/A PS EA LR IWEB N/A PS 3356 3/79 3/79 Stamp Requisition — Bulk Quantities (card) 7530-03-000-0904 PO EA MSS HQO N/A PS 3357 1/72 1/72 Order Form for Forms 3356 Stamps Requisition (card) 7530-03-000-0905 PO EA MSS HQO N/A PS 3358 7/88 7/88 Philatelic Stock Instructions to Accompany Stamp Requisition Form 3356 7530-03-000-0906 HQ SH MSS HQO N/A PS 3368 9/88 8/78 Stamp Credit Examination Record (card) 7530-01-000-9917 PO EA FIN MDCIWB N/A PS 3368-P 1/01 1/01 Accountability Examination Record N/A PS SH FIN IWEB N/A PS 3369 8/10 8/10 Consigned Credit Receipt 7530-01-000-9918 PO PD FIN MDCIWB N/A PS 3499 6/88 1/80 Operations Analysis Report 7530-01-000-9920 PO SH O MDCIWB N/A PS 3500 12/14 12/14 Application for Periodicals Mailing Privileges 7510-05-000-4625 PO EA PRI IWEB WWW PS 3503 9/94 9/94 Record of Deposits Made While Second-Class Application Is Pending 7530-01-000-9924 PU SH MSS MDC N/A PS 3507 1/95 1/95 Authorization for Second-Class Mail Privileges 7530-03-000-0907 HQ EA MSS HQO P/F PS 3510 12/14 12/14 Application for Reentry or Special Price Request for Periodicals Publication 7530-01-000-9928 PO EA PRI IWEB WWW PS 3510-M 12/14 12/14 Application for Additional Mailing Office for Periodicals Publication N/A PO EA PRI IWEB WWW PS 3521 12/87 1/72 House Numbers and Mail Receptacles Report (pad/100) 7530-01-000-9930 CR PD O MDC N/A PS 3526 7/14 7/14 Statement of Ownership, Management, and Circulation (All Publications Except Requester Publications) 7530-01-000-9931 PO EA PRI IWEB WWW PS 3526-R 7/14 7/14 Statement of Ownership, Management, and Circulation (Requester Publications Only) 7530-09-000-8855 PO EA PRI IWEB WWW PS 3533 12/16 12/16 Application for Refund of Fees, Products and Withdrawal of Customer Accounts 7530-01-000-9932 PO EA FIN MDCIWB N/A PS 3533-GE 1/18 1/18 Application for Refund of Postage for Priority Mail Express International With Guarantee Service N/A PO SH FIN ICO N/A PS 3538 7/98 7/98 Irregular Handling of Undeliverable Periodicals Publication 7530-01-000-9933 PO SH PRI MDC N/A PS 3541 7/24 7/24 Postage Statement — Periodicals - One Issue or One Edition N/A PO EA MSS IWEB WWW PS 3541-M1 3/10 3/10 Postage Statement — Periodicals - All Issues in a Calendar Month 7530-05-000-4278 PO SH MSS MDCIWB WWW PS 3541-M3 3/10 3/10 Postage Statement — Periodicals - All Issues in a Calendar Month - Outside County 7530-10-000-0503 PO SH MSS MDCIWB WWW PS 3541-M5 3/10 3/10 Postage Statement — Periodicals - All Issues in a Calendar Month - Outside County 7530-10-000-0504 PO SH MSS MDCIWB WWW PS 3541-M7 3/10 3/10 Postage Statement — Periodicals - All Issues in a Calendar Month - Outside County 7530-10-000-0505 PO SH MSS MDCIWB WWW PS 3541-MW 3/12 3/12 Periodicals Monthly Data Collection Worksheet 7690-16-000-7937 PS EA PRI MDCIWB N/A PS 3542 6/01 6/01 Application to Mail Under the Periodicals Centralized Postage Payment (CPP) System 7530-03-000-0908 PO EA PRI IWEB WWW PS 3543 11/96 11/96 Record of Periodicals Postage 7530-03-000-3793 PO EA PRI MDCIWB N/A PS 3543–SP 4/84 10/70 (Special) Record of Second-Class Postage 7530-01-000-9131 PO SH PRI MDC N/A PS 3544 7/04 7/04 USPS Receipt for Money or Services 7530-03-000-3768 PO PD FIN MDC N/A PS 3546 5/07 5/07 Official Change/Correction to Mail Forwarding Change of Address Order 7530-01-000-9953 CD EA RET MDC N/A PS 3547 6/95 6/95 Notice to Mailer of Correction in Address (postal card) 7530-01-000-9954 PO EA O MDC N/A PS 3548 4/00 4/00 Review and Verification of Circulation 7530-01-000-9955 PU EA PRI MDCIWB WWW PS 3548-A 7/00 7/00 Worksheet A — Postage Payment Review Through Documentation N/A PO SH PRI LOC, MDCIWB N/A PS 3548-B 7/00 7/00 Worksheet B — Postage Payment Review Through Documentation N/A PO SH PRI LOC, MDCIWB N/A PS 3548-D 7/00 7/00 Postage Review Adjustment Through Documentation N/A PO SH PRI LOC, MDCIWB N/A PS 3548-R 4/00 4/00 Verification of Names on Requesters List N/A PO EA PRI LOC, MDCIWB LOC PS 3548-RL 9/95 9/95 Postage Review Log N/A PO SH PRI LOC, MDCIWB N/A PS 3548-S 9/95 9/95 Verification of Names on Subscribers List N/A PO SH PRI LOC, MDCIWB N/A PS 3548-W 7/00 7/00 Postage Payment Review by Weight N/A PO SH PRI LOC, MDCIWB N/A PS 3549 6/97 10/70 Collect Postage Due 7530-01-000-9956 PO SH FIN MDC N/A PS 3551 3/96 3/96 Statement of Verified Weight and Reported Advertising Portion of Publication 7530-03-000-3773 PU EA MSS MDC N/A PS 3553 9/22 9/22 CASS Summary Report N/A NCS SH IMAQ IWEB WWW PS 3555 8/91 7/89 Report of Returned Mail 7530-01-000-9959 PO SH O MDCIWB N/A PS 3567 5/11 5/11 Periodicals Application Cover Checklist N/A PO EA BMEP IWEB N/A PS 3568 5/11 5/11 Annual Verifications Checklist N/A PO EA BMEP IWEB N/A PS 3569 5/11 5/11 ZAP Review N/A PS EA BMEP IWEB N/A PS 3570 5/11 5/11 Exceptional Dispatch Review (Semi-Annual) N/A PO EA BMEP IWEB N/A PS 3571 6/03 6/03 CFS Quality Control Log N/A PS SH RET IWEB N/A PS 3574 6/91 9/85 Change of Address Order Completion Request 7530-01-000-9961 PO SH O MDC N/A PS 3575 9/07 9/07 Change of Address Order N/A PO EA O LOC P/F PS 3575-S 10/94 10/94 Change of Address Order (Spanish) (contained in PUB 75-S) N/A PU EA O N/A P/F PS 3575-Z 9/07 9/07 Employee-Generated Change of Address 7530-03-000-4594 PU EA O MDC N/A PS 3577 7/87 4/71 Correction of Error in Address Because of Postal Service Adjustments 7530-01-000-9964 PO SH O MDCIWB N/A PS 3580 1/98 1/98 Notice to Replenish Advance Deposit Account 7530-01-000-9966 PS EA PRI MDC N/A PS 3582-A 12/86 8/76 Postage Due Bill 7530-03-000-3832 PO SH FIN MDCIWB N/A PS 3582-C 11/87 4/85 Postage Due Invoice (book/50 3-part sets) 7530-02-000-7195 CA BK FIN MDC N/A PS 3582-P 10/20 10/20 Invoice for BRM or Postage Due Mail 7530-05-000-4539 PS EA FIN MDCIWB N/A PS 3584 12/11 12/11 Postage Due Log 7530-01-000-9970 PO SH DEL IWEB N/A PS 3587 7/14 7/14 Every Door Direct Mail (EDDM) Retail 7530-13-000-6929 PO SH DOM MDCIWB MDCWEB PS 3600-FCM 7/24 7/24 Postage Statement — First-Class Mail and USPS Ground Advantage N/A PU SH MSS IWEB WWW PS 3600-PM 7/24 7/24 Postage Statement — Priority Mail - Permit Imprint N/A PU SH MSS IWEB WWW PS 3600–R1 3/10 3/10 Postage Statement — First-Class Mail & Priority Mail 7530-07-000-6217 PO EA MSS MDCIWB WWW PS 3600–R3 3/10 3/10 Postage Statement — First-Class Mail 7530-07-000-6218 PO EA MSS MDCIWB WWW PS 3600–R5 3/10 3/10 Postage Statement — Priority Mail - Permit Imprint -Negotiated Service Agreement 7530-09-000-9937 PO EA MSS MDCIWB WWW PS 3600–R7 3/10 3/10 Postage Statement — Priority Mail - Commercial Plus - Cubic 7530-13-000-1556 PO EA MSS MDCIWB WWW PS 3601-C 5/96 5/96 Postage Meter Activity Report 7530-03-000-7523 PU SH RET MDC P/F PS 3602-C 1/17 1/17 Consolidated Postage Statement — Supplemental USPS Marketing Mail and Nonprofit USPS Marketing Mail 7530-05-000-5027 PU SH MSS MDCIWB WWW PS 3602–EZ 7/24 7/24 Postage Statement — USPS Marketing Mail - Easy Nonautomation Letters or Flats N/A PU EA MSS IWEB WWW PS 3602–N 7/24 7/24 Postage Statement — Nonprofit USPS Marketing Mail N/A PO EA MSS IWEB WWW PS 3602–NZ 7/24 7/24 Postage Statement — Nonprofit USPS Marketing Mail - Easy Nonautomation Letters or Flats N/A PO EA MSS IWEB WWW PS 3602–PO 1/83 1/83 Postage Collected Through Post Office Meter 7530-01-000-9976 PO BK RET MDC N/A PS 3602–R 7/24 7/24 Postage Statement — USPS Marketing Mail N/A PO SH MSS IWEB WWW PS 3603 1/90 11/87 Receipt for Postage Meter Settings (book/100 3-part sets) 7530-02-000-9495 PO BK MSS MDC N/A PS 3604 6/95 6/95 Nonuse Revocation of Mailing Permit or Meter License 7530-01-000-9978 PO SH MSS MDC N/A PS 3605–R 7/24 7/24 Postage Statement — Package Services and Parcel Select Destination Entry N/A PO SH MSS IWEB WWW PS 3606 1/17 1/17 Certificate of Bulk Mailing — International 7530-01-000-9980 MSS EA DOM MDCIWB WWW PS 3606-D 1/16 1/16 Certificate of Bulk Mailing — Domestic 7530-17-000-5548 MSS EA DOM MDCIWB WWW PS 3607 10/10 10/10 Weighing and Dispatch Certificate 7530-02-000-9000 PO SH BMEP MDCIWB N/A PS 3607-G 11/07 11/07 Weighing and Dispatch Certificate 7530-02-000-9026 PO EA FIN IWEB N/A PS 3609–PO 5/89 4/71 Control for Post Office Meter (card) 7530-02-000-9003 PO EA MSS MDC N/A PS 3609–SP 7/80 7/80 Record of Permit Imprint Mailings (card) 7530-02-000-9004 PO EA MSS MDC N/A PS 3610 12/91 12/91 Record of Postage Meter Settings 7530-02-000-9005 PO SH MSS MDC N/A PS 3611 1/87 1/87 Postage Due Statement for Automated BRM (3-part set) 7530-03-000-0910 BC SE MSS HQO P/F PS 3613 3/00 3/00 Refunds From Advance Deposit Accounts 7530-02-000-9007 PO SH FIN MDCIWB P/F PS 3615 8/20 8/20 Mailing Permit Application and Customer Profile 7530-03-000-6048 PO EA CMO IWEB WWW PS 3615-A 6/13 6/13 Application for Picture Permit Imprint N/A PO EA DOM IWEB WWW PS 3616 2/08 2/08 Report of Quarterly Verification of Metered Mail 7530-02-000-9009 PO SH RET MDCIWB N/A PS 3617 5/78 5/78 Order for Special Canceling Machine Die Hubs 7530-03-000-0912 HQ SH MSS HQO N/A PS 3618 8/94 12/89 Local Setting of Postage Meter Licensed at Another Office 7530-03-000-3696 PO EA MSS MDC N/A PS 3619 9/97 9/97 Permit Number Record 7530-02-000-9011 PO EA PRI MDC N/A PS 3621-A 7/24 7/24 Renewal Notice for Annual Fee(s) 7530-02-000-8210 PO SH BMEP IWEB WWW PS 3623 1/17 1/17 Request for Confirmation of Authorization (or Pending Application) to Mail at Nonprofit USPS Marketing Mail Prices 7530-02-000-9027 PO EA PRI IWEB WWW PS 3624 1/17 1/17 Application to Mail at Nonprofit USPS Marketing Mail Prices 7530–02–000–9014 PO EA PRI IWEB WWW PS 3625 7/09 7/09 Nonprofit Cooperative Mail Rule Exception Complaint Form N/A PU EA BMEP IWEB P/F PS 3629 11/00 11/00 Centralized Postage Payment System — Running Summary 7530-02-000-7449 CD SH MSS MDCIWB N/A PS 3630-G 9/03 9/03 Penalty Business Reply Monthly Mail Report 7530-02-000-7197 PS SH FIN MDCIWB N/A PS 3631 10/02 10/02 Optional Procedure (OP) Summary of Mailings N/A BC SH PRI IWEB N/A PS 3631-G 9/97 9/97 Adding or Deleting a Setting Location for Penalty Mail Postage Meters (2-part set) 7530-02-000-9016 PS SE FIN MDCIWB N/A PS 3632 10/02 10/02 Optional Procedure (OP) Review Application Checklist N/A PS SH PRI IWEB N/A PS 3632-G 3/92 3/92 Miscellaneous Transactions for Penalty Mail Postage Meters (2-part set) 7530-02-000-9017 PS SE FIN MDC N/A PS 3633 10/02 10/02 Optional Procedure (OP) Mailing System Review N/A PS SH PRI IWEB N/A PS 3633-G 11/07 11/07 Daily Activity Recap for Official Mail 7530-02-000-9018 PO EA FIN IWEB N/A PS 3634 10/02 10/02 Optional Procedure (OP) Job Review Frequency Guide N/A PS SH PRI IWEB N/A PS 3634-G 11/07 11/07 Transferring Postage to or Canceling Penalty Mail Postage Meters (2-part set) 7530-02-000-9019 PS SE FIN MDC N/A PS 3635-G 9/97 9/97 Adjusting Postage and Fees for Official Mail (3-part set) 7530-03-000-3706 PS SE FIN MDCIWB PO PS 3637-G 11/07 11/07 Batch Header for Official Mail 7530-02-000-9022 PO SE FIN IWEB N/A PS 3638-G 9/03 9/03 Penalty Mail Postage Due Monthly Report 7530-04-000-1899 PS SH FIN MDCIWB N/A PS 3639 9/90 9/90 Mailer‘s Running Summary Optional Procedure 7530-02-000-9509 PO EA MSS MDCIWB N/A PS 3639-G 9/03 9/03 Penalty Merchandise Return Service Monthly Report 7530-04-000-1900 PS SH FIN MDCIWB N/A PS 3649-A 7/86 7/86 Bar Code and FIM Order Form for Unique Firm Business Reply Mail 7530-03-000-0914 PS SH MSS HQO N/A PS 3650 3/21 3/21 Request for Expedited Packaging for Business Reply Mail Use N/A PS EA RET IWEB N/A PS 3653-B 11/96 11/96 Statement of Mailing — Global Priority Mail (Billing) 7530-03-000-8760 PS EA PRI HQO N/A PS 3655 8/02 8/02 International Surface Airlift (ISAL) Direct Shipment Option Advisement & Confirmation of Transaction N/A MSS SH PRI AFC N/A PS 3658 7/02 7/02 Global Direct Mailbox Service Application N/A PU SH PRI IWEB WWW PS 3665 1/17 1/17 Certificate of Mailing — Firm 7530-17-000-5549 PO EA DOM MDCIWB P/F PS 3666 8/20 8/20 Certification of Postal Service Employment of Individuals With Severe Disabilities 7530-02-000-9025 PS EA ERM IWEB N/A PS 3681 7/02 7/02 Global Direct Service Agreement 7530-04-000-8891 PS SH GB IWEB WWW PS 3682 7/02 7/02 Global Direct Notification of Mailing 7530-04-000-8892 PS SH GB IWEB WWW PS 3683 8/17 8/17 U.S. Postal Service Package Testing N/A PS EA MSS IWEB WWW PS 3700 7/24 7/24 Postage Statement — International Mail N/A PO SH MSS IWEB WWW PS 3701 1/88 2/86 Delivery Survey (card) 7530-02-000-9040 CR EA O MDC N/A PS 3702 12/87 9/84 Test Mailing Record (Collection and Special Test Mailings) 7530-02-000-9041 PO SH O MDCIWB N/A PS 3721 2/91 6/88 Publication Watch (2-part set) 7530-02-000-9042 PO SE O MDC N/A PS 3743 2/87 4/77 Delayed Mail Report — All Post Offices (2-part set) 7530-02-000-9043 PO SE O MDC N/A PS 3749 11/00 11/00 Irregularities in the Preparation of Mail (4-part set) 7530-02-000-9044 PS SE MSS MDC N/A PS 3749-D 11/00 11/00 Disposition of Mail Irregularity Report 7530-05-000-4191 PO EA MSS TMD N/A PS 3750 2/96 6/80 Notice of Short-Paid Mail 7530-02-000-9045 PC EA MSS MDC N/A PS 3760 3/21 3/21 Package Search Request 7530-02-000-9046 PS EA SM MDCIWB N/A PS 3761 10/07 10/07 Parcel Return Services Enrollment Request N/A PS SH MSS IWEB WWW PS 3800 1/23 1/23 Certified Mail Receipt: Domestic Mail Only 7530-02-000-9047 PO EA MSS MDCIWB P/F PS 3801 9/16 9/16 Standing Delivery Order (card) 7530-02-000-9048 PO EA NET MDCIWB MDCWEB PS 3801-A 7/98 7/98 Agreement by a Hotel, Apartment House, or the Like 7530-02-000-9049 PU SH O MDCIWB WWW PS 3806 4/15 4/15 Receipt for Registered Mail 7530-02-000-9051 PO SE MSS MDC PO PS 3810 9/93 4/71 Reminder Record (card) 7530-02-000-9052 CA EA MSS MDC N/A PS 3811 7/20 7/20 Domestic Return Receipt 7530-02-000-9053 PU EA CMO MDCIWB P/F PS 3811-A 4/15 4/15 Request for Delivery Information/Return Receipt 7530-02-000-9054 PU EA MSS IWEB WWW PS 3811-V 3/05 10/04 Certified Return Receipt Vending Form 7530-07-000-0300 PO CTN RET MDC P/F PS 3813 1/23 1/23 Insured Mail Receipt — Domestic Only — $500 and Under 7530-02-000-9056 PU EA MSS MDCIWB P/F PS 3813-P 1/23 1/23 Insured Mail Receipt — Domestic Only — Over $500 7530-02-000-9057 PU EA MSS MDCIWB P/F PS 3815 5/17 5/17 Plant-Load Authorization Application, Worksheet, and Agreement 7530-02-000-9060 PS EA CHN IWEB N/A PS 3816 1/16 1/16 COD Mailing and Delivery Receipt 7530-02-000-9062 PU EA DOM MDCIWB P/F PS 3817 4/07 4/07 Certificate of Mailing 7530-02-000-9065 PO SH MSS MDCIWB WWW PS 3820 5/89 4/82 Sale or Destruction of Perishable Mail 7530-02-000-9067 PO SH MSS MDCIWB N/A PS 3821 11/93 11/93 Clearance Receipt (pad/50) 7530-02-000-9068 PO PD MSS MDCIWB N/A PS 3822 3/88 3/88 COD Tag Transmittal (pad/100) 7530-02-000-9069 PO PD MSS MDC N/A PS 3823 7/93 7/93 Packaging Improvement Notice (2-part set) 7530-02-000-9070 PO SE PRI MDC N/A PS 3824 1/16 1/16 Temporary Bulk Receipt 7530-02-000-9071 PO EA MSS IWEB N/A PS 3826 1/16 1/16 Registry Irregularity Report 7530-02-000-9072 CD EA MSS IWEB N/A PS 3827 11/94 11/94 Irregularity Report of Insured and COD Mail 7530-02-000-9073 PS SH MSS MDC N/A PS 3829 9/84 4/72 Registered Dispatch Follow-Up 7530-02-000-9074 PS SH MSS MDC N/A PS 3831 6/86 10/70 Receipt for Article(s) Damaged in Mails 7530-02-000-9076 PO SH MSS MDC N/A PS 3833 4/89 4/89 COD Irregularity 7530-02-000-9077 PO SH MSS MDC N/A PS 3834 5/17 5/17 Detached Mail Unit Authorization Application N/A PS EA BMEP IWEB N/A PS 3844 4/83 4/83 Data Entry Daily Work Record (3x5 index card) 7530-03-000-0920 HQ EA MSS HQO N/A PS 3845 1/96 1/96 Annual Verification of Circulation (postal card) 7530-02-000-9079 PS EA MSS MDC N/A PS 3849 9/22 9/22 We Redeliver For You! 7530-01-000-9716 PO EA BMEP MDCIWB N/A PS 3849-D 12/94 1/92 Notice to Sender of Undelivered COD Mail (postal card) 7530-02-000-9082 PO EA MSS MDC N/A PS 3849-MP 12/12 12/12 Sorry We Missed You — Metro Post Same Day Service 7530-16-000-8912 PO EA DOM MDCIWB N/A PS 3854 4/85 3/72 Manifold Registry Dispatch Book (30 entries) (book/300) 7530-02-000-9084 PO BK MSS MDCIWB N/A PS 3867 3/16 3/16 Accountable Mail Matter Received for Delivery 7530-02-000-9093 PO EA MSS MDCIWB N/A PS 3871 7/89 10/70 Receipt Verification — Insured and Returned COD Mail 7530-02-000-9095 PO SH MSS MDCIWB N/A PS 3874-A 2/71 2/71 Registry Dispatch Bill (Special Edition) (3-part continuous) 7530-03-000-0921 CA SE MSS HQO N/A PS 3875 4/78 4/78 Daily Balance — Registry Section 7530-03-000-3722 PO SH MSS MDCIWB N/A PS 3876 1/16 1/16 Notice to Firm Mailer of Incorrect Fees 7530-02-000-9097 CA EA PRI IWEB N/A PS 3877 1/17 1/17 Firm Mailing Book for Accountable Mail 7530-02-000-9098 PU EA DOM MDCIWB MDCWEB PS 3881-X 11/22 11/22 Supplier and Payee Electronic Funds Transfer (EFT) Enrollment N/A PS EA FIN IWEB N/A PS 3883 2/02 2/02 Firm Delivery Receipt for Accountable Mail and Bulk Delivery Mail 7530-02-000-9099 CR PG MSS MDC N/A PS 3883-A 12/94 12/94 Firm Delivery Receipt (1600/carton) 7530-02-000-9100 PO CTN MSS MDCIWB WWW PS 3892 3/97 3/89 Registered Mail Found in Ordinary Mail 7530-02-000-9101 PO CTN PRI MDCIWB N/A PS 3896 5/85 4/82 Receipt for Registered Article (book/50 2-part sets) 7530-02-000-9120 PO BK MSS MDC N/A PS 3899 1/83 1/83 Registered Matter — Damaged, Unsealed or Without Cover (self-adhesive label) 7530-02-000-9121 PO EA MSS MDC N/A PS 3902 4/07 4/07 Form 3977 Log and Lock Examination 7530-10-000-0557 PO SH FIN MDCIWB N/A PS 3907 12/93 12/93 Post Office Box Mail Pickup Notice 7530-03-000-3749 PO EA RET MDCIWB N/A PS 3908-S 6/23 6/23 Post Office Box Parcel Pickup Notice 7530-19-000-2715 PO EA RET MDCIWB WWW PS 3916 9/98 9/98 Shipping Order 7530-03-000-0922 HQ SH ENG HQO N/A PS 3921 5/03 5/03 Volume Recording Worksheet 7530-02-000-9125 PO SH DEL MDCIWB N/A PS 3922 10/08 10/08 Customer Service Volume Recording Worksheet 7530-02-000-9126 PO SH RET MDCIWB N/A PS 3925 10/89 10/89 Daily Address Information Operations Analysis 7530-02-000-9129 CD SH O MDCIWB N/A PS 3930 10/08 10/08 Operations Analysis 7530-02-000-9035 PO SH RET MDCIWB N/A PS 3956 3/88 3/83 Authorization for Medical Attention (2-part set) 7530-02-000-9131 PS SE ERM MDCIWB N/A PS 3958 2/07 2/07 Unit Reserve Stock Stamp Transaction Record 7530–02–000–9132 PO SH FIN MDCIWB N/A PS 3959 5/15 5/15 Stamp Stock Transactions and Daily Recap 7530-02-000-9133 CA EA FIN IWEB N/A PS 3968 11/97 11/97 Daily Mail Collection Record 7530-02-000-9135 PS SH O MDCIWB N/A PS 3970-D 1/13 1/13 Leave Sharing Program: Request to Donate Leave 7530-02-000-7242 PS EA LR IWEB N/A PS 3970-R 8/99 8/99 Request to Receive Donated Leave 7530-02-000-7243 PS SH ERM MDCIWB N/A PS 3970-T 11/91 11/91 Donated Leave Transfer 7530-02-000-7244 PS SH ERM MDCIWB N/A PS 3971 7/21 7/21 Request for or Notification of Absence 7530-02-000-9136 PS PD FIN MDCIWB N/A PS 3972 11/23 11/23 Leave Year 2024 Absence Analysis 7530-02-000-9137 PS EA LR MDCIWB N/A PS 3973 11/85 11/85 Military Leave Control 7530-02-000-9138 PS SH ERM MDCIWB N/A PS 3974 3/97 11/79 Verification of Distribution Performed 7530-02-000-9139 PO SH O MDCIWB N/A PS 3977 5/07 5/07 Duplicate Key, Combination, and Password Envelope 7530-02-000-9140 PO EA FIN MDC N/A PS 3978-B 8/80 8/80 Parcel Distribution 7530-02-000-9142 CR SH O MDCIWB N/A PS 3978-D 9/93 8/80 Accountable Mail 7530-03-000-3760 CR SH MSS MDC N/A PS 3979 4/08 4/08 Weingarten Rule 7530-11-000-0526 PS EA LR MDC N/A PS 3981 12/86 12/86 Standard Roster 7530-02-000-9147 PO SH FIN MDCIWB N/A PS 3982 4/05 4/05 Changes of Address (card) 7530-02-000-9148 PO EA O MDC N/A PS 3982-R 1/08 1/08 Do Not Deliver “Boxholder”: Mailings From These Mailers 7530-10-000-6478 PS EA DEL MDICWB N/A PS 3993 4/89 11/72 Delivery Services Comparative Cost Analysis 7530-02-000-9150 AR SH O MDCIWB N/A PS 3996 11/97 11/97 Carrier-Auxiliary Control (pad/100) 7530-02-000-9151 PO PD O MDCIWB N/A PS 3997 11/97 11/97 Unit Daily Record 7530-02-000-9152 CR SH O MDCIWB N/A PS 3998 11/97 11/97 Unit Summary of City Delivery Assignments 7530-02-000-9153 CR SH O MDCIWB N/A PS 3999 11/97 11/97 Inspection of Letter Carrier Route 7530-02-000-9154 PO SH O MDCIWB N/A PS 3999-A 7/89 7/89 Deliveries/Inspection Record — Worksheet 7530-02-000-9155 PO SH O MDCIWB N/A PS 3999-B 11/97 11/97 Inspection of Collection Route 7530-02-000-9156 PO SH O MDCIWB N/A PS 4000 1/06 1/06 Postage Statement — International Commercial Packages — Permit Imprint N/A PO SH MSS IWEB WWW PS 4000-A 6/13 6/13 Retail Lobby Observation N/A CD EA CR IWEB N/A PS 4000-B 6/23 6/23 Employee Observation N/A CD EA COO IWEB N/A PS 4003 7/18 7/18 Official Rural Route Description 7530-02-000-9157 CR EA NET IWEB N/A PS 4003-A 3/87 12/72 Official Rural Route Description (continuation, 4–part set) 7530-02-000-9158 CR SE O MDC N/A PS 4004-C 4/20 4/20 Customized Packaging Business Case N/A CD EA CMO IWEB N/A PS 4006-X 1/86 1/86 Window Automation System Change Request 7530-03-000-0926 CD SH MSS HQO N/A PS 4007-X 4/86 4/86 Window Automation System Problem Report (3-part set) 7530-03-000-0927 CD SE MSS HQO N/A PS 4010 1/02 1/02 Request for Postage Meter Keys N/A PO SH   IWEB N/A PS 4012 2/88 6/81 Brief of Rural Route Changes 7530-03-000-3725 CD SH O MDCIWB N/A PS 4015-A 2/09 2/09 Rural Carrier Agreement to Use Annual Leave Pursuant to Election of Higher Route Classification 7530-03-000-3726 CR SH LR IWEB N/A PS 4015-B 9/98 9/98 Rural Carrier Agreement to Terminate Guarantee 7530-02-000-9161 PS SH LR MDCIWB N/A PS 4015-C 2/09 2/09 Rural Carrier Agreement to Terminate Guarantee 7530-02-000-9162 CR SH LR IWEB N/A PS 4015-D 9/98 9/98 Rural Carrier Agreement to Terminate Guarantee 7530-02-000-9163 PS SH LR MDCIWB N/A PS 4015-E 2/09 2/09 Rural Carrier Agreement to Use Annual Leave Earned to Reduce Actual Work Hours 7530-02-000-9164 CR SH LR IWEB N/A PS 4015-F 2/09 2/09 Rural Carrier Agreement to Use Annual Leave Earned to Obtain Protected Salary 7530-02-000-9165 CR SH LR IWEB N/A PS 4024 9/93 4/86 Request to Repair Roads 7530-02-000-9166 PO SH O MDCIWB N/A PS 4027 9/88 10/81 Petition for Change in Rural Delivery 7530-02-000-9167 CR SH O MDCIWB WWW PS 4052 5/99 5/99 Notice to Customer of Correct Address 7530-02-000-9168 CR SH O MDCIWB N/A PS 4056 2/91 9/87 Your Mailbox Needs Attention (pad/100) 7530-02-000-9169 PO PD O MDCIWB N/A PS 4056-A 12/91 12/91 Your Mailbox Needs Attention (Spanish) (pad/100) 7530-02-000-9170 PO PD O MDC N/A PS 4082 10/95 10/95 External Inspection Checklist — Cast Iron Boiler 7530-02-000-9172 AR SH FAC MDCIWB N/A PS 4085 9/84 9/84 External Inspection Checklist — Fire Tube Boiler 7530-02-000-9175 AR SH FAC MDCIWB N/A PS 4089 7/93 4/81 Inspection Checklist — Direct Plunger Oil Hydraulic Elevator (Uncounter weighted) (4 pages) 7530-02-000-9179 AR EA FAC MDCIWB N/A PS 4206 1/86 1/86 Certification of Relocation in Decent, Safe, and Sanitary Housing 7530-02-000-9182 AR SH FAC MDCIWB N/A PS 4207 3/96 3/96 Claim for Tenant Business Relocation 7530-02-000-9183 PS SH FAC MDCIWB N/A PS 4208 3/96 3/96 Claim for Residential Tenant Relocation 7530-02-000-9184 PS SE FAC HQO, MDCIWB N/A PS 4209 2/87 2/87 Project Authorization 7530-02-000-9185 AR SH FIN MDCIWB N/A PS 4211 10/95 10/95 Facility and Fixed Mechanization Project Contract Commitment Order 7530-02-000-9186 PS SH FAC FMS N/A PS 4211-A 10/89 10/89 Facility and Fixed Mechanization Project Contract Payment Authorization 7530-02-000-9200 AR SH FIN MDCIWB N/A PS 4211-B 10/89 2/87 Invoice and Payment Authorization (Facility and Fixed Mechanization Contract) 7530-02-000-9201 PS SH FIN MDCIWB N/A PS 4223 2/74 2/74 Computation of Distribution Standard — Letter Mail 7530-03-000-0928 PS SH O HQO N/A PS 4232 3/10 3/10 Rural Customer Delivery Instructions 7530-03-000-9022 PO EA DEL MDCIWB WWW PS 4232-S 5/95 5/95 Rural Customer Delivery Instructions (Spanish) 7530-03-000-4635 CR EA O MDC N/A PS 4239 1/09 1/09 Rural Route Count of Mail 7530-02-000-9205 CR EA DEL MDCIWB N/A PS 4240 5/16 5/16 Rural Carrier Trip Report 7530-02-000-9206 CR SH DEL IWEB N/A PS 4241 7/12 7/12 Rural Delivery Statistics Report 7530-02-000-9207 CR EA MSS IWEB N/A PS 4241-A 2/05 2/05 Rural Route Evaluation 7530-03-000-0935 SC SH DEL LOC N/A PS 4241-M 7/12 7/12 Rural Route Evaluation Worksheet N/A N/A SH DEL IWEB N/A PS 4241-X 5/95 5/95 Rural Delivery Statistics Summary Report 7530-03-000-0936 CR SH O MDC N/A PS 4245 3/96 3/88 Carrier‘s Statement (envelope) 7530-02-000-9211 CR EA O MDC N/A PS 4248 1/09 1/09 Rural Route Inspection Report 7530-02-000-9212 CR EA O MDC N/A PS 4309 10/95 10/95 Master Inventory Log 7530-03-000-0940 HQ SH MSS LOC N/A PS 4310 10/95 10/95 Mail Recovery Center Parcel Report 7530-03-000-0941 BC SH RET LOC, MDCIWB N/A PS 4314-A 2/95 3/85 Consumer Service Card (Spanish) (4-part set) 7530-02-000-9214 PO SE RET MDC P/F PS 4314-F 1/95 12/90 Consumer Service Card (pinfed) 7530-02-000-8145 PO SE RET MDC N/A PS 4315 7/89 4/85 Evaluation of Routes for Motorization 7530-02-000-9216 CR SH O MDC N/A PS 4326 5/93 12/90 National Five-Digit ZIP Code & Post Office Directory Order (3-part set) 7530-02-000-9217 AO SE IMAQ MDC N/A PS 4403 6/91 6/91 Authorization for BMC Entry (Second-Class Publications) 7530-02-000-9219 PO SH PRI MDCIWB N/A PS 4410 5/03 5/03 Authorization for BMC Acceptance (Third/Fourth-Class Bulk Mailings) 7530-02-000-9220 BC SH PRI MDCIWB N/A PS 4455 1/77 1/77 Spotter Tractor Log (pad/100) 7530-02-000-9224 BC PD O MDCIWB N/A PS 4460 3/82 3/82 Vehicle Record/Trip Ticket (card) 7530-03-000-0944 BC EA O MDC N/A PS 4503 1/10 1/10 Vehicle Delivery Control Sheet 7530-02-000-9111 HQ SH FIN IWEB N/A PS 4508 3/83 3/83 Vehicle Maintenance Facility Inventory Order (5-part set) 7530-02-000-9226 VM SE O MDCIWB N/A PS 4508-A 11/85 9/83 Vehicle Maintenance Facility Inventory Order (4-part set) 7530-02-000-9227 VM SE O MDCIWB N/A PS 4509 6/91 6/91 VMF Inventory Purchase (keypunch) 7530-02-000-9228 VM SH O MDCIWB N/A PS 4513 4/88 1/85 Scheduled/Unscheduled Maintenance Record 7530-02-000-9230 VM SH O MDCIWB N/A PS 4513-A 5/89 12/84 Scheduled/Unscheduled Shop Maintenance Record 7530-02-000-9231 VM SH O MDCIWB N/A PS 4515 1/23 1/23 Vehicle Request, Review and Approval 7530-02-000-9232 PS SH DEL IWEB N/A PS 4523 8/95 10/87 Damage Claim Certification — Hired Vehicle (4-part set) 7530-02-000-9235 PO SE O MDC N/A PS 4528 8/04 8/04 Vehicle Defect or Deficiency Report 7530-07-000-1174 VM SH DEL MDCIWB N/A PS 4529 6/93 6/93 Inventory/Parts Tools 7530-02-000-9239 PS EA O MDC N/A PS 4530 5/71 5/71 Record of Physical Inventory 7530-02-000-9240 VM SH O MDCIWB N/A PS 4533 3/87 2/74 MVS Schedule 7530-02-000-9241 CA SH O MDCIWB N/A PS 4536 1/89 10/76 Trailer Loading Record (tag) 7530-02-000-9243 CA EA O MDC N/A PS 4538 4/72 4/72 No Value Item (tag) 7530-02-000-9244 VM EA O MDC N/A PS 4539 9/98 9/98 Railroad Van Movement Log 7530-02-000-9245 CA SH O MDC N/A PS 4541 7/94 3/87 Order-Invoice for Vehicle Repair (Commercial Work Order) (5-part set) 7530-02-000-9246 VM SE O MDCIWB N/A PS 4543 8/90 2/88 Vehicle Maintenance Work Order (card) 7530-02-000-9247 VM EA O MDCIWB N/A PS 4546-A 3/98 3/98 Preventive Maintenance Inspection Guidelines — Administrative Vehicles 7530-04-000-5149 VM SH O MDCIWB N/A PS 4546-B 3/98 3/98 Preventive Maintenance Inspection Guidelines — Light Delivery Vehicles 7530-04-000-5150 VM SH O MDCIWB N/A PS 4546-C 3/98 3/98 Preventive Maintenance Inspection Guidelines — Intermediate Delivery Vehicles 7530-04-000-5151 VM SH O MDCIWB N/A PS 4546-D 3/98 3/98 Preventive Maintenance Inspection Guidelines — Cargo Vans 7530-04-000-5152 VM SH O MDCIWB N/A PS 4546-E 3/98 3/98 Preventive Maintenance Inspection Guidelines — Tractors 7530-04-000-5153 VM SH O MDCIWB N/A PS 4546-F 3/98 3/98 Preventive Maintenance Inspection Guidelines — Trailers 7530-04-000-5154 VM SH O MDCIWB N/A PS 4564 2/99 2/99 Postal Vehicle Accident Register 7530-02-000-9248 VM SH O MDC N/A PS 4564-A 9/79 9/79 Non-Vehicle Accident Register 7530-02-000-9249 VM SH O MDC N/A PS 4565 6/84 6/84 Vehicle Repair Tag (3-part set) 7530-02-000-9250 VM SE O MDC N/A PS 4567 7/89 9/87 Commercial Service Station Procurement Record 7530-02-000-9252 VM SH O MDC N/A PS 4568 10/00 10/00 Postal Equipment Problem Feedback 7530-02-000-9270 PS SH ENG MDCIWB N/A PS 4569 4/87 1/72 Vehicle Use Plan 7530-02-000-9271 VM SH O MDC N/A PS 4570 4/09 4/09 Vehicle Time Record 7530-02-000-9272 CR EA DEL MDCIWB N/A PS 4572 5/87 5/87 Tractor Log (card) 7530-02-000-9273 CA EA O MDCIWB N/A PS 4574 1/84 9/81 Daily Record of Gasoline, Diesel Fuel, and Motor Oil Issued 7530-02-000-9275 VM SH O MDCIWB N/A PS 4575 11/79 11/79 MVS Vehicle Survey (card) 7530-02-000-9276 CA EA O MDC N/A PS 4575-A 12/87 11/85 Five Day Summary — Motor Vehicle Service Vehicle Utilization 7530-02-000-9277 VM SH O MDC N/A PS 4577 11/87 2/80 Leased Vehicle Condition Report (4-part set) 7530-02-000-9278 VM SE O MDCIWB N/A PS 4583 2/90 1/86 Physical Fitness Inquiry for Motor Vehicle Operators (2-part set) 7530-02-000-9281 PS SE ERM MDC N/A PS 4584 11/15 11/15 Observation of Driving Practices 7530–02–000–9282 PS EA ERM IWEB N/A PS 4584-P 9/09 9/09 Observation of Driving Practices — Powered Industrial Trucks (PITs) 7530-13-000-0129 PS SH ERM MDCIWB N/A PS 4584-T 12/19 12/19 Observation of Driving Practices (For Tractors Only) 7530-18-000-5768 PS EA ERM MDCIWB N/A   PS 4587 9/09 9/09 Request to Repair, Replace, or Dispose of Postal Service–Owned Vehicle 7530-02-000-9285 PS SH FIN IWEB N/A PS 4588 7/07 7/07 Observation of Work Practices — Delivery Services 7530-10-000-6298 PS SH ERM IWEB N/A PS 4589 7/07 7/07 Observation of Work Practices — General 7530-10-000-6299 PS SH ERM IWEB N/A PS 4594 11/77 11/77 Vehicle Sales Request and Report 7530-02-000-9286 VM SH O MDCIWB N/A PS 4595 7/98 7/98 Sale-Purchase Agreement (Vehicles) 7530-02-000-9287 SO SH O MDCIWB N/A PS 4597 8/08 8/08 Issuance of Tool Kit — Auto Mechanic/Technician 7530-02-000-9288 VM SH DEL IWEB N/A PS 4600 4/14 4/14 Driver Notification and Certificate of Compliance 7530-02-000-9112 PS SH DEL IWEB N/A PS 4601 4/14 4/14 Pre-Employment Statement for Commercial Drivers N/A PS EA LR IWEB N/A PS 4602 4/14 4/14 Release of Information Form: 49 CFR Part 40 Drug and Alcohol Testing N/A PS EA LR IWEB N/A PS 4615 10/21 10/21 PACT Act Application for Business or Regulatory Purposes Exception — Cigarettes and Smokeless Tobacco N/A PS EA CMO IWEB WWW PS 4615-E 10/21 10/21 PACT Act Application for Business or Regulatory Purposes Exception — ENDS N/A PS EA CMO IWEB WWW PS 4615-EM 10/21 10/21 Mailer Information Worksheet for PS Form 4615-E (PACT Act — ENDS) N/A PS EA CMO IWEB WWW PS 4615-ER 10/21 10/21 Recipient Information Worksheet for PS Form 4615-E (PACT Act — ENDS) N/A PS EA CMO IWEB WWW PS 4616 10/21 10/21 PACT Act Application for Consumer Testing or Public Health Exception N/A PS EA CMO IWEB WWW PS 4617 7/88 7/88 Communication Service Authorization 7530-03-000-0949 HQ SH IT HQO N/A PS 4625 2/80 2/80 Mounted Tires and Batteries Authorized for Fleet Use 7530-02-000-9290 VM SH O MDCIWB N/A PS 4626 5/81 5/81 Vehicle Fuel and Motor Oil Purchase Record 7530-02-000-9291 VM SH O MDCIWB N/A PS 4636 2/96 2/96 Postmarking Dies and Engraved Station Die Hubs Requisition 7530-02-000-9293 PS SH SM MDCIWB N/A PS 4703 4/84 4/84 Out of Order (trailer tag) 7530-02-000-9299 PS EA O MDC N/A PS 4705 5/75 5/75 Inspection Tag 7530-02-000-9300 PS EA ENG MDC N/A PS 4706 6/74 6/74 Equipment Deficiency Punch List Item (tag) 7530-03-000-0951 CE EA ENG HQO N/A PS 4707 8/91 8/91 Out of Order (tag) 7530-02-000-9301 PS EA ENG MDC N/A PS 4772-A 5/88 10/75 Motor Record (card) 7530-02-000-9309 CA EA ENG MDCIWB N/A PS 4774 5/94 2/77 Equipment Breakdown Investigation Report 7530-02-000-9311 PS SH O MDCIWB N/A PS 4775 8/98 8/98 Work Order Register 7530-02-000-9312 PS SH ENG MDCIWB N/A PS 4776 2/03 2/03 Preventive-Custodial Maintenance Route 7530-02-000-9313 PS SH ENG MDCIWB N/A PS 4777 2/03 2/03 Maintenance Checklist 7530-02-000-9314 PS SH ENG MDCIWB N/A PS 4783 8/98 8/98 Maintenance Control Supply Room Inventory Record 7530-02-000-9317 PS SH ENG MDCIWB N/A PS 4794 10/78 10/78 Unserviceable/Repairable (tag) 7530-02-000-9322 PS EA ENG MDC N/A PS 4795 10/72 10/72 Serviceable (tag) 7530-02-000-9323 PS EA ENG MDC N/A PS 4800 8/98 8/98 Parts/Supplies Issue Slip — Stocked Items N/A PS SH ENG MDCIWB N/A PS 4805 6/98 6/98 Maintenance Work Order Request 7530-02-000-9330 PS EA ENG MDCIWB N/A PS 4812 1/86 1/86 High Voltage Equipment Lockout Tag 7530-02-000-9337 PS EA ENG MDC N/A PS 4813 10/93 6/86 Elevator Data Card 7530-02-000-9338 PS SH ENG MDC N/A PS 4813-A 9/84 9/84 Pressure Vessel Data Card 7530-02-000-9360 PS EA ENG MDCIWB N/A PS 4816 3/76 3/76 Letter Sorting Machine Daily Down Time 7530-02-000-9363 CA SH O MDC N/A PS 4820 8/92 10/90 Parts/Supplies Issue Slip (Non-Stocked Locally Repaired Items) 7530-02-000-9365 PS SH ENG MDCIWB N/A PS 4830-A 8/12 8/12 BRM Hold Placard — Fees Not Paid N/A PO EA DOM IWEB N/A PS 4830-AIF 8/12 8/12 BRM Hold Placard — Insufficient Funds N/A PO EA DOM IWEB N/A PS 4830-B 2/12 2/12 BRM Hold Placard — Not Processed N/A PO EA DOM IWEB N/A PS 4830-C 8/12 8/12 BRM Hold Placard — Mail Invoiced N/A PO EA DOM IWEB N/A PS 4830-D 8/12 8/12 BRM Hold Placard — Mail Not Invoiced N/A PO EA DOM IWEB N/A PS 4838 10/88 4/75 Repair and Alteration History 7530-02-000-9370 PO SH FAC MDCIWB N/A PS 4841 8/87 4/83 Fuel and Utilities Record 7530-03-000-9265 PO SH ENG MDCIWB N/A PS 4846 3/85 3/85 Low Pressure Heating Boiler Operating Log (Steam) 7530-02-000-9374 PS SH ENG MDCIWB N/A PS 4846-A 3/85 3/85 Low Pressure Heating Boiler Operating Log (Hot Water) 7530-02-000-9375 PS SH ENG MDCIWB N/A PS 4851 11/82 11/82 Housekeeping Inspection 7530-02-000-9376 PS SH ENG MDCIWB N/A PS 4852 4/88 8/87 Workload Analysis and Summary 7530-02-000-9377 CA SH ENG MDCIWB N/A PS 4862 11/95 10/86 Scale Out of Tolerance 7530-02-000-9380 PS EA ENG MDC N/A PS 4871 5/97 5/97 Relocation — Miscellaneous Expense Allowance Claim 7530-02-000-9383 PS SH FIN MDCIWB N/A PS 4872 6/97 6/97 Claim for Subsistence Expenses —Temporary Quarters 7530-02-000-9384 PS SH FIN MDCIWB N/A PS 4872-P 9/88 9/88 PCES Claim for Subsistence Expenses — Temporary Quarters 7530-02-000-7487 HQ SH FIN MDCIWB N/A PS 4877 6/97 6/97 Reimbursement of Real Estate Expenses — Change of Official Station 7530-02-000-9385 PS EA FIN MDCIWB N/A PS 4878 3/89 3/89 Calculation of Taxable Reimbursement — Grossing Up Allowance 7530-01-000-9903 PS EA FIN HQO N/A PS 4879 9/98 9/98 Certification Statement — Claim for Relocation Income Tax Allowance 7530-01-000-9904 PS SH FIN MDCIWB N/A PS 4902 1/83 1/83 Historic, Architectural & Archeological Significance Survey (4 pages) 7530-02-000-9394 CE SH FAC MDC N/A PS 4909 6/85 6/85 Findings of Fact for Contract Modifications 7530-03-000-0956 AR SH SM HQO N/A PS 4911 10/95 10/95 Mail Recovery Center Letter Report 7530-03-000-0957 PO SH CA LOC, MDCIWB N/A PS 4916 8/88 3/71 Auction Purchase Receipt 7530-02-000-9397 PO SH DEL HQO N/A PS 4920 7/11 7/11 Discontinuance Feasibility Study Survey 7530-02-000-7488 PS EA DEL IWEB N/A PS 4943 1/89 9/86 Locker Record (3-part set) 7530-02-000-9401 PS SE ERM MDCIWB N/A PS 4984 6/01 6/01 Repair Parts Requisition 7540-00-000-0456 PS SH SM MDCIWB N/A PS 4990 6/71 6/71 Operating Log for Reciprocating Type Refrigeration Machines (Cooling Season) 7530-02-000-9404 PO SH SM MDCIWB N/A PS 4994 1/83 1/83 Operating Log for Centrifugal Refrigeration Plants 7530-02-000-9405 PS SH ENG MDCIWB N/A PS 5000 3/89 3/89 A-E Pre-Screening Form 7530-02-000-9409 CE SH SM MDCIWB N/A PS 5002 5/82 5/82 Construction Contractor Performance Evaluation 7530-03-000-0963 CE SH SM HQO N/A PS 5006 1/13 1/13 Solicitud Para Envio de Dinero (Payment Order Application for Dinero Seguro) 7530-03-000-8649 PO EA GB MDCIWB P/F PS 5010 3/97 3/97 Dinero Seguro Clerk Observation Evaluation 7530-03-000-8648 CE SH MSS MDCIWB N/A PS 5011 3/01 3/01 Training Confirmation Sure Money/Dinero Seguro N/A PO SH FIN IWEB N/A PS 5034 11/80 11/80 ZMT Individual Performance Record 7530-03-000-3748 PO SH PRI MDCIWB N/A PS 5035 1/91 12/79 Overweight Sack 7530-02-000-9413 PO SH PRI MDC N/A PS 5041 7/86 6/81 Storage Car and Van Check Sheet 7530-02-000-9414 PO SH O MDCIWB WWW PS 5049 2/88 2/88 Mail Found in Supposedly Empty Equipment 7530-02-000-9415 PO SH O MDC N/A PS 5052 3/13 3/13 Printer Certification Submission N/A NCS SH IT IWEB WWW PS 5053 4/13 4/13 Bulk Proof of Delivery Application N/A CD SH COO IWEB WWW PS 5111 7/24 7/24 Address Information System (AIS) Viewer Order Form N/A NCS SH IMAQ IWEB WWW PS 5111-R 1/16 1/16 Revenue Protection Placard (self-adhesive label) 7530-02-000-9437 PS EA PRI MDCIWB N/A PS 5113 1/13 1/13 Barcode Certification Customer Application N/A NCS SH IMAQ IWEB WWW PS 5114 1/13 1/13 Barcode Certification Printer Submission Form N/A NCS SH IMAQ IWEB WWW PS 5115 1/13 1/13 AEC Web Access Request Form N/A NCS SH IMAQ IWEB WWW PS 5116 12/22 12/22 Electronic Product Fulfillment Web Access Request Form N/A NCS EA IMAQ IWEB WWW PS 5118 10/18 10/18 County Project Web Access Request Form N/A NCS EA IMAQ IWEB WWW PS 5139 6/03 6/03 Non–Postal Service Temporary Employee 7530-01-000-9721 AR EA SM MDCIWB N/A PS 5140 6/03 6/03 Non–Postal Service Contractor Employee 7530-01-000-9722 PS EA SM MDCIWB N/A PS 5179 8/98 8/98 Notification/Record of Mail Irregularity 7530-02-000-9440 PO SE O MDC N/A PS 5186 1/88 1/88 Mail Movement Routing Instructions (book/100) 7530-02-000-9441 TO BK SM MDC N/A PS 5201 9/16 9/16 Mail Van and Trailer Inspection 7530-02-000-9442 PV SH NET MDCIWB N/A PS 5210 6/04 6/04 Official Case File — US Postal Inspection Service 7530-07-000-0895 IC EA IS R N/A PS 5257 2/88 12/80 Damaged Mail Report (pad/50) 7530-02-000-9443 PO PD O MDC N/A PS 5313 2/87 6/74 Inspection Service Photobacker (8 labels/sheet) 7530-02-000-9455 IC SH IS MDC N/A PS 5397 2/87 9/84 Contract Route Extra Trip Authorization (4-part set) 7530-02-000-9458 PS SE SM MDCIWB N/A PS 5397-A 12/93 3/88 Contract Route Extra Trip Authorization (4-part continuous) 7530-02-000-9459 BC CTN O MDC N/A PS 5398 2/79 2/79 Transportation Performance Record 7530-02-000-9460 PS SH O MDC N/A PS 5398-A 9/92 9/92 Contract Route Vehicle Record (3-part set) 7530-02-000-9198 PS SE SM MDC N/A PS 5399 6/06 6/06 Contract Route Performance Record 7530-02-000-9199 PS SH SM IWEB N/A PS 5401 6/19 6/19 Documentation to Establish a Delivery ZIP Code N/A PS SH IMAQ IWEB N/A PS 5402 6/08 6/08 Documentation to Establish a Post Office Box ZIP Code N/A PS SH IMAQ IWEB N/A PS 5403 6/08 6/08 Documentation to Establish a Shared ZIP Code N/A PS SH IMAQ IWEB N/A PS 5404 6/08 6/08 Documentation to Establish a Unique ZIP Code N/A PS SH IMAQ IWEB N/A PS 5406 2/08 2/08 Contract Delivery Service Route Survey 7530-02-000-9253 PS SH SM IWEB N/A PS 5407 2/09 2/09 Highway Contract Route 7530-02-000-9464 PS EA SM IWEB N/A PS 5408-X 2/08 2/08 Box Delivery Contract Route Survey N/A PS SH SM IWEB N/A PS 5420 12/91 12/91 Certificate of Insurance (5-part set) 7530-02-000-9465 PS SE SM MDC N/A PS 5427 4/03 4/03 Contract Route Review and Award 7530-02-000-9466 PS SH SM MDCIWB N/A PS 5427-A 4/03 4/03 Contract Route Review (Renewal) 7530-02-000-7317 PS SH SM MDCIWB N/A PS 5429 7/07 7/07 Certification of Exceptional Contract Service Performed 7530-02-000-9467 PS SE SM MDCIWB N/A PS 5431 4/88 3/79 Contract Route Box Customer Notice 7530-02-000-9468 PS SH O MDCIWB N/A PS 5436-S 10/88 10/88 Inquiry of Prospective Bidders (Spanish) 7530-03-000-0968 DN SH SM HQO N/A PS 5443 12/91 12/91 Contract Route Statement, Schedule and Specifications 7530-02-000-9470 PS EA SM MDCIWB N/A PS 5443-A 12/91 12/91 Continuation Route Statement — Schedule and Specifications (continuation) 7530-02-000-7420 PS EA O MDCIWB N/A PS 5466 6/05 6/05 Late Slip (book/25 4-part sets) 7530-02-000-9472 DN SE NET MDC N/A PS 5472 4/06 4/06 Pre-Award Questionnaire & Assets and Liabilities Statement 7530-02-000-9254 PS SH SM MDCIWB N/A PS 5500 9/08 9/08 Contract Route Irregularity Report 7530-02-000-9476 PO SE NET MDCIWB N/A PS 5505 10/93 10/93 Cost Evaluation Postal Vehicle Service versus Contract Service 7530-02-000-9478 PS SH SM MDC N/A PS 5541 7/13 7/13 Pickup Service Statement — Priority Mail Express, Global Express Guaranteed, Priority Mail, or Standard Post 7530-01-000-9723 PU EA DOM MDCIWB WWW PS 5541-C 7/13 7/13 Pickup Service Statement — Priority Mail Express, Global Express Guaranteed, Priority Mail, or Standard Post (3-part continuous, pinfed) 7530-02-000-7489 PS SE MSS MDC N/A PS 5542 7/13 7/13 Scheduled Pickup on Demand Service Agreement N/A PS EA DOM IWEB N/A PS 5543 7/13 7/13 No Fee Pickup Service Agreement N/A PO EA MSS IWEB WWW PS 5544 7/13 7/13 Pickup Services Escalation Form N/A PS EA MSS IWEB N/A PS 5545 7/13 7/13 Customer Pickup Services Request N/A PS EA MSS IWEB N/A PS 5555-ACH 11/15 11/15 CPU (ACH) Write-In Stamp Order Form 0000-00-000-0000 PS EA GR IWEB WWW PS 5555-CC 11/15 11/15 CPU (Credit Card) Write-In Stamp Order Form 0000-00-000-0000 PS EA GR IWEB WWW PS 5603 9/99 9/99 Address File Standardization on Diskette 7530-02-000-9255 PS EA O NCS N/A PS 5626 3/01 3/01 Global Express Mail Service — Delivery Receipt for Inbound EMS Service 7530-02-000-9933 AE RL NET MDC N/A PS 5630 11/18 11/18 Shipment Confirmation Acceptance Notice 7530-08-000-4335 PO EA MSS IWEB N/A PS 5631 2/95 5/92 Express Mail Custom Designed Service Agreement 7530-02-000-9484 PO EA MSS EPM N/A PS 5634-I 7/79 7/79 Incoming Express Mail Service Schedule Log 7530-02-000-9485 PS SH MSS EPM N/A PS 5634-O 3/95 3/95 Express Mail Outgoing Log 7530-02-000-9486 PS SH MSS EPM N/A PS 5639 7/13 7/13 USPSCA Application and Payment Authorization Form 7530-02-000-9488 STF SH BMEP IWEB WWW PS 5659 6/24 6/24 Daily Passport Application (DS–11) Transmittal 7530–02–000–9490 PO SH RET MDCIWB N/A PS 5674 1/91 12/88 EMS Express Mail International Service Manifest (3-part set) 7530-02-000-9511 AM SE O MDC N/A PS 5700 3/09 3/09 Postal Bulletin Subscription Order Form N/A STF SH CC IWEB WWW PS 5800-A 11/76 11/76 Mail Flow Density Projections 7530-02-000-9513 CA SH O MDC N/A PS 5802 3/80 3/80 MOD P.O. Operation Validity Transaction Worksheet 7530-03-000-0974 SD SH O HQO N/A PS 5938 10/85 10/85 Promotion Report N/A PS SH ERM IWEB N/A PS 5956-EAS 3/14 3/14 EAS Non-Supervisory Employee Probationary Period Report N/A PS EA ERM IWEB N/A PS 5956-EXE 3/14 3/14 Executive Employee Probationary Period Report N/A PS EA ERM IWEB N/A PS 5956-MFP 1/18 1/18 Management Foundations Program Probationary Period Report N/A PS EA ERM IWEB WWW PS 5956-MGR 3/14 3/14 EAS Managerial Employee Probationary Period Report N/A PS EA ERM IWEB N/A PS 5956-SUP 3/14 3/14 EAS Supervisory Employee Probationary Period Report N/A PS EA ERM IWEB N/A PS 5957 3/23 3/23 Requirement-by-Applicant Matrix N/A PS EA HR IWEB N/A PS 5980 11/16 11/16 Treatment Verification for Wounded Warriors Leave N/A PS EA HR IWEB WWW PS 5994 8/83 8/83 Payment Adjustment Authorization for Railroad Service Performed (4-part set) 7530-03-000-8962 AR SE SM MDC N/A PS 6001 6/18 6/18 Application for CAPS Account N/A PS EA BMEP IWEB WWW PS 6002 5/15 5/15 Accounts and Services To Be Paid Through CAPS N/A PS EA MSS IWEB WWW PS 6003 8/12 8/12 CAPS Electronic Funds Transfer Authorization Agreement N/A PS EA MSS IWEB WWW PS 6011 4/06 4/06 Agreement for Acceptance of Food 7530-08-000-4300 PO SH CA MDCIWB P/F PS 6012 12/17 12/17 Operation Santa Letter (Organization) 7530-09-000-9179 PO SH CC IWEB WWW PS 6012-A 12/17 12/17 Operation Santa Letter (Organization) Record of Letter(s) Received by Individuals 7530-10-000-6311 PO SH CC MDCIWB WWW PS 6012-I 12/17 12/17 Operation Santa Letter (Individual) 7530-09-000-9209 PO SH CC IWEB WWW PS 6014 6/08 6/08 Certification of Move/Update Compliance N/A PO SH IMAQ IWEB WWW PS 6015 8/08 8/08 Nonprofit Database Change Request N/A PO EA PRI IWEB N/A PS 6019 1/83 1/83 Military Post Office (MPO) Report of Money Order Business 7530-02-000-9528 PO SH FIN MDCIWB N/A PS 6075 12/06 12/06 Notice of Removal or Separation for Disability (Not OWCP) 7530-01-000-9530 PS SH FIN IWEB N/A PS 6100-A 11/04 11/82 OPF Disclosure Accounting Form 7530-02-000-9531 PS SH CA MDCIWB N/A PS 6100-B 11/04 11/82 OPF Disclosure Accounting Form (for law enforcement officials) 7530-02-000-9532 PS SH CA MDCIWB N/A PS 6105 5/93 5/93 Disclosure of Information About Employees to Collective Bargaining Agents 7530-02-000-9533 PS SH FIN MDCIWB N/A PS 6116 12/04 12/04 First-Class Metered Mail — Shortpaid Sampling Worksheet N/A PC SH PRI IWEB N/A PS 6141 4/08 4/08 Retail Media Mail Service Inspection Log N/A PO EA RET IWEB N/A PS 6166 5/07 5/07 STC Contractual Noncompliance N/A PS SH NET IWEB N/A PS 6182 9/09 9/09 Commercial Invoice 7530-07-000-3483 PO SE GB MDCIWB WWW PS 6183 9/21 9/21 USPS Commercial Invoice for OCPI N/A PO EA GB e-IWB e-WEB PS 6205 3/00 3/00 FIRSTCLASS PHONECARD Inventory Tracking Sheet N/A PS SH O IWEB N/A PS 6349 6/86 6/86 Issued Money Order Sales Record 7530-03-000-1018 PO SH FIN HQO N/A PS 6354 5/06 5/06 Parcel Return Service Dispatch Log N/A PO SH MSS IWEB N/A PS 6375 10/83 10/83 Uniform Allowance Stop Payment Notice 7530-02-000-9534 PS SH LR MDCIWB N/A PS 6387 7/24 7/24 Rural Money Order Transaction Application 7530-02-000-9535 CR EA FIN MDCIWB N/A PS 6401 8/16 8/16 Money Order Inquiry 7530-02-000-9536 PO EA FIN MDC N/A PS 6510 10/20 10/20 Death Gratuity Payment Authorization N/A PS EA FIN IWEB WWW PS 6558-C 5/06 5/06 Maintaining the New Carrier Edit Sheet N/A PO SH IMAQ IWEB N/A PS 6558-E 5/06 5/06 Instructions for Completing the New Edit Sheet N/A PO SH IMAQ IWEB N/A PS 6558-R 5/06 5/06 Route Listing Report (Sample) N/A PO SH IMAQ IWEB N/A PS 6684 3/83 3/83 Inquiry Concerning International Money Order Issued in the United States N/A PO SH FIN HQO N/A PS 6700 8/99 8/99 Property/Evidence Custody Document 7530-05-000-0327 IG SE OIG HQO N/A PS 6702 8/99 8/99 Access Control Log 7530-05-000-0329 OIG SH OIG HQO N/A PS 6703 8/99 8/99 Currency Inventory and Certification 7530-05-000-0330 OIG EA OIG HQO N/A PS 6704 8/99 8/99 Search Warrant Inventory 7530-05-000-0331 OIG SH OIG HQO N/A PS 6705 8/99 8/99 OIG Property and Evidence Tag 7960-05-000-0328 OIG EA OIG HQO N/A PS 6710 9/21 9/21 Communication Accommodation Request Form N/A PS EA ERM IWEB N/A PS 6711 9/21 9/21 Communication Accommodation Plan for Employees Who Are Deaf or Hard of Hearing N/A PS EA ERM IWEB N/A PS 6803 1/77 1/77 Wage & Separation Information 7530-03-000-1022 SC SH ERM MDC N/A PS 6805 2/24 2/24 BRM/QBRM Application for ZIP+4 Code Assignment/Validation and QBRM Approval 7530-04-000-6400 PO SH CMO IWEB WWW PS 6806 3/99 3/99 Mailpiece Irregularity/Resolution 7530-04-000-6401 PU SH PRI MDCIWB WWW PS 6812 2/06 2/06 Non-Mailable Item Fact Sheet Log N/A PO SH NET IWEB N/A PS 6813 7/13 7/13 Non-Mailable Item Fact Sheet N/A PO SH NET IWEB N/A PS 6814 2/06 2/06 Air Transportation HAZMAT Log N/A PO SH NET IWEB N/A PS 6815 6/14 6/14 Air Transportation Certification N/A PS EA IS IWEB N/A PS 6831 9/12 9/12 Request for Headquarters Identification Badge N/A HQ EA IS IWEB N/A PS 6831-A 9/20 9/20 Request for Facility (Non-Headquarters) Identification Badge N/A PS EA IS IWEB N/A PS 6881 6/05 6/05 Disposition of Excess TSP Contributions Resulting From Erroneous Retirement Plan Placement N/A PO SH ERM IWEB N/A PS 6886 1/88 1/88 Thrift Savings Plan Request for Retroactive Contributions N/A PS SH ERM HQO, MDCIWB N/A PS 6886-A 12/09 12/09 Thrift Savings Plan — Request for Makeup Contributions for Retirement Coverage Error N/A PS SH HR IWEB N/A PS 6900 9/13 9/13 Seized Asset Claim Form N/A PS EA IS IWEB WWW PS 7020 5/98 1/78 Authorized Absence From Workroom Floor 7530-02-000-9539 PS PD O MDCIWB N/A PS 7227 9/13 9/13 Local Cleaning Services Payment Authorization Form N/A PS EA FIN IWEB N/A PS 7228 9/13 9/13 Local Cleaning Services Agreement Modification Form N/A PS EA FIN IWEB N/A PS 7301 7/71 7/71 Power of Attorney to Receive Rent for Post Office Quarters 7530-02-000-9557 PS SH FAC MDCIWB N/A PS 7305 8/83 8/83 Contractor‘s Request for Progress Payment 7530-02-000-9559 PO SH SM MDC N/A PS 7307 7/71 7/71 Contractor‘s Release 7530-02-000-9561 N/A EA FAC HQO N/A PS 7319 2/89 2/89 Contractor‘s Statement of Contingent or Other Fees 7530-02-000-9569 PS SH SM MDC N/A PS 7330 9/91 6/86 Amendment to Solicitation 7530-02-000-9600 PS EA SM MDCIWB N/A PS 7339 2/75 2/75 Shipping Instructions for Material in Storage (6-part set) 7530-02-000-9610 PS SE FIN MDC N/A PS 7340 5/20 5/20 Property Transfer Request 7530-02-000-9611 PS EA FIN IWEB N/A PS 7342 7/05 7/05 Material Inspection and Shipping Report (4-part set) 7530-02-000-9613 SO ST ENG MDC N/A PS 7342-A 2/87 1/81 Material Inspection and Shipping Report (4-part set) 7530-02-000-9614 PS EA SM MDC N/A PS 7355 10/06 10/06 Cleaning Agreement N/A PS SH SM IWEB N/A PS 7357 9/83 9/83 NACON Register Data Sheet 7530-03-000-1040 HQ SH SM HQO N/A PS 7364 4/89 4/89 Serviceable Property Tag (Excess) (4-part set) 7530-02-000-9623 PS EA SM MDC N/A PS 7366 4/91 4/91 Funded Procurement Request (FPR) 7530-03-000-1041 HQ SH SM HQO N/A PS 7366-A 1/81 1/81 FPR Safety Certification 7530-03-000-1042 HQ SH SM HQO N/A PS 7370 8/90 7/89 Request for Non-Fund Cost Transfer N/A PS EA SM LOC, IWEB N/A PS 7370-A 8/90 8/90 Request for Funds Transfer (continuation sheet) 7530-03-000-1043 PS EA SM LOC N/A PS 7378 9/06 9/06 Contracting Officer Certificate of Appointment N/A HQ EA SM HQO N/A PS 7380 6/01 6/01 MDC Supply Requisition 7530-02-000-9635 PS SH SM MDCIWB N/A PS 7381 9/01 9/01 Requisition for Supplies, Services, or Equipment 7530-02-000-9636 PS SH SM MDCIWB N/A PS 7405 12/91 12/91 Transportation Services Bid or Proposal and Contract for Regular Service 7530-02-000-9680 PS SH SM MDC N/A PS 7405-A 12/91 12/91 Transportation Services Bid or Proposal and Contract for Emergency Service 7530-02-000-7421 PS SH SM MDCIWB N/A PS 7405-B 12/91 12/91 Transportation Services Bid or Proposal and Contract for Temporary Service 7530-02-000-7409 PS SH SM MDC N/A PS 7406 6/90 6/86 Amendment to Transportation Services Contract 7530-02-000-9681 PS SH SM MDCIWB N/A PS 7409-A 12/91 12/91 Notice of Acceptance — Transportation Services Contract Bid or Proposal for Emergency Services 7530-02-000-7318 PS EA SM MDCIWB N/A PS 7409-C 9/92 9/92 Acceptance Notice — Air Taxi Service Regular Contract Bid or Proposal 7530-02-000-9980 PC EA SM MDCIWB N/A PS 7409-D 9/92 9/92 Acceptance Notice — Air Taxi Service Temporary Contract Bid or Proposal 7530-02-000-9981 PC EA SM MDCIWB N/A PS 7423-A 2/87 2/87 Application to Lease 7530-02-000-9420 CE SH FAC MDCIWB N/A PS 7430 4/85 4/85 Revocable License for Non-Government Use of Real Property 7530-02-000-9717 CE SH FAC MDC N/A PS 7431 3/08 3/08 Requisition for Pressure Sensitive Labels and Rack Headers 7530-02-000-9718 PS SH FIN MDIAFC N/A PS 7433 8/91 2/83 Reparable Tag (self-mailer) 8135-00-000-5481 MD SH SM MDC N/A PS 7435 12/91 12/91 Solicitation for Transportation Services Contract 7530-02-000-9723 PS SH SM MDCIWB N/A PS 7436 12/91 12/91 Abstract of Bids or Proposals Received 7530-02-000-9750 PS SH SM MDCIWB N/A PS 7437 1/87 1/87 Facilities Services Request (4-part set) 7530-02-000-9752 PS SE FAC MDCIWB N/A PS 7439 12/91 12/91 Solicitation Record —Emergency Highway Contract 7530-02-000-9778 PS SH SM MDCIWB N/A PS 7440 2/05 2/05 Contract Route Service Order 7530-02-000-9754 PS SH SM MDCIWB N/A PS 7440–AT 9/92 9/92 Air Taxi Contract Route Service Order 7530-02-000-9983 PC SH SM MDCIWB N/A PS 7444 5/82 5/82 Local Purchase Order (book/25 4-part sets) 7530-02-000-9760 PS SH SM MDC N/A PS 7445 3/05 3/05 Inquiry Concerning Renewal of Transportation Services Contract 7530-02-000-9761 PS SH SM MDCIWB N/A PS 7447 12/91 12/91 Transportation Services Renewal Contract for Regular Service 7530-02-000-9762 PS SH SM MDCIWB N/A PS 7448 12/91 12/91 Notice of Renewal of Transportation Services Contract for Regular Services 7530-02-000-7410 PS SH SM MDCIWB N/A PS 7448-A 12/91 12/91 Notice of Renewal of Transportation Services Contract for Temporary Services 7530-02-000-7424 PS SH SM MDCIWB N/A PS 7454 9/92 9/92 Air Taxi Service — Route Operational Profile 7530-02-000-9426 PC SH SM MDCIWB N/A PS 7455 9/92 9/92 Air Taxi Service Aircraft Requirements and Flight Personnel Qualifications (FAR 135) N/A PS SH SM IWEB N/A PS 7456 9/92 9/92 Air Taxi Service Cost Worksheet 7530-02-000-9773 AC SH SM MDCIWB N/A PS 7458 3/86 3/73 Air Taxi Service Action 7530-02-000-9775 PS SH SM MDC N/A PS 7459 12/91 12/91 Extra Trip Log 7530-02-000-7411 PS EA SM MDCIWB N/A PS 7461 7/88 7/88 Certificate of Transfer of Title to Leased Property 7530-02-000-9777 PS SH FAC MDCIWB N/A PS 7463 12/91 12/91 Cost Statement — Highway Transportation Contracts 7530-02-000-9782 PS SH SM MDCIWB N/A PS 7463-A 12/91 12/91 Negotiated Cost Statement — Highway Transportation Contracts 7530-02-000-9783 PS SH SM MDCIWB N/A PS 7468-A 12/91 12/91 Highway Transportation Contract — Bid or Renewal Worksheet 7530-02-000-9790 PS SH SM MDC N/A PS 7477-A 1/86 7/80 Architect-Engineer‘s Performance-Design Phase Evaluation 7530-03-000-1050 PS SH SM HQO N/A PS 7477-B 1/86 7/80 Architect-Engineer‘s Performance-Construction Phase Evaluation 7530-03-000-1051 PS SH FAC HQO N/A PS 7478 1/81 1/81 Power of Attorney to Execute Lease 7530-03-000-1052 AR SH FAC HQO N/A PS 7486 1/86 1/86 Business and Farm Relocation Analysis 7530-02-000-9807 AR SH FAC HQO N/A PS 7487 3/96 3/96 Residential Relocation Analysis 7530-02-000-9808 PS SH FAC HQO N/A PS 7488 3/96 3/96 Relocation Needs and Availability Analysis 7530-02-000-9809 PS SH FAC MDCIWB N/A PS 7495-A 1/87 5/76 Offset Statement (3-part set) 7530-03-000-8969 PS SE FAC MDC N/A PS 7498-D 10/97 10/97 Facilities Environmental Checklist 7530-02-000-9429 PS SH FAC MDCIWB N/A PS 7499 10/97 10/97 Transaction Screen Questionnaire N/A PS SH FAC MDCIWB N/A PS 7500-H 3/13 3/13 ODIS-RPW Testing — Mail on Hold Placard N/A PO EA FIN LOC N/A PS 7500-N 3/13 3/13 ODIS-RPW Testing — Test Notification Placard N/A PO EA FIN LOC N/A PS 7500-R 3/13 3/13 ODIS-RPW Testing — Mail Released Placard N/A PO EA FIN LOC N/A PS 7525 2/89 2/89 Postmaster‘s Construction Progress Report 7530-02-000-9817 CE SH FAC MDCIWB N/A PS 7536 4/88 4/88 Bomb and Bomb Hoax Incident Report 7530-01-000-9796 IC SH IS MDC N/A PS 8005 5/98 5/98 Promotion/Preferred Assignment Withdrawal Request 7530-02-000-9203 PS SH ENG MDIWB N/A PS 8006 6/04 6/04 Uniform Allowance Code Sheet (for Regular, Contract, or Work Clothes Program) 7530-02-000-9225 PS SH LR MDCIWB N/A PS 8007 12/88 12/88 Procurement Quality Feedback Report 7530-01-000-9800 PS SH SM MDCIWB N/A PS 8008 12/88 12/88 Regional Delivery Order 7530-03-000-3591 PS SH SM MDCIWB N/A PS 8009 1/01 1/01 Lost/Stolen Savings Bond Replacement Request 7530-02-000-7229 PS SH ERM MDCIWB N/A PS 8010 1/89 1/89 Field Maintenance Office Evaluation — Field Maintenance Program 7530-01-000-9802 PS SH ENG MDCIWB N/A PS 8013 1/92 1/92 Scale Transaction Daily Log 7530-02-000-9229 SD SH O MDCIWB N/A PS 8015 1/03 1/03 Plant-Load Vehicle Log 7530-02-000-9236 PU SH O MDCIWB N/A PS 8016 7/13 7/13 Plant-Load Mailing Log 7530-02-000-9274 PC SH NET MDCIWB N/A PS 8017 6/13 6/13 Expedited Plant-Load Shipment Clearance 7530-02-000-9297 PS SH BMEP IWEB WWW PS 8020 8/21 8/21 Report of Installation (Postmaster or Officer-In-Charge) 7530-02-000-9298 PS EA GR IWEB N/A PS 8023 7/06 7/06 Personnel Selection Requirements Worksheet 7530-02-000-9743 PS SH ERM MDCIWB N/A PS 8026 6/02 6/02 Expedited Shipment Agreement for Plant-Load Mailings 7530-01-000-9806 PU SH NET MDCIWB WWW PS 8027 2/89 2/89 Semiannual Roof Maintenance Inspection Checklist 7530-01-000-9807 PS SH ENG MDCIWB N/A PS 8028 3/92 3/92 Personal Statement of Benefits 7530-03-000-1084 SC SH ERM MDC N/A PS 8038 2/17 2/17 Employee Statement to Recover Back Pay 7530-01-000-9907 PS PD ERM IWEB N/A PS 8039 2/17 2/17 Back Pay Decision/Settlement Worksheet 7530-03-000-3789 PS SH ERM IWEB N/A PS 8040 8/10 8/10 Business Mail Acceptance Worksheet 7530-01-000-9906 PS PD BMEP MDCIWB N/A PS 8041 10/15 10/15 Pre-arbitration or Agency Settlement Worksheet 7690-07-000-1171 PS SH ERM IWEB N/A PS 8042 3/09 3/09 Bound Printed Matter Documentation Form N/A PS SH BMEP IWEB WWW PS 8043 5/08 5/08 Request to Amend Electronic Official Personnel Folder (EOPF) N/A PS SH ERM IWEB N/A PS 8046 10/89 10/89 Request for Part-Time or Return to Full-Time Employment 7530-03-000-1086 HQ EA ERM HQO N/A PS 8047 3/06 3/06 Critical Event/Individual Status Report 7530-07-000-6225 PS EA O MDCIWB N/A PS 8048 8/91 8/91 Commercial Emergency Vehicle Hire 7530-02-000-9746 VM SH FIN MDCIWB N/A PS 8049 8/91 8/91 Vehicle Hire Pay Adjustment 7530-02-000-9747 VM SH FIN MDCIWB N/A PS 8051 1/97 1/97 Maintenance Selection System Cover Sheet N/A PS EA ERM NTA N/A PS 8059 8/09 8/09 Request for Relocation Management Firm (RMF) Service 7530-02-000-7232 PS SH FIN IWEB N/A PS 8061 1/92 1/92 Application for Accelerated Reply Mail 7530-02-000-7233 PO SE MSS MDC P/F PS 8064 3/90 3/90 Individual Presort Verifications Proficiency Log 7530-03-000-1087 BC EA PRI LOC N/A PS 8065 3/90 3/90 Unit Presort Verifications Proficiency Log 7530-03-000-1088 BC EA PRI LOC N/A PS 8066 3/05 3/05 Individual Employee Skill Assessment Log 7530-03-000-1089 PO SH CR MDCIWB N/A PS 8067 3/90 3/90 Unit Skill Assessment Log 7530-03-000-1090 BC SH PRI LOC N/A PS 8068 3/90 3/90 Employee Skill Assessment 7530-03-000-1091 BC EA PRI LOC N/A PS 8069 8/09 8/09 Bypass Mail Log 7530-03-000-1092 PO SH BMEP IWEB N/A PS 8072 3/05 3/05 BMAU Monthly Progress Report 7530-03-000-1095 PO SH CR MDCIWB N/A PS 8073 3/05 3/05 Mail Arrival Profile Worksheet 7530-03-000-1096 PO SH CR MDCIWB N/A PS 8074 1/05 1/05 Mail On-Hand Profile 7530-03-000-1097 BC EA PRI MDCIWB N/A PS 8075 9/23 9/23 Mailer Notification Log Sheet for Disqualified Mailing 7530–03–000–1098 PO SH CMO IWEB N/A PS 8076 1/20 1/20 Authorization to Hold Mail 7530-02-000-8028 PS EA CMO MDCIWB WWW PS 8077 3/90 3/90 Equipment Inventory 7530-03-000-1099 BC EA MSS LOC N/A PS 8084 1/97 1/97 MSS Update/Setup Form 7530-03-000-1103 PS EA ERM NTA N/A PS 8086 1/97 1/97 MSS Supervisor Evaluation 7530-03-000-1105 PS EA ERM NTA N/A PS 8087 1/97 1/97 MSS Review Panel Evaluation Groups A, B, and D 7530-03-000-1106 PS EA ERM NTA N/A PS 8088 1/97 1/97 MSS Review Panel Evaluation Group C ET10 7530-03-000-1107 PS EA ERM NTA N/A PS 8096 6/98 7/90 Request to Pay Postage Refunds to Presenter of Mail 7530-03-000-1114 PO SH MSS HQO, MDCIWB WWW PS 8099 5/00 2/00 Receipt for Recorded Delivery (For Int‘l Mail, No Insurance Coverage Provided) 7530-02-000-7238 PU EA MSS MDC P/F PS 8105-A 1/18 1/18 Funds Transaction Report (FTR) 7530-04-000-0302 PS EA FIN MDCIWB WWW PS 8105-B 1/21 1/21 Suspicious Transaction Report (STR) 7530-04-000-0303 PO EA FIN MDCIWB N/A PS 8106 7/01 7/01 Letter Bill Exchange of Mail CN 31 (Manual Version) 7530-02-000-7513 XO SE GB MDC N/A PS 8107 10/92 5/92 Air Parcel Post 7530-02-000-7245 AE SH GB MDCIWB N/A PS 8108 1/91 1/91 Verification Note Bulletin de Verification CN 43 7530-02-000-7246 XO SE GB MDC N/A PS 8112 1/91 1/91 International Parcel Post Verification Note CP 78 (formerly CP-13) (Manual Version) 7530-02-000-7250 XO SE GB MDC N/A PS 8113 9/90 9/90 Contractor Request for Change, Deviation, or Waiver 7530-03-000-1117 PS EA ENG HQO, MDCIWB N/A PS 8113-A 9/90 9/90 Contractor Request for Change, Deviation, or Waiver (continuation sheet) 7530-03-000-1118 PS EA ENG HQO, MDCIWB N/A PS 8114 3/04 3/04 Subpoena, Office of Administrative Law Judges 7530-03-000-1119 HQ SH JD HQO N/A PS 8115 10/90 10/90 Claim for Discount for Bulk Sale of Art/Pictorial Postal Cards 7530-03-000-1120 PS EA MSS HQO N/A PS 8117 1/91 1/91 Statement of Net Weight of Airmail (AV-2) (Manual Version) 7530-02-000-7251 XO SE GB MDC N/A PS 8123-A 4/91 4/91 Annual Report of Evaluations for Postal Facilities Under 6,500 Square Feet 7530-02-000-7254 PS EA MSS MDC N/A PS 8125 7/14 7/14 Plant-Verified Drop Shipment (PVDS) Verification and Clearance 7530-02-000-7255 PU SH BMEP IWEB WWW PS 8125-C 7/14 7/14 Plant-Verified Drop Shipment (PVDS) Consolidated Verification and Clearance N/A PU SH BMEP IWEB WWW PS 8125–CD 1/01 1/01 Plant-Verified Drop Shipment (PVDS) Consolidated Verification and Clearance — DSMS N/A PU SH PRI HQO HQO PS 8125–CP 6/00 6/00 Drop Shipment (PVDS) Verification and Clearance for Periodicals Paid N/A PU SH MSS HQO N/A PS 8125–WS 8/99 8/99 DDU Appointment Worksheet for PVDS Mailings N/A PS SE NET IWEB N/A PS 8126 6/07 6/07 Consolidated Originating RPW Test 7530-02-000-7256 PS PD FIN MDCIWB N/A PS 8127 2/13 2/13 Rural Carrier Supplemental Payment 7530-02-000-8685 PS EA DEL IWEB N/A PS 8131 9/94 9/94 Customer Address Data Base Modification 7530-03-000-1125 PS EA O LOC N/A PS 8132 9/91 9/91 International Surface Mail Document Envelope 7530-02-000-8185 PO EA GB MDC N/A PS 8133 3/92 3/92 Postal-Related Merchandise Inventory Report 7530-03-000-1126 PS EA MSS LOC N/A PS 8134 3/92 3/92 Postal-Related Merchandise Quarterly Report 7530-03-000-1127 PS EA MSS LOC N/A PS 8139 1/13 1/13 Your Role in Protecting the Security of the U.S. Mail 7530-03-000-9034 PO EA IS IWEB N/A PS 8139-A 7/92 7/92 Telephone Requirements — Large Systems (13 –5,000 instruments) 7530-03-000-1131 PS SE IT HQO, MDC N/A PS 8139-B 7/92 7/92 Telephone Requirements — Small Systems 2–12 instruments) 7530-03-000-1132 PS SE IT HQO, MDC N/A PS 8141 1/13 1/13 Notice to Noncareer Employees Eligible to Enroll in FEHB Program 7530-02-000-7484 PS SH LR IWEB N/A PS 8143 4/96 4/96 Equipment Checklist and Followup Review N/A PS SH O LOC, MDCIWB N/A PS 8145 1/93 1/93 Contract Vehicle Inspection Report 7530-03-000-9105 DN SE O MDCIWB N/A PS 8151 3/07 12/06 Answer Sheet for Test 460 7530-03-000-1134 TC SH ERM MDC N/A PS 8151-S 7/94 7/94 Sample Answer Sheet for Test 460 7530-03-000-1135 PS EA ERM NTA N/A PS 8152 6/93 6/93 Employee Daily Activity Card — MARS Form 3 7530-03-000-9249 PS EA ENG MDCIWB N/A PS 8155 7/94 7/94 Answer Sheet for Test 470 7530-03-000-1136 PS EA ERM NTA N/A PS 8156 6/93 6/93 Confined Space Inventory & Atmospheric Hazards Evaluation N/A PS SH ERM LOC, MDCIWB N/A PS 8157 10/09 10/09 Temporary Confined Space Reclassification Certification N/A PS EA ERM IWEB N/A PS 8158 4/01 12/97 MMS Sampling/Postage Adjustment Worksheet (Batch Manifest Mailings) 7530-04-000-3018 PU EA PRI MDCIWB N/A PS 8159 4/01 12/97 MMS Sampling/Postage Adjustment Worksheet: Itemized Manifest Mailings 7530-03-000-9242 PU EA PRI MDCIWB WWW PS 8160 4/01 12/97 MMS Sampling/Postage Adjustment Worksheet (Standard Mail (A) Piece and Piece/Pound Rate Mailings) 7530-03-000-9243 PU EA PRI MDCIWB WWW PS 8161 4/01 12/97 MMS Sampling/Postage Adjustment Worksheet (Bulk Rate Bound Printed Matter Mailings) 7530-03-000-9244 PU EA PRI MDCIWB WWW PS 8163 5/07 5/07 Request for Fiscal Year Expense Accrual 7530-03-000-1139 PS SH FIN MDCIWB N/A PS 8165 6/21 6/21 U.S. Postal Inspection Service Mail Fraud Report 7530-03-000-9387 PU EA IS IWEB WWW PS 8166 4/99 4/99 PCES-I Recognition Award Recommendation 7530-04-000-6182 PS SH ERM MDCIWB N/A PS 8170 1/16 1/16 Freedom of Information Act (FOIA) Request Report 7530-04-000-5463 PS SH GC IWEB N/A PS 8171 4/01 4/01 Quarterly MMS Accuracy Worksheet 7530-05-000-4498 PU EA PRI MDCIWB N/A PS 8172 4/01 4/01 MVRP Quarterly MMS Accuracy Worksheet 7530-05-000-4497 PU EA PRI MDCIWB N/A PS 8175 6/94 6/94 International Direct Entry Statement N/A AE EA PRI HQO N/A PS 8175-A 1/18 1/18 Postage Statement — International Direct Entry N/A AM EA GB R N/A PS 8176 1/14 1/14 Premium Forwarding Service Residential (PFS-Residential) Application 7530-07-000-6197 PO EA RET MDCIWB MDCWEB PS 8177 3/07 12/06 Answer Sheet for Test 630 7610-05-000-5292 TC EA ERM MDC N/A PS 8178 3/07 12/06 473 Answer Sheet 7530-07-000-3493 TC EA ERM IWEB N/A PS 8180 11/94 11/94 Request for Return Authorization N/A PS EA IT LOC, IWEB N/A PS 8181 12/94 12/94 Project Service Agreement (PSA) N/A PS EA IT HQO, IWEB N/A PS 8182 2/95 2/95 Radio Frequency Request N/A PS SH IT NNS, IWEB N/A PS 8184 7/24 7/24 National and International Service Center (ISC) Zone Charts Matrix & Labeling Lists Product Order Form N/A NCS EA IMAQ IWEB WWW PS 8187 4/16 4/16 Hazardous and Regulated Substance Release Notification 7530-03-000-7830 PS EA DPG IWEB N/A PS 8190 4/16 4/16 USPS-NALC Joint Step A Grievance Form 7510-05-000-4168 PS EA LR MDCIWB N/A PS 8191 3/07 3/07 USPS–NRLCA Joint Step 1 Grievance Form 7610–03–000–6538 PS SH LR MDCIWB N/A PS 8192 8/17 8/17 FEDSTRIP/Address Activity Code Request 7530-04-000-6424 PS SH SM IWEB N/A PS 8194 12/02 12/02 Record of Environmental Consideration 7530-03-000-7585 PS SH FAC MDCIWB N/A PS 8200 11/99 11/99 Flexible Spending Account Enrollment Form 7530-02-000-9846 PS SE ERM HQO N/A PS 8201 1/06 1/06 Pre-Tax Health Insurance Premium Waiver/Restoration Form for Career Employees 7530-03-000-8834 PS SH ERM IWEB N/A PS 8202 1/13 1/13 Application to Elect or Waive Pretax FEHB Premium (for Noncareer Employees) N/A PS SH LR IWEB N/A PS 8203 1/97 1/97 Order/Solicitation/Offer/Award 7530-03-000-9590 PS EA SM MDCIWB N/A PS 8210 11/97 11/97 Work Authorization — Asbestos N/A PS EA FAC IWEB N/A PS 8214 3/15 3/15 Certificate of Safety and Health Records Transfer N/A PS EA ERM IWEB N/A PS 8216 8/03 8/03 Statistical Programs Planning Calendar for Monitoring Data Collectors N/A PS SH FIN IWEB N/A PS 8217 12/13 12/13 Application for Use of Administrative Vehicle N/A PS EA FIN IWEB N/A PS 8224 3/03 3/03 Greetings From America 50 State Quarters Subscription Form N/A PS SH CC IWEB N/A PS 8231 7/14 7/14 Vendor Payment 1099 Reporting Form 7530-07-000-7118 PS EA FIN IWEB N/A PS 8232 1/10 1/10 Payment for Personal Services Contracts 7530-07-000-8607 PS SH FIN MDCIWB N/A PS 8676 7/15 7/15 Rights and Permissions Application N/A PU EA COO IWEB WWW PS 8676-APP 6/14 6/14 Approved Shipper Rights and Permissions Application N/A PU EA DEL IWEB WWW PS 8677-EDDM 11/12 11/12 Every Door Direct Mail Rights and Permissions Application N/A PU EA COO IWEB P/F PS 8861-X 1/04 1/04 LDC 46 Unit/Route Review N/A PS SH DEL HQO N/A PS 8862-X 1/04 1/04 LDC 46 Cluster Summarization of Findings N/A PS SH DEL HQO N/A PS 8863-X 1/04 1/04 LDC 47 Operations Report Worksheet N/A PS SH DEL HQO N/A PS 8864-X 1/04 1/04 LDC 46 Observations and Recommendations N/A PS SH DEL HQO N/A PS 8865-X 1/04 1/04 LDC 46 SSPC Workload N/A PS SH RET HQO N/A PS 8866-X 3/04 1/04 LDC Daily On-Site SSPC Review N/A PS SH RET HQO N/A PS 8867-X 3/04 1/04 LDC Machine Performance Report N/A PS SH RET HQO N/A PS 8868-X 1/04 1/04 LDC 46 Cluster Summary SSPC N/A PS SH RET HQO N/A