PS 5051

Confirmation Services - Electronic Option Application (10/2010)

Download and Print the PS 5051

Request may not be processed if the form is incomplete or illegible.

The electronic option for confirmation services is available to mailers who establish an electronic link with the USPS to exchange acceptance and delivery data. No mailing receipt is provided. Depending on the service you are requesting, you will have to complete this form and submit additional information.

A. Customer Information

1. Mailer Identification Number (MID)

2. Company Name

3. Company Street Address

4. City

5. State and ZIP+4®

6. Company Primary Contact
a. Name:
b. Telephone Number (Area Code and Ext.):
c. Fax:
d. Email Address:

7. Technical Contact

a. Name:

b. Telephone Number (Area Code and Ext.):

And much more...