Directives and Forms Catalog - USPS.com® - About

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This page intentionally left blank Directives and Forms Catalog 76 Publication 223, May 2013

3 Postal Service Forms PSIN Edition PS PO 810-1 PS PO 862-14A PS PO 867-4A 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. Oldest Usable Date Title Stock Number 9/82 9/82 Control Chart Worksheet 3/86 3/86 Quality Control Test Bundle — Secondary Distribution 3/83 3/83 Manual Distribution Separation Diagnostic Test Publication 223, May 2013 77 Where Used Unit of Issue Org. USPS Source Public Source 7530-03-000-8948 PS SH O MDC N/A N/A PS PD O HQO N/A 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 1/13 1/13 Request for a New Field N/A Finance Number PS EA FIN IWEB N/A PS 8-B 3/13 3/13 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 3/13 3/13 Official Mail 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 50 3/90 3/90 Notification of Personnel 7530-02-000-7202 Action (3-part set) SC SE ERM MDC N/A PS 61 2/10 2/10 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 128 10/83 10/83 Travel and Admittance Identification Credential Card (blue) 7530-02-000-8559 AR EA IS HQO N/A PS 128-B 5/90 10/71 Officer’s Identification Card (green card) 7530-03-000-0465 HQ EA IS HQO N/A

3 Postal Service <strong>Forms</strong><br />

PSIN Edition<br />

PS<br />

PO 810-1<br />

PS<br />

PO 862-14A<br />

PS<br />

PO 867-4A<br />

Postal Service forms — both printed <strong>and</strong> electronic — are used for<br />

collecting, sorting, transmitting, <strong>and</strong> recording data. This catalog does not<br />

list forms designed by field units.<br />

Many forms are available in automated versions. To obtain the automated<br />

versions, call Raleigh Information Systems Support at 800-<strong>USPS</strong>-HELP.<br />

Oldest<br />

Usable<br />

Date Title Stock Number<br />

9/82 9/82 Control Chart<br />

Worksheet<br />

3/86 3/86 Quality Control Test<br />

Bundle — Secondary<br />

Distribution<br />

3/83 3/83 Manual Distribution<br />

Separation Diagnostic<br />

Test<br />

Publication 223, May 2013 77<br />

Where<br />

Used<br />

Unit of<br />

Issue Org.<br />

<strong>USPS</strong><br />

Source<br />

Public<br />

Source<br />

7530-03-000-8948 PS SH O MDC N/A<br />

N/A PS PD O HQO N/A<br />

N/A PC PD O HQO N/A<br />

PS 4 2/82 2/82 Employee’s City or<br />

County Withholding<br />

Certificate<br />

7530-02-000-7199 PS SH FIN MDCIWB N/A<br />

PS 8-A 1/13 1/13 Request for a New Field N/A<br />

Finance Number<br />

PS EA FIN IWEB N/A<br />

PS 8-B 3/13 3/13 Request to Modify or<br />

Discontinue a Field<br />

Finance Number<br />

N/A PS EA FIN IWEB N/A<br />

PS 17 5/07 5/07 Stamp Requisition/<br />

Stamp Return<br />

7530-03-000-9112 PO SH FIN MDCIWB N/A<br />

PS 17-G 3/13 3/13 Official Mail Stamp<br />

Requisition<br />

7530-01-000-9499 STF EA FIN IWEB WWW<br />

PS 17-R 6/88 6/88 Recapitulation Sheet 7530-01-000-9500 PS SH FIN MDC N/A<br />

PS 25 10/98 10/98 Trust Fund Account 7530-01-000-9502 PS SH FIN MDC N/A<br />

PS 35 5/83 5/83 Payroll Summary <strong>and</strong><br />

Certification<br />

7530-02-000-8556 SC SH FIN HQO N/A<br />

PS 50 3/90 3/90 Notification of Personnel 7530-02-000-7202<br />

Action (3-part set)<br />

SC SE ERM MDC N/A<br />

PS 61 2/10 2/10 Appointment Affidavit 7530-02-000-7226 PS SH ERM IWEB N/A<br />

PS 90 12/08 12/08 Receipt for<br />

Headquarters Parking<br />

Fee<br />

N/A HQ BK FAC HQO N/A<br />

PS 92 7/90 7/90 Headquarters Parking<br />

Application<br />

7530-03-000-0460 HQ SH FAC HQO N/A<br />

PS 103-CC 10/90 10/90 Franked Mail Daily<br />

Control Sheet (2 pages)<br />

7530-02-000-7338 PS SH FIN MDCIWB N/A<br />

PS 125-B 9/96 9/96 Tax Payment<br />

Authorization<br />

(4-part continuous)<br />

7530-01-000-9050 PS SE FAC MDC N/A<br />

PS 128 10/83 10/83 Travel <strong>and</strong> Admittance<br />

Identification Credential<br />

Card (blue)<br />

7530-02-000-8559 AR EA IS HQO N/A<br />

PS 128-B 5/90 10/71 Officer’s Identification<br />

Card (green card)<br />

7530-03-000-0465 HQ EA IS HQO N/A

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