PS Form 3615 - Mailing Permit Application and Customer Profile

United States Postal Service

PS Form 3615 - Mailing Permit Application and Customer Profile

PS Form 3615, August 2020 (Reverse) NOTE: Application fee applies. Annual fees apply to presort or destination entry mail. Detached from Form 3615, August 2020 Detached from Form 3615, August 2020 Detached from Form 3615, August 2020 Presorted mail must: the held. 2. Not be deposited in street collection boxes. 3.

PS Form 3615

604b Quick Service Guide | Postal Explorer

ps3615
United States Postal Service®

A. Applicant Information (Please print or type requested information)

Mailing Permit Application 1. Mail Owner (Individual or Company Name) and Customer Profile

2. Date

Instructions available on reverse

Two forms of identification are required when submitting this application. One form of ID must contain a photograph of the applicant(s). The applicant must enter the two ID numbers on line 8a and line 8b which is subject to verification by the postal employee completing the application. Social Security cards, credit cards and birth certificates are not acceptable forms of identification.

3. Applicant's Signature *(See Privacy Notice below) 4. Email Address (required if known) 5. Address (Street and number, apt. or suite no., city, state, and ZIP + 4®)

6. Other Names Under Which Company Does Business (If applicable)

7. How Can We Contact You?

8a. Enter first ID number. 8b. Enter second ID number.

9. Federal Agency Cost Code (If applicable) 11. Contact Person

Telephone Email

Mail

10. Will Present Plant Verified Drop Shipment (PVDS)?

Yes

No

12. Telephone No. (Include area code)

B. Check Applicable Type of Permit/Authorization Requested

Will you be mailing anything that is liquid, fragile, perishable, or potentially hazardous?

See DMM 601

Yes

No

1.

Permit Imprint Authorization (One time Application fee required )* Company

First-Class® Mail

Standard Mail®

Package Services

Permit Imprint

2. Precanceled Stamp Authorization*

For Postal ServiceTM Use Only

Permit Date Number Issued

Date

Sample

Canceled Approved

Permit Imprint Authorization
(Please keep this card for your records.
Instructions available on reverse.)

Permit Number

Date Permit Issued

Issuing Office

Application Fee Due $

AIC 140

Postmaster or Designee Signature

Authorization for Precanceled Stamps or Postage Evidencing Systems (Meter/PC Postage) to Present Presorted Mail in Bulk
(Please keep this card for your records. Instructions
available on reverse.)

Permit Number

Date Permit Issued Issuing Office

Postmaster or Designee Signature

Government Precanceled Stamped Envelope Authorization*

Mailer Precanceled Postmark/Preprinted Rate Markings Authorization*

See DMM 604.3 Preprinting of Rate Markings Mailer Precancel Postmark

3.

Postage Evidencing System (Meter/PC PostageTM) Authorization*

4.

Business Reply MailTM (BRM) Authorization**

(Cards, Letters and Flats Only)

a. Post OfficeTM (Station or Branch) where BRM will be received:

(a)

b. Post Office where BRM permit number was issued and annual fee was paid, if

applicable:

(b)

Business Reply Mail Account Maintenance Fee (For advance deposit account)***

Qualified Business Reply MailTM (QBRM) Approved***

* Annual mailing fee is required to present presorted mail ** Annual permit fee required *** Annual permit and annual account maintenance fee required

Business Reply Mail Authorization
(Please keep this card for your records. Instructions available on reverse.)

Permit Number

Date Permit Issued Issuing Office

Fee Due $

Unique BRM ZIP+4(s)

BRM w/Advance Deposit Account Maintenance Fee Due $
Postmaster or Designee Signature

PS Form 3615, August 2020 PSN 7530-03-000-6048 *Privacy Notice: Information provided may be used for marketing purposes, see our privacy policy at usps.com

Standards for Mailing Using Permit Imprints
1. The content and format must meet the standards in the Domestic Mail Manual (DMM®).
2. Mail must be presented and accepted where the permit was issued unless permitted by other applicable standards.
3. Payment for each mailing must be made when the mailing is presented at the Post Office.
4. Mail must not be deposited in street collection boxes. 5. Minimum quantities apply and all pieces must be of
identical weight, unless otherwise authorized.
NOTE: Application fee applies. Annual fees apply to presort or destination entry mail.
Standards for Precanceled Stamps or Postage Evidencing Systems (Meters/PC Postage) to Present Presorted Mailings
Presorted mail must: 1. Be presented for acceptance and verification where the
permit is held. 2. Not be deposited in street collection boxes. 3. Bear markings and endorsements required for the rate
claimed or service requested. 4. Bear a complete return address
(Precanceled stamp mail).
NOTE: Annual fees apply to presort or destination entry mail. Obtain appropriate meter slug from meter manufacturer.
Standards for Business Reply Mail (BRM)
1. Permit holder guarantees payment for proper First-ClassTM postage, plus a per-piece fee.
2. Permitted for cards, letters, and flats only. 3. No extra services are permitted. 4. Mail may not be converted for any other purpose
than that intended by the permit holder. 5. Format requirements apply. 6. Annual permit applies. 7. Annual account maintenance fee may apply.

Detached from Form 3615, August 2020

Detached from Form 3615, August 2020

Detached from Form 3615, August 2020

Instructions (For information about postage payment methods and permits, please refer to the DMM)
This form creates a comprehensive file about customers who use these services, including a record of customers mailing in bulk with meter postage affixed and those who are presenting plant verified drop shipment (PVDS) or approved for Qualified Business Reply Mail (QBRM) rates. This form also documents when permits were issued or canceled, initial fees paid, and samples approved. You may use one form and update it as needed. If files are kept in separate locations, you may use a separate form for each service.

How to Complete This Form

Mailability, DMM 601

Section A, Applicant Information

1.0 General Standards

1. Enter applicant's name and company/agency name under

2.0 Packaging

which mailings will be entered.

3.0 Acceptable Mailing Containers

2. Enter the date application was completed.

4.0 Cushioning, Closure, and Reinforcement

3. Signature of person completing form.

5.0 Handling, Content, and Extra Service Markings

4. Applicant's email address or contact email address.

6.0 Mailing Containers--Special Types of Envelopes and Packaging

5. Enter the complete company mailing address.

7.0 Packaging Standards for Mail Processed at Bulk Mail Centers

6. Enter all other names under which company does business.

8.0 Nonmailable and Restricted Articles and Substances Generally

7. Enter method(s) of contact.

9.0 Perishables

8.

a. Complete first form of identification number.

10.0 Hazardous Materials

b. Complete second form of identification number.

11.0 Other Restricted and Nonmailable Matter

9. Complete if applicant is a federal agency presenting

12.0 Written, Printed, and Graphic Matter Generally

mail under Official Mail Accounting System (OMAS).

10. Indicate whether mailer is or will be presenting plant verified drop shipments (PVDS). (For informational purposes only).

11. Enter the name of the contact person (a person with whom Postal Service personnel can discuss mailing differences, etc.).

12. Enter the telephone number (include area code) of contact person named in item 11.

Section B, Check Type of Permit/Authorization Requested

1. Complete if mailer will mail using a permit imprint. 2. Complete if mailer will mail using:
Precanceled stamps. Government precanceled stamped envelopes.
a. Mailer precanceled postmark. b. Preprinted rate markings authorization (check appropriately). 3. Complete if mailer will mail using a postage evidencing system (Meter/PC Postage). 4. Complete if mailer applies for a Business Reply Mail permit. a. Post Office (Station or Branch) where mail will be received. b. Post Office where BRM permit number was issued/annual fee was paid, if applicable. Check if Business Reply Mail Annual Account Maintenance Fee was paid. Complete/check if Qualified Business Reply Mail (QBRM) Approved.

What to Give the Customer
Complete and detach the coupon corresponding to the service(s) requested and give to the customer. Advise the customer to keep their coupon(s) to reference the account(s). Customers should keep the coupon(s) along with their copy(ies) of PS Form 3544, Post Office Receipt for Money, which they will receive after paying the required fee.
How to File This Form
File the form alphabetically by customer's business name. Post Offices where records are maintained manually must use PS Form 3609, Record of Permit Imprint Mailings, to establish a corresponding numerical record of permit holders. Use PSForm 25, Trust Fund Account, for all other services. Post Offices with a mail classification automated system (such as the Postal One!® system) that provides computation and individual customer account recordkeeping need not maintain a separate manual record.

REMINDER: * Annual mailing fee is required to present presorted mail ** Annual permit fee required *** Annual permit and annual account maintenance fee required
PS Form 3615, August 2020 (Reverse)


Adobe PDF Library 15.0