Form 1583 A PDF Details

If you are a U.S. citizen or lawful permanent resident and have a child who is under 18 years of age, you must complete a Form 1583, Statement of Consent, to authorize the Department of State to allow your child to travel abroad. The form must be notarized and signed by both parents or the child's legal guardian(s). Failing to submit this form may result in your child being denied boarding by the airline and missing their overseas trip. To make sure everything goes smoothly, it's best to complete and submit the form well in advance of your departure date. For more information on how to fill out Form 1583, please visit our website. Thanks for reading!

QuestionAnswer
Form NameForm 1583 A
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names1583a form, usps 1583a form, ps form 1583 a, cmra information service online

Form Preview Example

United States Postal Service

Application toAct as a Commercial Mail ReceivingAgency

1. Date

TO: POSTMASTER

In registering with the Postal Service to act as an agency to receive delivery of mail of others, the agent agrees to the following: (1) the Commercial Mail ReceivingAgency (CMRA) must have on file a Form 1583,Application for Delivery of Mail ThroughAgent, for each addressee or firm receiving mail at the agency; (2) a CMRAmust represent its delivery address as a private mailbox; (3) the CMRAis not authorized to accept Registered Mail from their clients for mailing, the Post Office is the only acceptable mailing point; (4) the CMRAmust be in full compliance with Domestic Mail Manual (DMM) 508.1.8.1 through 508.1.8.4 and other applicable postal requirements to receive delivery of mail from the Postal Service; and (5) when any information required on this form changes, the CMRAowner or manager must file a revised application with the postmaster.

NOTE: The CMRAowner or manager must execute this form in duplicate in the presence of the postmaster or designee. The CMRAowner or manager retains the signed duplicate copy and signs in this space

to signify receipt andunderstanding of applicable DMMregulations regarding delivery of mail to a CMRAby the Postal Service. This application may be subject to verification procedures by the Postal Service to confirm that the CMRAowner or manager resides at the permanent home address listed below, and that identification presented in box 10 is valid. Failure to comply with DMM 508.1.8.1 through 508.1.8.4 and all other applicable Postal Service requirements may subject the agency to withholding of mail until corrective action is taken.

2.

Name of Commercial Mail ReceivingAgency (CMRA) (Corporation or

3.

Name of CMRAOwner/Manager

 

Trade Name)

 

 

 

 

 

 

4.

StreetAddress of CMRA(Number, street, city, state, and ZIPCode)

5.

P.O. BoxAddress of CMRA(Include city, state, and ZIPCode)

6. CMRATelephone Number

 

7. Permanent HomeAddress of CMRAOwner/Manager (Number, street,

 

 

 

 

city, state, and ZIPCode)

 

(

)

 

 

 

 

 

 

 

8. Home Telephone Number of CMRAOwner/Manager

 

 

 

(

)

 

 

 

 

 

 

 

9.Agency Manager or Contact (Name and telephone number)

 

WARNING:Thefurnishingoffalseormisleadinginformationonthis

 

 

 

 

 

 

 

 

form, oromission of materialinformation, mayresult incriminal

 

(

)

 

sanctions (includingfines andimprisonment) and/or civilsanctions

 

 

(includingmultipledamagesandcivilpenalties).(18U.S.C. 1001)

 

 

 

 

 

10. Two types of identification are required. One must contain a

 

SeePrivacyActStatementonReverse

 

 

photograph of the CMRAowner or manager. Social Security cards,

 

 

 

 

 

11. Signature of CMRAOwner or Manager and Date

 

 

credit cards, and birth certificates are unacceptable as identification.

 

 

 

The postmaster or designee must write in type of identifying

 

 

 

 

information.

 

 

 

a.b.

Acceptable identification includes: valid driver's license or state non-

12. Signature of Postmaster or Designee and Date

driver's identification card; armed forces, government, university or

 

recognized corporate identification card; Passport, alien registration

 

card or certificate of naturalization; current lease, a mortgage, or Deed

 

of Trust; voter or vehicle registration card; or a home or vehicle

 

insurance policy.Aphotocopy of your identification may be retained

 

by postmaster or designee for verification.

 

 

 

PS Form 1583-A, June 2011

This form is on the Internet at www.usps.com.

 

PrivacyAct Statement

PrivacyAct Statement: Your information will be used to authorize the delivery of intended addressees' mail to you as their agent. Collection is authorized by 39 U.S.C. 401, 403, and 404.

Providing the information is voluntary, but if not provided, we cannot provide this service to you. We do not disclose your information without your consent to third parties, except for the following limited circumstances: to a congressional office on your behalf; to financial entities regarding financial transaction issues; to a U.S. Postal Service auditor; to entities, including law enforcement, as required by law or in legal proceedings; to contractors and other entities aiding us to fulfill the service; and for the purpose of identifying an address as an address of an agent who receives mail on behalf of other persons. Information concerning an individual who has filed an appropriate protective court order with the postmaster will not be disclosed except pursuant to court order. For more information regarding our privacy policies visit usps.com/privacypolicy.

PS Form 1583-A,June 2011 (Reverse)

How to Edit Form 1583 A Online for Free

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This form will require some specific information; in order to guarantee accuracy and reliability, take the time to bear in mind the tips directly below:

1. The form cmra needs specific details to be inserted. Ensure that the next blank fields are finalized:

Guidelines on how to prepare ps form 1583 a portion 1

2. When the previous segment is finished, you're ready insert the needed details in Street Address of CMRA Number, PO Box Address of CMRA Include, CMRA Telephone Number, Permanent Home Address of CMRA, city state and ZIP Code, Home Telephone Number of CMRA, Agency Manager or Contact Name, WARNING The furnishing of false or, Two types of identification are, See Privacy Act Statement on, photograph of the CMRA owner or, Acceptable identification includes, Signature of CMRA Owner or, and Signature of Postmaster or in order to move forward to the third part.

Writing section 2 in ps form 1583 a

3. This next part is usually easy - complete all of the empty fields in Acceptable identification includes, PS Form A June, and This form is on the Internet at to conclude this part.

Filling in section 3 in ps form 1583 a

It's simple to make a mistake when filling out the Acceptable identification includes, thus you'll want to look again before you'll finalize the form.

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