Form 6805 PDF Details

In the complex and evolving landscape of mailing services, the PS Form 6805 emerges as a crucial document for businesses aiming to streamline their operations related to Business Reply Mail (BRM) and Qualified Business Reply Mail (QBRM). This form, meticulously designed for ZIP+4 Code Assignment/Validation, represents an integral step for enterprises seeking to enhance their engagement with customers through the intelligent use and distribution of mailpieces. Whether it's a new or an existing customer with a permit, the form comprehensively caters to various aspects ranging from customer information, mailpiece details to specific rate category requests. Notably, it bridges the administrative formalities between companies, the issuing post offices, and the USPS Address Management Systems (AMS), ensuring that each mailpiece adheres to the required standards. Beyond the procedural necessities, PS Form 6805 extends into facilitating customers with complimentary USPS services aimed at obtaining reply mail artwork, thereby supporting businesses in maintaining compliance and maximizing the efficacy of their mail-related endeavors. This documentation process, while detailed, underscores the USPS's commitment to offering a structured yet flexible framework for BRM and QBRM applicants, thus enabling them to achieve cost-effective, efficient, and compliant mailing solutions.

QuestionAnswer
Form NameForm 6805
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesusps form 6805, section mail ams, office form reply, usps ps brm

Form Preview Example

BRM/QBRM Application

For ZIP+4 Code Assignment/Validation and QBRM Approval

See instructions on reverse.

1. Customer Information (To Be Completed by the Customer)

Company Name / Permit Holder

Type of Customer (Check one)

New Customer Existing Customer

Permit Number (Existing customer only)

Address (Street / PO Box)

City

State

ZIP+4®

Contact Name

Contact Telephone Number

Contact E-mail

Address Information To Be Printed on the Mailpiece: (Print or Type)

Company Name Shown on Mailpiece

Address (Street / PO Box)

City

State

BRM ZIP+4(Existingcustomeronly)

 

 

 

Rate Category Information

Rate Category Requested (Check one)

BRM (Sections 5 and 6 are not applicable.)

QBRM™ (All sections are applicable.)

Mailpiece Information (Check All That Apply — Use Inches for Height and Length)

Postcard (QBRM only): Height_________ Length__________

1-oz. letter (QBRM only): Height_________ Length__________

2-oz. letter (QBRM only): Height_________ Length__________

Other (BRM only):

Height_________ Length__________

Signature: By signing this form, I hereby affirm that I am not requesting any additional ZIP+4 codes for which I do not intend to distribute QBRM.

Signature of Customer or Mail Service Provider

City of Reply Office Where Submitted

State

ZIP+4

 

 

 

Customer: After completing Section 1, submit this form to the local Post Office™ that issues/holds the permit.

2. Issuing Permit Office Information (To Be Completed by the Post Office That Issues/Holds the Permit)

City

State

Finance Number

Cost Center Code

 

Permit No. Issued to Customer

PostalOne!® Office?

 

 

 

 

 

 

 

 

Yes

 

 

 

 

 

 

 

 

No

Employee Verifying Customer’s Receipt/Fees/Letter

Employee’s Title

Date

Fees Paid and Amount (Check and complete all that apply)

 

 

 

 

 

(Ver.) Ann. Permit $_______

Qtr. High-Vol. $_______

 

 

 

 

 

Ann. Acct. Maint. $_______

 

 

 

 

 

 

 

 

Employee Completing This Section (Full Name)

 

Employee’s Signature

 

Date

 

 

 

 

 

 

 

 

 

Issuing Post Office: After completing Section 2, forward this form to the local AMS office. After AMS completes and returns the form, send a copy to customer.

3. AMS Information (To Be Completed by USPS Address Management Systems)

Date Received

AMS: Do not accept this form unless Sections 1 and 2 have been completed by the customer and the local Post Office. AMS representatives must enter the permit number and the media code in the AMS database when validating or assigning a ZIP+4. Assign multiple ZIP+4s only as needed — do not over-code.

Assigned BRM or QBRM ZIP+4 (Check the box if the address is verified, not newly assigned) Address Error Corrections or Other Comments

Postcard:

___ ___ ___ ___ ___ – ___ ___ ___ ___

 

 

1 oz. letter:

___ ___ ___ ___ ___ – ___ ___ ___ ___

 

 

2 oz. letter:

___

___

___

___

___ – ___ ___ ___ ___

 

 

Other:

___

___

___

___

___ – ___ ___ ___ ___

 

 

 

 

 

Employee Completing This Section (Full Name)

Employee’s Signature

Date

 

 

 

 

 

 

 

 

AMS: After completing Section 3, return this form to the local Post Office that issued the permit. The local Post Office will return it to the customer.

4. Customer Instructions for Obtaining Reply Mail Artwork — a Complimentary Service From the Postal Service

Customers distributing BRM or QBRM mailpieces may obtain complimentary artwork directly from the Postal Service as follows:

1.Wait 48 hours after receiving a permit number and ZIP+4 before using the U.S. Postal Service artwork tool.

2.To create a business account, go to the Business Customer Gateway at https://gateway.usps.com/bcg/login.htm.

3.Use the Gateway account to request a Mailer ID (MID), which is required for obtaining reply mail artwork.

4.Select the link for “Automated Business Reply Mail (ABRM)” to design and print reply mail artwork.

5.Access the ABRM user guide at https://ribbs.usps.gov/index.cfm?page=bmatool.

6.For assistance with the ABRM tool, call the MDA Support Center at 855-593-6093.

PS Form 6805, March 2014 (Page 1 of 2)

This form is available on www.usps.com

5. QBRM Customer Guidelines — Application to Distribute and Receive QBRM Prices (To Be Completed by the Customer)

Materials Submitted (Check one)

Samples with the corresponding Intelligent Mail® barcode printed on the pieces.

Paper mockups or pre-production samples trimmed to the exact dimension of the mailpiece with the corresponding Intelligent Mail barcode printed on the pieces. Use the actual paper and ink color for the background and printing.

Instructions and Information

For each QBRM requested, complete this form, provide ten Business Reply Mail® (BRM) mailpieces in one of the two formats noted in the box to the left, and submit this form and the ten sample mailpieces to the Post Office that issued/holds the permit.

QBRM pieces are cards or other letter-size pieces that are prepared and distributed for return without prepayment of postage under Mailing Standards of the United States Postal Service, Domestic Mail Manual (DMM®) 505. The applicant is responsible for paying the QBRM prices and the additional per-piece fee on all pieces returned under this privilege. The applicant agrees to prepare pieces in accordance with DMM 201, 505, and 708, and understands that failure to comply with these requirements may result in an inability to receive QBRM prices. QBRM postcards and letter-size pieces receive reduced First-Class Mail® postage prices and per-piece fees. For more information, refer to Notice 123, Price List.

Customer: After completing Section 5, submit this form to the local Post Office that will issue/hold the permit.

6. QBRM Review (To Be Completed by USPS MDA)

Date Received

Mailpiece Approved for QBRM?

Remedy Ticket Number

 

Yes

 

 

 

No

 

 

MDA Completing This Section (Full Name)

 

MDA’s Signature

 

 

 

 

Date

Dear Customer:

Based on your application, the Postal Service has made the following determination regarding your request for entry into the Qualified Business Reply Mail (QBRM) program at the __________________________________________________ Post Office:

Approved for participation in the Qualified Business Reply Mail program.

Attached is a sample BRM piece approved for the QBRM First-Class Mail service reduced price plus the applicable per-piece fee.

Disapproved. The attached sample did not meet the following DMM requirements:

DMM 201 Sections: ________________________________

DMM 505 Sections: ________________________________

DMM 708 Sections: ________________________________

If the QBRM application is disapproved, the MDA uses this space to note comments on unmet DMM requirements and necessary corrective action.

MDA: After completing Section 6, process this form as follows: Send the original to the local Post Office that issued the permit; send one copy directly to the customer; retain one copy for office records.

Instructions for Completing This Form

For BRM applications, the parties must complete Sections 1, 2, and 3. Sections 5 and 6 are not applicable. (Section 4 is for informational purposes only.)

For QBRM applications, the parties must complete the entire form — Sections 1, 2, 3, 5, and 6. (Section 4 is for informational purposes only.)

Section 1: The customer completes Section 1 and submits the form to the local Post Office that issues/holds the permit.

Section 2: The local Post Office completes Section 2 and submits the form to the AMS.

Section 3: The AMS completes Section 3 and returns the form to the local Post Office that issues/holds the permit. The local Post Office returns the form to the customer.

Section 4: Section 4 provides information on how BRM and QBRM customers can obtain mailpiece artwork at no charge from the Postal Service. A BRM or QBRM customer may obtain mailpiece artwork from another source, but the artwork must meet all USPS requirements.

Section 5: The customer completes Section 5 and submits the form and the ten sample BRM mailpieces to the local Post Office that will issue/hold the permit. The local Post Office forwards the form and the ten samples to the MDA.

Section 6: The MDA completes Section 6 and processes the form as follows: Send the original to the local Post Office that issued the permit; send one copy directly to the customer; retain one copy for office records.

Privacy Notice: For information regarding our privacy policies, visit www.usps.com/privacypolicy.

PS Form 6805, March 2014 (Page 2 of 2)

This form is available on www.usps.com

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This document requires specific information to be filled out, thus ensure you take whatever time to fill in what's requested:

1. It is recommended to fill out the section mail ams properly, therefore take care when filling in the parts including these particular blank fields:

Part number 1 of completing form6805

2. Right after filling out the previous section, head on to the subsequent part and fill out the essential particulars in these blanks - Customer After completing Section, Cost Center Code, Permit No Issued to Customer, Finance Number, State, cid Yes cid No, Employee Verifying Customers, Date, Fees Paid and Amount Check and, cid Ver Ann Permit cid Qtr, Employee Completing This Section, Employees Signature, Date, Issuing Post Office After, and AMS Do not accept this form unless.

Writing segment 2 in form6805

It's very easy to get it wrong when filling out your Customer After completing Section, therefore be sure you reread it prior to when you submit it.

3. The next part is simple - fill out all the form fields in QBRM Customer Guidelines, Instructions and Information, cid Paper mockups or preproduction, samples trimmed to the exact, For each QBRM requested complete, Customer After completing Section, Mailpiece Approved for QBRM Remedy, MDA Completing This Section Full, MDAs Signature, Date, Dear Customer, Based on your application the, cid Approved for participation in, and cid Disapproved The attached to complete this part.

Filling in segment 3 in form6805

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