PS Form 6805 at a glance
What it is: PS Form 6805 is the BRM/QBRM Application For ZIP+4 Code Assignment/Validation and QBRM Approval.
Where and when to file: The customer completes Section 1 and submits the form to the MSSC at MSSC@usps.gov.
A filled-in PS Form 6805 example: a company applies for a BRM permit
How to fill out PS Form 6805, box by box
Company Name, Permit Request Type and Address
Enter the Company Name / Master Permit Holder, and the Permit Number (Current customer only). Under Permit Request Type, check one: New Master Permit, Name Change Only or New Subaccount.
Enter the Address (Street / PO Box), City, State and ZIP+4.
Enter the Contact Name (First and Last Name), Contact Telephone Number and Contact E-mail.
Rate category and mailpiece
Under Rate Category Requested, check one: BRM (Sections 5 and 6 are not applicable.), IBRS (International) or QBRM (All sections are applicable.).
Under Address Information To Be Printed on the Mailpiece (Where You Want Your BRM Delivered), enter the Company Name Shown on Mailpiece, the Address (Street / PO Box), City, State and ZIP.
Under Mailpiece Information (Check All That Apply - Use Inches for Height and Length), enter Height and Length for BRM or High-volume BRM, QBRM Card, QBRM Letter (Uniform), IBRS Card, IBRS 1 oz. and IBRS 2 oz.
Signature and reply office
By signing this form, you affirm that you are not requesting any additional ZIP+4 codes for which you do not intend to distribute QBRM. Sign on the Signature of Customer line and enter the City of Reply Office Where Submitted, State and ZIP+4.
More rules for PS Form 6805
For BRM applications, the parties must complete Sections 1, 2, and 3. Sections 5 and 6 are not applicable.
For QBRM applications, the parties must complete Sections 1, 2, 3, 5, and 6.
For each QBRM requested, complete this form, provide 10 Business Reply Mail (BRM) samples, and submit this form and the 10 samples for QBRM approval to an MDA at MDA@usps.gov or 877-672-0007 (option 2; option 2).
The MSSC Agent completes Section 2 and submits the form to the AMS. AMS completes Section 3 and returns the form to the MSSC Agent. The MSSC Agent returns a copy to the customer.
Common questions about PS Form 6805
Where do I file it?
The customer completes Section 1 and submits the form to the MSSC at MSSC@usps.gov.
Sources
[1] PS Form 6805, BRM/QBRM Application For ZIP+4 Code Assignment/Validation and QBRM Approval (February 2024), United States Postal Service (the Official source link on this page).