Form 8105 B PDF Details

In an effort to maintain an environment of security and compliance, the 8105 B form, also known as the "Suspicious Transaction Report (STR)," plays a pivotal role within postal operations. Crafted with the purpose of being filled out by postal employees, this form serves as a critical instrument in reporting transactions that may hint at illicit activities, ensuring that such matters are addressed discreetly and effectively without alarming the involved customers. The form requires detailed information regarding the transaction, including serial numbers of money orders, transaction amounts, and times, with a specific emphasis on observing activities from a safe vantage point behind the counter. Moreover, this document facilitates the collection of comprehensive data on the customer involved in the transaction, ranging from personal identifiers like names and addresses to more detailed descriptions such as the type of transaction (purchased, redeemed, etc.) and any unusual behaviors observed. Importantly, the STR underscores the priority of employee safety while also supporting a rigorous approach to compliance and monitoring, with explicit instructions for meticulous reporting and daily submission processes to the USPS BSA Compliance office. As such, the 8105 B form embodies a vital process in ensuring the integrity and security of postal transactions, reflecting a broader commitment to safeguarding both employees and the public from potential fraud and financial crimes.

QuestionAnswer
Form NameForm 8105 B
Form Length2 pages
Fillable?Yes
Fillable fields97
Avg. time to fill out19 min 58 sec
Other namesform 8105 form, pf8105, ps form 8105, 8105 b

Form Preview Example

Suspicious Transaction Report (STR)

I. Completed by Postal Employee

Without alerting customer(s), provide as much of the following information as possible. Complete this form only after the customer leaves. Provide only information obtainable from behind the counter. Employee safety is the most important priority.

Begin Serial No.

Thru

End Serial No.

Money Order Range 1:

Money Order Range 2:

Money Order Range 3:

Money Order Range 4:

Funds Transfer No.:

Transaction Amount:

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

 

 

 

 

 

TransactionDate:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Transaction Time:

 

 

 

 

 

:

 

 

 

 

 

 

 

 

 

AM

 

 

PM

Recorded by Camera?

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Activity Type:

 

 

 

 

Purchased

 

 

 

Redeemed

 

 

Other (Describe in Comment Section)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

II.Identifying Information for Primary Customer (List information for additional customers in Comment Section)

Business Name/Customer Last Name

 

 

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address (Number, Street, Box, Suite/Apt. No.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

ZIP+4®

 

 

 

 

 

Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth (MM/DD/YYYY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

 

 

 

 

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Security No.

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver's License No. (US Only)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other ID No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Other ID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Debit/Credit Card No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle License No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

Description of Customer(s) - (Sex andApproximateAge)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

 

 

 

Male

 

 

 

Female

 

 

 

3.

 

 

 

Male

 

 

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

Male

 

 

 

Female

 

 

 

4.

 

 

 

Male

 

 

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(State)

Round Date Stamp

Comments: (Check all that apply) Use the comments section below (and reverse of this form) to provide greater detail about the customer(s).

1.Comes in frequently and always purchases less than $3,000 worth

2.Asked for lesser amount after being advised to complete PS Form 8105-A

3.Two or more people working together

4.UnusualActivity (Explainbelow)

Attention

Mail this form Daily to:

USPS BSA COMPLIANCE

Post Office Zip Code

PO BOX 9005

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIOUX FALLS, SD 57117-9005

 

 

 

 

 

 

 

 

 

 

PS Form 8105-B, October 2007 (Page1of2) PSN 7530-04-000-0303

ADDITIONAL Money Order Serial Numbers:

Begin Serial No.

Thru

End Serial No.

Money Order Range 1:

Money Order Range 2:

Money Order Range 3:

Money Order Range 4:

Funds Transfer No.:

PS Form 8105-B, October 2007 (Page2of2)