Usps Form 3533 PDF Details

The USPS 3533 form, officially titled "Application for Refund of Fees, Products, and Withdrawal of Customer Accounts," plays a critical role in facilitating various types of refund requests to the United States Postal Service. This form is designed for customers who need a refund or need to withdraw funds from their postal accounts due to various circumstances, including service failures or excess charges. It covers a wide array of refund requests, such as for spoiled or unused postage, service fees not rendered, postage meter errors, and more. The structured form requires detailed information from the customer, including their name, mailing address, amount of refund requested, and specific details about the refund type. Each section is meticulously designed to ensure accurate processing by the local Post Office™, including verification and approval steps that protect both the customer and the USPS. Furthermore, the form’s Privacy Act Statement outlines how customer information is handled, emphasizing the confidentiality and purpose of data collection. The multifaceted nature of the USPS 3533 form underscores its importance in customer service and financial transactions within postal operations.

QuestionAnswer
Form NameUsps Form 3533
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesusps ps refund, usps 3533, ps form 3533 printable, form 3533 2020

Form Preview Example

 

ApplicationforRefundofFees,Products

(Useblueorblackinkandprintwithintheboxes.)

andWithdrawalofCustomerAccounts

Part 1 -Application (Customer complete and submit to local Post Officefor processing)

Customer/Company Name

Attention

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MailingAddress (Address to which the funds will be mailed)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt. or Suite No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ZIP+ 4®

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone No. (Include area code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount of Refund Request

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CustomerAccount No. or Postage Meter No.

$

,

,

.

X

Signature of Customer

Date of Request (MM/DD/YYYY)

PrivacyAct Statement

Your information will be used to process and respond to your transaction. Collection is authorized by 39 USC 401, 403, 404, 410, 2008 & 31 USC 7701. Providing the information is voluntary, but if not provided, we may not process your refund request. We do not disclose your information to third parties without your consent, except to facilitate the transactions, to act on your behalf or request. We may only disclose your information as follows: in relevant legal pro- ceedings; to law enforcement when the USPS® or requesting agency becomes aware of a violation of law; to a congressional office on your behalf; to con- tractors and other entities aiding us to fulfill the service (service providers); to entities authorized to perform audits; to labor organizations as required by law; to federal, state, local or foreign government agencies regarding personnel matters; to the Equal Employment Opportunity Commission; and to the Merit Systems Protection Board or Office of Special Counsel. For information regarding our Privacy Policy visit www.usps.com.

Request Disbursement For: (Select the appropriate box)

Refund Postage and Fees (AIC 553)

Post Office PVI Error - Issued Locally

(Attach spoiled/misprint label to this form)

Refund of Special Service Fees - Service not rendered

(Certified Mail,™ Registered Mail,™ Delivery Confirmation™, etc.)

Spoiled/Unused Printed Customer Meter Postage (AIC 526) (Legible postage meter stamps must be submitted to USPS.)

Refund of Permit Postage and Fees (AIC 528) (Damaged printed mailing, refund of annual fee)

Refund of Fees and Retail Services (AIC 535) (PO Box keys and service fees)

Refund for Postal Service™ Related Products (AIC 608) (e.g., merchandise)

Refund Miscellaneous Non-Postal Service Revenue - (AIC 624) (Previously recorded intoAIC 126)

Express Mail® Refunds (AIC 676)

(Postage and fees for service failure or not rendered)

Sure Money® Refund (AIC 645/646) - Issued Locally

Withdrawal fromAdvance DepositAccount (AIC 470/453)

CloseAccount

Partial Refund

Other Refunds (AIC ________________)

Explanation:_______________________________________________

ValueAdded Services (AIC 541) - Refunds to mailing agents that perform value added service and submit mail at discounted rates. Thisrefund will require the Customer Tax Identification Number (TIN).

Customer TIN#

Part 2 - Verification of Disbursements (This area is for Official use only)

Post Office

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ApprovedAmount of Disbursement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

,

 

 

 

 

 

,

 

 

 

 

 

 

 

Post Office ZIP+ 4

Finance Number and Unit ID

Telephone No. (Include area code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

Print Contact Name

Certifying Employee Signature

Date

Witness Signature

Date

PS Form 3533,November 2006 (Page 1 of 2) PSN 7530-01-000-9932

Part 3 - Postage or Meter Stamps (excluding PCPostage®)

(For Official Use Only)

 

 

The customer's meter must be licensed at the refunding office, and complete, legible, and valid unused meter stamps must be submitted by the licensee within 60 days from the dates shown on the indicia. Those produced by PC Postage systems are not refundable at the window. Charges are assessed at 10% off the face value of the indicia, if the total is $350 or less. If the total face value is more than $350, a charge of $35 per hour is assessed for the actual hours to process the refund; the minimum charge is $35.

Meter Manufacturer

 

Meter Serial No.

 

 

Meter License

 

(Group and list by postage units or value)

 

(Group and list by postage units or value)

 

Number of Pieces

Amount Each

Postage Value

Number of Pieces

 

Amount Each

Postage Value

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Postage Value

 

 

 

Total Postage Value

 

 

 

 

 

 

 

 

 

 

 

Grand Total of Postage Value

$

 

 

 

 

 

 

 

 

 

 

Less Charges

_

 

(10% of face value or $35 per hour if over $350. Minimum charge is $35.)

 

Post Offices must destroy customer meter stamps to prevent reuse. The manager and

 

Total To Be Refunded

$

 

a witness must sign to certify that the meter impressions listed above were destroyed.

 

 

 

 

 

 

 

Supervisor/Manager Signature

 

Date

 

Witness Signature

Date

 

 

 

 

 

 

Part 4 - Special Services and Other Refunds (Note: Fees for registered, insured, and COD services are not ordinarily refundable.)

Explain the reason for the requested refund:

Amount of Refund to Which Claimant is Entitled (In accordance with USPS policy)

$

Part 5 - Disbursements for Refunds (Issued Locally)

1)Postal Service official and witness must verify this claim and enter the approved amount in the “ApprovedAmount of Disbursement”.

2)Certifying Postal Service official and witness are required to print and sign as authorization for payment or withdrawal of trust account.

3)Ensure the proper accounting entries are performed on PSForm 1412.

4)For cash refund issued, obtain payee’s signature below. For money order refund issued enter the money order serial number below.

5)DO NOT SUBMIT PS Form 3533 to Scanning and Imaging Center if a refund is issued locally.

Payee Signature or Money Order Serial Number:

Date

 

 

Part 6 - Disbursements Processed by theAccounting Service Center (ASC)

1)Postal Service official and witness must verify this claim and enter the approved amount in the “ApprovedAmount of Disbursement”.

2)Certifying Postal Service official and witness are required to print and sign as authorization for payment or withdrawal of trust account.

3)Ensure the proper accounting entries are performed:

a)If this is a refund, use the appropriateAIC for the refund. (See “Request Disbursement For” section.)

b)If this is a withdrawal from an advance deposit account, use the appropriateAIC 453 for BRM/Postage Due orAIC 470 for permit.

c)Ensure the offset toAIC 280, Disbursement Sent toASC, is performed either in Form 1412 or Postal One!® system.

d)Attach the supportingAIC 280 documentation (PS Form 3544 or 3533-X) to the PSForm 3533.

4)SUBMIT PS Form 3533 with attachedAIC 280 supporting documentation to the USPS Scanning and Imaging Center.

5)Customer will receive the payment from USPS. NOTE: Maintain a copy of the PSForm 3533 locally for 90 days.

PS Form 3533,November 2006 (Page 2 of 2)

How to Edit Usps Form 3533 Online for Free

The PDF editor you will apply was made by our top level software engineers. You can easily fill out the usps form 3533 fillable file easily and conveniently applying our software. Merely follow this particular instruction to start out.

Step 1: At first, click the orange "Get form now" button.

Step 2: It's now possible to update the usps form 3533 fillable. This multifunctional toolbar allows you to include, eliminate, change, and highlight content material or perhaps perform similar commands.

These segments are what you will have to prepare to receive the finished PDF document.

portion of fields in usps form 3533 printable

Indicate the data in Request Disbursement For Select, Refund Postage and Fees AIC, Post Office PVI Error Issued, Refund of Special Service Fees, SpoiledUnused Printed Customer, Refund of Permit Postage and Fees, Refund of Fees and Retail Services, Refund for Postal Service Related, Refund Miscellaneous NonPostal, Express Mail Refunds AIC Postage, Sure Money Refund AIC Issued, Withdrawal from Advance Deposit, Close Account, Partial Refund, and Other Refunds AIC.

Filling in usps form 3533 printable step 2

Describe the most crucial details about the Print Contact Name, Certifying Employee Signature Date, and Witness Signature Date field.

Finishing usps form 3533 printable stage 3

The area Part Postage or Meter Stamps, Meter Manufacturer, Meter Serial No, Meter License, Group and list by postage units or, Group and list by postage units or, Number of Pieces, Amount Each, Postage Value, Number of Pieces, Amount Each, Postage Value, Total Postage Value, Total Postage Value, and Grand Total of Postage Value should be for you to indicate each side's rights and responsibilities.

Filling in usps form 3533 printable stage 4

Look at the areas Post Offices must destroy customer, Total To Be Refunded, of face value or per hour if, Grand Total of Postage Value, Less Charges, SupervisorManager Signature, Date, Witness Signature, Date, Part Special Services and Other, Amount of Refund to Which Claimant, Part Disbursements for Refunds, Payee Signature or Money Order, Date, and Part Disbursements Processed by and then fill them in.

Finishing usps form 3533 printable step 5

Step 3: If you are done, press the "Done" button to upload the PDF document.

Step 4: In order to avoid any kind of concerns in the long run, you should get up to a couple of copies of the file.

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