Ps 3996 Form – Fill Out and Use This PDF

United States Postal Service

Carrier - Auxiliary Control

A. Delivery Unit

B. Telephone

C. Date

D. Carrier's Name and Route No.

E. Lunch Place and Time

F. Indicate entire or portion of the case shelves covering mail as street auxiliary assistance

G. Keys Required?

Yes

No

1

2

3

4

5

6

H. Carfare Required?

Yes

No

I. Accountable Mail?

Yes

#

No

#

J. Reason For Use of Auxiliary

K. Estimated Work

L. Management Action. Check and initial all appropriate actions.

Hours

Minutes

Auxiliary Assistance

Hours

Minutes

Overtime

Hours

Minutes

Approved

#

Approved

#

Disapproved

#

Disapproved

#

M. Transportation (If drive-out, show parking location(s) on reverse)

Transportation Mode to and from route:		Postal owned:	#		Drive-out:	#		Contract:	#		Public:	#
N. Starts Delivery at:					* Collect mail from all collection boxes on your
					part of the route, unless instructed otherwise.
Deliver					Collection boxes locations:
					1
					2
					3
					4
					5
					6
O. Find Relays At:
1					4
2					5
3					6

P. Assistance Completed By (Carrier Name and regular route number if assigned):

	Office Time				Street Time			Total
Begin Time		Time Used	Begin Travel To	Begin Delivery		Begin Travel From	Travel To
								Auxiliary
							Delivery
								Time
End Time			End Travel To	End Delivery		End Travel From	Travel From
							Total Street

PS Form 3996, November 1997

Instructions

The regular carrier shall prepare the form as follows (except as indicated)

A.Enter the name of the delivery unit.

B.Enter the telephone number for the unit.

C.Enter the date requesting assistance.

D.Enter the name of the carrier requesting assistance or overtime and the route number.

E.Enter the lunch place and time, if applicable.

F.Place an "X" in space below the number indicating the case shelf containing the mail for which assistance is being requested. The bottom shelf of the letter separations is designated under 1. When assistance is required for less than a full shelf of mail, enter the portion of shelf in fractions. The portion should be identified as follows: L 1/2; R 1/4; (L) indicates "Left"; (R) Right; and (M) is for Middle of the shelf.

G.Indicate if Keys are required for delivery of this portion of the route.

H.Indicate if Carfare is required for delivery of this portion of the route.

I.Indicate if there are any Accountable mail pieces for delivery of this portion of the route.

J.Show the reason assistance is being requested. (Omit during Christmas period)

K.The carrier must enter the estimated hours and minutes of the amount of assistance being requested.

L.MANAGEMENT ACTION - This section is completed by the manager reviewing the form.

The manager reviews the request and makes a determination as to the appropriate actions. The manager shall check the appropriate actions and initial each section.

M.Show the transportation information as indicated.

N.Indicate the delivery starting point and the blocks of each street to be delivered.

O.List the points where relays will be found.

The form is handed to the carrier assigned to provide the assistance, who will complete the bottom time entries.

P.This section is completed by the carrier providing the assistance and the delivery manager. It is broken into four sections; the replacement carriers name, office work, street work and the total workhours used.

The carrier will complete the following items:

The assisting carrier will enter their name and regular route number if applicable;

Enter the begin and end time for any office work performed as assistance on this route;

Enter the begin travel time to the delivery territory and the end travel time to the delivery territory on this route; Enter the begin delivery time to the delivery territory and the end delivery time on this route;

Enter the begin travel time from the delivery territory and the end travel time from the delivery territory on this route, and then turn in the completed form to the delivery manager.

The Delivery Manager will complete the following item: Office time used;

Travel to time; Delivery time; Travel from time; Total street time, and Total auxiliary time used.

Park locations:
1.		4.
2.		5.
3.		6.

PS Form 3996, November 1997 (Reverse)