Ps Form 3541 PDF Details

If you're a business owner who ships packages using the USPS, then it's essential to understand Ps Form 3541. This form is used by postal employees to authorize surface transportation of certain types of items — primarily hazardous materials, ammunition, or explosives. In this blog post, we'll provide an overview of what Ps Form 3541 is and why it should be taken seriously when shipping with Post Office services. We'll also discuss some important safety measures that need to be followed in order to ensure your package arrives at its intended destination safely and securely. So read on if you'd like more information about this important document!

QuestionAnswer
Form NamePs Form 3541
Form Length8 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min
Other namesDDU, june, Barcoded, 3541-1

Form Preview Example

United States Postal Service

Postage Statement - Periodicals

One Issue or One Edition Unless Used as a Consolidated Statement

Post Office: Note Mail Arrival Date & Time (Do Not Round-Stamp)

Mailer

Mailing

Publication Title and Owner or News Agent's Name Mailing Agent's (Printer or Consolidator) Name, Address, Telephone Number,

Entry Post Office Name, State, and ZIP+4

and Email Address if Any

 

 

 

CAPS Customer Ref. No.

 

 

 

 

 

 

 

 

 

Printer/Consolidator Imprint Permit No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CRID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CRID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicable Parts Completed

 

Statement for bundles/

 

Price Category

 

 

Regular

 

 

Nonprofit

 

Combined Mailing

 

 

Consolidated Postage Statement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(select all that apply)

 

 

 

 

containers only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mixed Class

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

 

 

 

B - E

 

 

 

F

 

 

(If Applicable)

 

 

 

 

 

 

Classroom

 

 

Science-of-Agriculture

 

 

Single Class

 

 

 

 

 

Yes

 

No

 

Publication No.

 

 

 

 

Edition/Code

 

Mailer's Mailing Date

 

Processing Category

 

No. of Addressed Pieces

 

 

 

Number of Addressed Supplements

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Letters

 

 

 

Excluding Addressed

 

 

 

 

In-County

 

Outside-County

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Flats

 

 

 

Supplements

 

 

 

 

 

 

 

 

 

 

 

Issue Date

 

 

 

 

Issue Frequency

 

Statement Sequence No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parcels

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weight of

a Single

 

 

 

 

Weight per Copy for Issue (Round off to 4 decimal

 

Advertising Percentage in This

 

Number and Type of Containers. (Enter total number of

 

Ride-Along piece

 

 

 

 

places if necessary)

 

 

 

 

 

 

 

 

 

Issue

 

 

 

 

 

 

containers)

 

 

 

 

 

 

 

 

 

 

 

 

0 . ___ ___ ___ ___ lb.

 

 

____ ____ . ____ ____ ____ ____ pounds

____ ____ . ____ ____ %

 

 

 

_____ Trays _____ Sacks _____ Pallets

 

 

For Automation Pieces, Enter Date

For Carrier Route Pieces, Enter Date

 

For Carrier Route Pieces, Enter

For pieces bearing a simplified address enter date of

 

of Address Matching and Coding

of Address Matching and Coding

 

 

Date of Carrier Route Sequencing

 

 

 

delivery statistics file or alternative method

____ ____ / ____ ____ / ___ ___ ___ ___

____ ____ / ____ ____ / ___ ___ ___ ___

____ ____ / ___ ___ / ___ ___ ___ ___

____ ____ / ___ ___ / ___ ___ ___ ___

Postage

Certification

Part A - In-County Prices Total Part A (page 2) (Postmaster: Report total Part A postage in AIC 224)

Part B - Outside-County Pound Prices

Total Part B (Page 3)

 

 

 

 

 

 

 

Part C - Outside-County Piece Prices

Total Part C (Page 4)

 

 

 

 

 

 

 

Part D - Outside-County Bundle Prices

Total Part D (Page 5)

 

 

 

 

 

 

 

Part E - Outside-County Sack/Tray/Pallet Prices

Total Part E (Page 6 &7)

 

 

 

 

 

 

 

Outside-County Postage

Subtotal Parts B, C, D, and E

 

 

 

 

 

 

Preferred Price Discount - Nonprofit, Classroom, Limited Circulation, Limited Circulation Science of

-

 

Agriculture (Add line B16, and parts C, D, and E Totals) _____ X .05 (all others enter zero)

 

 

 

Subtract the Preferred Price Discount from the Outside-County Postage

=

 

 

 

 

 

 

Part F - Outside-County Ride-Along and Repositionable Notes (Page 7)

+

 

 

 

 

 

 

Total Outside-County Postage (Postmaster: Report total Outside-County postage in AIC 135)

 

Add Total In-County Postage and Total Outside-County Postage

Total Postage

 

 

 

 

(AIC 224 + AIC 135)

 

 

 

 

 

 

 

 

The signature of the owner of the publication certifies acceptance of liability for and agreement to pay any revenue deficiencies assessed on this mailing, subject to appeal. If an agent signs this form, the agent certifies that he or she is authorized to sign on behalf of the owner of the publication and that the owner of the publication is bound by the certification and agrees to pay any deficiencies. In addition, agents may be liable for any deficiencies resulting from matters within their responsibility, knowledge, or control. The owner of the publication hereby certifies that all information furnished on this form is accurate, truthful, and complete; that the mail and the supporting documentation comply with all postal standards and the mailing qualifies for the prices and fees claimed; and that the mailing does not contain any matter prohibited by law or postal regulation. I understand that anyone who furnishes false or misleading information on this form or who omits information requested on this form, may be subject to criminal and/or civil penalties, including fines and imprisonment.

Privacy Notice: For information regarding our Privacy Policy visit www.usps.com.

Owner or Agent's Name

Owner or Agent's Signature

Name and Telephone Number of Contact Person in Publisher's Office

USPS Use Only To be completed in non-PostalOne! sites

Post Office Computed Weight per Copy

(Round off to 4 decimal places if necessary)

____ ____ . ____ ____ ____ ____ pounds

Time

AM

PM

 

 

 

USPS Employee's Signature

 

 

Print USPS Employee's Name

 

 

 

 

 

Round Stamp (Required)

Payment Date

USPS Use Only To be completed in non-PostalOne! sites

PS Form 3541-1, June 2012 (Page 1 of 7) PSN 7530-07-000-6222 This form and mailing standards are available on Postal Explorer at pe.usps.com.

Periodicals - One Issue or One Edition - In-County

Part A

Check box at left if prices are populated in this section.

In-County

Pound Price

 

 

 

 

 

 

 

 

Subscriber or

Nonsubscriber or

Total

Total

 

Total

 

Entry

Requester

Nonrequester

Price

 

Copies

Pounds

Postage

 

 

Copies

Copies

 

 

 

 

 

 

 

A1

DDU

 

 

 

 

$0.145

 

A2

None

 

 

 

 

0.189

 

A3

 

 

 

Total Pound Price Postage (Add lines A1 and A2)

 

Piece Price (Presort)

 

 

 

 

 

 

 

Entry / Zone

Presort Discount

Total

Addressed

Price

Total

 

Copies

Pieces

Postage

 

 

 

 

 

A4

 

Nonautomation

 

 

$0.133

 

A5

Basic

Automation Letters

 

 

0.060

 

A6

 

Automation Flats

 

 

0.117

 

A7

 

Nonautomation

 

 

0.121

 

A8

3-Digit

Automation Letters

 

 

0.050

 

A9

 

Automation Flats

 

 

0.109

 

A10

 

Nonautomation

 

 

0.108

 

A11

5-Digit

Automation Letters

 

 

0.048

 

A12

 

Automation Flats

 

 

0.102

 

A13

 

 

Basic

 

 

0.061

 

A14

Carrier Route

High Density

 

 

0.045

 

A15

 

Saturation

 

 

0.031

 

A16

Presort Subtotal (Add lines A4-A15)

 

 

 

 

A17 Number of Addressed Pieces at DDU Prices

 

 

0.008

 

A18

Piece Price Subtotal (A16 minus A17)

Full Service Intelligent Mail Option

A19

A20

Number of pieces that comply ____________ x $0.001 =

Periodicals In-County Subtotal (Line A18 minus A19)

Ride-Along Price

(Must equal the number of copies in line A16, not number of addressed pieces)

A21 Ride-Along Pieces

Repositionable Notes

(Must equal the number of copies in line A16, not number of addressed pieces)

A22 Repositionable Notes

Total

Addressed

 

Total

Copies

Pieces

Price

Postage

 

 

0.165

 

Total

Addressed

Price

Total

Copies

Pieces

Postage

 

 

0.005

 

A23

Other Subtotal(Add lines A21 and A22)

Part A Total (Add lines A3, A20, and A23) Postmaster: Report in AIC 224

PS Form 3541, June 2012 (Page 2 of 7)

Periodicals - One Issue or One Edition - Outside-County

Part B

Check box at left if prices are populated in this section.

Outside-County - Pound Prices

For Nonprofit & Classroom: All commingled nonsubscriber or nonrequester copies over the 10% limit must pay regular prices & use a separate PS Form 3541.

Advertising Pound Prices

 

 

 

 

 

 

 

 

 

 

 

 

 

Price

 

 

 

Subscriber or

Nonsubsc. or

 

Advertising

 

 

Total

 

Entry Zone

Requester

Nonreq.

Total Copies Total Pounds

Reg

Sci/Ag

 

 

Copies

Copies

 

Pounds

 

 

Postage

 

 

 

 

 

 

 

B1

DDU

 

 

 

 

$0.135

$0.101

 

B2

DSCF

 

 

 

 

0.206

0.155

 

B3

DADC

 

 

 

 

0.219

0.164

 

B4

1 & 2

 

 

 

 

0.244

0.183

 

B5

3

 

 

 

 

 

0.267

 

B6

4

 

 

 

 

 

0.327

 

B7

5

 

 

 

 

 

0.417

 

B8

6

 

 

 

 

 

0.512

 

B9

7

 

 

 

 

 

0.626

 

B10

8

 

 

 

 

 

0.723

 

B11

 

Subtotal (Add lines B1-B10)

 

 

 

 

 

Nonadvertising Pound Prices

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Price

 

 

 

Total

minus

Advertising

equals

Nonadvertising

X

Reg

Sci/Ag

Total Postage

 

 

Pounds

 

Pounds

 

Pounds

 

 

 

 

B12

DDU

(From B1)

(From B1)

 

 

$0.113

$0.113

 

B13

DSCF

(From B2)

(From B2)

 

 

0.171

0.171

 

B14

DADC

(From B3)

(From B3)

 

 

0.182

0.182

 

B15

All Others

(From B4-B10)

(From B4-B10)

 

 

0.203

0.203

 

B16

 

 

 

 

 

 

 

Subtotal (Add lines B12-B15)

 

Pound Price Postage Total (Add lines B11 and B16)

Nonadvertising Pound Prices - Alternate (Nonprofit and Classroom publications with 10% or less advertising, or other publications with 0% advertising.)

 

 

 

 

 

 

Price

 

 

 

Subscriber or

Nonsubsc. or

 

 

 

 

 

Entry Zone

Requester

Total Copies Total Pounds

Reg

Sci/Ag

Total Postage

 

Nonreq. Copies

 

 

Copies

 

 

 

 

 

 

 

 

 

 

 

B12

DDU

 

 

 

$0.113

$0.113

 

B13

DSCF

 

 

 

0.171

0.171

 

B14

DADC

 

 

 

0.182

0.182

 

B15

All Others

 

 

 

0.203

0.203

 

B16

 

 

 

 

Subtotal (Add lines B12-B15)

 

Part B Total - Pound Price Total (Add lines B11 and B16)

PS Form 3541-3, June 2012 (Page 3 of 7) PSN 7530-07-000-6223

Periodicals - One Issue or One Edition - Outside-County

Part C

Check box at left if prices are populated in this section.

Outside-County - Piece Prices

Machinable Flats

 

 

 

 

 

 

Level

Price Level

Total Copies

Addressed Pieces

Price

Total

 

Postage

 

 

 

 

 

 

C1

Mixed ADC

Barcoded

 

 

$0.414

 

C2

 

Nonbarcoded

 

 

0.446

 

C3

ADC

Barcoded

 

 

0.387

 

C4

 

Nonbarcoded

 

 

0.411

 

C5

3-Digit

Barcoded

 

 

0.372

 

C6

 

Nonbarcoded

 

 

0.394

 

C7

5-Digit

Barcoded

 

 

0.285

 

C8

 

Nonbarcoded

 

 

0.294

 

Nonmachinable Flats

 

 

 

 

C9

Mixed ADC

Barcoded

 

 

$0.580

 

C10

 

Nonbarcoded

 

 

0.625

 

C11

ADC

Barcoded

 

 

0.482

 

C12

 

Nonbarcoded

 

 

0.507

 

C13

3-Digit

Barcoded

 

 

0.420

 

C14

 

Nonbarcoded

 

 

0.431

 

C15

5-Digit

Barcoded

 

 

0.310

 

C16

 

Nonbarcoded

 

 

0.311

 

Parcels

 

 

 

 

 

C17

Mixed ADC

 

 

 

$0.625

 

C18

ADC

 

 

 

0.507

 

C19

3-Digit

 

 

 

0.431

 

C20

5-Digit

 

 

 

0.311

 

Letters

 

 

 

 

 

 

C21

Mixed ADC

Barcoded

 

 

$0.323

 

C22

 

Nonbarcoded

 

 

0.446

 

C23

ADC

Barcoded

 

 

0.283

 

C24

 

Nonbarcoded

 

 

0.411

 

C25

3-Digit

Barcoded

 

 

0.262

 

C26

 

Nonbarcoded

 

 

0.394

 

C27

5-Digit

Barcoded

 

 

0.200

 

C28

 

Nonbarcoded

 

 

0.294

 

Carrier Route & Firm Bundles

 

 

 

 

C29

Basic

 

 

 

$0.187

 

C30

High-Density

 

 

 

0.156

 

C31

Saturation

 

 

 

0.136

 

C32

Firm Bundle (Use "Addressed Pieces" to

 

 

0.184

 

calculate postage)

 

 

 

 

 

 

 

 

C33

Subtotal (Add lines C1 through C32)

 

 

 

 

C34

Nonadv. % (100 minus adv.%) _____ X # of Addressed Pieces (C33) X $0.00101

 

 

C35

 

 

Subtotal Outside County Piece Prices (Line C33 minus C34)

 

Full Service Intelligent Mail Option

C36

Number of pieces that comply ______ x $0.001 =

Part C Total (Line C35 minus C36)

PS Form 3541, June 2012 (Page 4 of 7)

Periodicals - One Issue or One Edition - Outside-County

Part D

Check box at left if prices are populated in this section.

Outside County - Bundle Prices

 

Container Level

Bundle Level

Bundles

Price

Total

 

Postage

 

 

 

 

 

D1

 

Mixed ADC

 

$0.079

 

D2

 

ADC

 

0.208

 

D3

Mixed ADC

3-Digit/SCF

 

0.276

 

D4

 

5-Digit

 

0.285

 

D5

 

Firm

 

0.185

 

D6

 

ADC

 

0.115

 

D7

 

3-Digit/SCF

 

0.190

 

D8

ADC

5-Digit

 

0.206

 

D9

 

Carrier Route

 

0.325

 

D10

 

Firm

 

0.154

 

D11

 

3-Digit/SCF

 

0.129

 

D12

SCF/ 3-Digit

5-Digit

 

0.150

 

 

 

 

 

 

D13

 

Carrier Route

 

0.288

 

D14

 

Firm

 

0.142

 

D15

 

5-Digit

 

0.145

 

D16

CR/ 5-Digit

Carrier Route

 

0.152

 

D17

 

Firm

 

0.079

 

Part D Total (Add lines D1-D17)

PS Form 3541-5, June 2012 (Page 5 of 7) PSN 7530-10-000-0501

Periodicals - One Issue or One Edition - Outside-County

Part E

Check box at left if prices are populated in this section.

Outside-County - Sack and Tray Prices

Outside-County - Sack/Tray Prices

 

 

 

 

Container Level

Entry

Sacks/Trays

Price

Total

 

Postage

 

 

 

 

 

E1

 

Origin NDC

 

$0.437

 

E2

Mixed ADC

Origin ADC

 

0.437

 

E3

Sack/Tray

Origin SCF

 

0.437

 

E4

 

Origin Post Office/DMU

 

0.437

 

E5

 

Origin NDC

 

2.092

 

E6

 

Origin ADC

 

2.092

 

E7

ADC Sack/Tray

Origin SCF

 

2.092

 

E8

 

Origin Post Office/DMU

 

2.092

 

E9

 

Destination NDC

 

1.457

 

E10

 

Destination ADC

 

0.833

 

E11

 

Origin NDC

 

2.186

 

E12

 

Origin ADC

 

2.186

 

E13

3-Digit /

Origin SCF

 

2.186

 

 

 

 

 

 

E14

SCF Sack/

Origin Post Office/DMU

 

2.186

 

E15

Tray

Destination NDC

 

1.562

 

E16

 

Destination ADC

 

1.249

 

E17

 

Destination SCF

 

0.833

 

E18

 

Origin NDC

 

2.810

 

E19

 

Origin ADC

 

2.810

 

E20

5-Digit/

Origin SCF

 

2.810

 

 

 

 

 

 

E21

Carrier Route

Origin Post Office/DMU

 

2.810

 

E22

Sack/Tray

Destination NDC

 

2.082

 

E23

 

Destination ADC

 

1.770

 

E24

 

Destination SCF

 

1.353

 

E25

 

DDU

 

0.937

 

E26

Part E Sack and Tray Total (Add lines E1-E25)

PS Form 3541, June 2012 (Page 6 of 7)

Periodicals - One Issue or One Edition - Outside-County

Part E - Continued

Check box at left if prices are populated in this section.

Outside-County - Pallet Prices

Outside-County - Pallet Prices

 

 

 

 

 

Container Level

Entry

Pallets

Price

Total

 

Postage

 

 

 

 

 

E27

 

Origin NDC

 

$3.365

 

 

 

 

 

 

 

E28

Mixed ADC Pallet

Origin ADC

 

3.365

 

 

 

 

 

 

 

E29

 

Origin SCF

 

3.365

 

 

 

 

 

 

 

E30

 

Origin Post Office/DMU

 

3.365

 

 

 

 

 

 

 

E31

 

Origin NDC

 

33.375

 

 

 

 

 

 

 

E32

 

Origin ADC

 

33.375

 

 

 

 

 

 

 

E33

ADC Pallet

Origin SCF

 

33.375

 

 

 

 

 

 

 

E34

 

Origin Post Office/DMU

 

33.375

 

 

 

 

 

 

 

E35

 

Destination NDC

 

23.127

 

 

 

 

 

 

 

E36

 

Destination ADC

 

12.803

 

 

 

 

 

 

 

E37

 

Origin NDC

 

39.505

 

 

 

 

 

 

 

E38

 

Origin ADC

 

39.505

 

 

 

 

 

 

 

E39

3-Digit /

Origin SCF

 

39.505

 

 

 

 

 

 

 

E40

SCF Pallet

Origin Post Office/DMU

 

39.505

 

 

 

 

 

 

 

E41

 

Destination NDC

 

24.572

 

 

 

 

 

 

 

E42

 

Destination ADC

 

21.372

 

 

 

 

 

 

 

E43

 

Destination SCF

 

11.460

 

 

 

 

 

 

 

E44

 

Origin NDC

 

50.875

 

 

 

 

 

 

 

E45

 

Origin ADC

 

50.875

 

 

 

 

 

 

 

E46

 

Origin SCF

 

50.875

 

 

 

 

 

 

 

E47

5-Digit /

Origin Post Office/DMU

 

50.875

 

 

 

 

 

 

 

E48

Carrier Route Pallet

Destination NDC

 

32.936

 

 

 

 

 

 

 

E49

 

Destination ADC

 

31.180

 

 

 

 

 

 

 

E50

 

Destination SCF

 

21.062

 

 

 

 

 

 

 

E51

 

DDU

 

1.652

 

 

 

 

 

 

 

E52

Part E Pallet Total (Add lines E27-E51)

Part E Total (add lines E26 and E52)

 

 

Part F

 

Check box at left if prices are populated in this section.

 

 

 

 

 

Ride-Along Price and Repositionable Notes (Outside-County Only)

 

 

 

 

 

 

 

 

 

 

Ride-Along Price

Total

Addressed

Price

Total

(Must equal the number of copies, not number of addressed pieces)

Copies

Pieces

Postage

 

 

 

 

 

 

 

 

 

F1

Ride-Along Pieces

 

 

 

$0.165

 

 

 

 

 

 

 

 

 

Repositionable Notes

Total

Addressed

Price

Total

(Must equal the number of copies, not number of addressed pieces)

Copies

Pieces

Postage

 

 

 

 

 

 

 

F2

Repositionable Notes

 

 

 

$0.015

 

 

 

 

 

 

 

 

 

Part F Total (Add lines F1 and F2)

PS Form 3541-7, June 2012 (Page 7 of 7) PSN: 7530-10-000-0502

Instructions

Use this form for Periodicals mailings.

Step 1: Complete Mailer and Mailing sections on page 1. List all containers in the Number and Type of Containers field. You must select either Yes or No under Consolidated Postage Statement.

Step 2: Before you complete the Postage section, go to parts A through E and complete the part(s) that pertain to your mailing. Pieces that comply with the Full-Service Intelligent Mail option requirements are additionally reported on the line provided.The following information will help you determine which parts to complete:

Parts A - In-County piece and pound prices.

Parts B - Outside-County pound prices.

Parts C - Outside-County piece prices.

Parts D - Outside-County bundle prices.

Parts E - Outside-County sack/tray/pallet prices.

Parts F - Outside-County Ride-along and Repositionable Notes prices.

Step 3: Complete only applicable part(s), as follows:

1.For In-County mailings, complete only part A.

2.For Outside-County mailings, complete applicable parts B through F.

Step 4: Go to the Postage Section on page 1. Add postage from Part Total box for each completed part. Bring these totals forward to front page and insert in appropriate box. For outside-county sack/tray/pallet prices, complete distribution section in order to determine Part E total. Add all parts together to get Total Postage.

Step 5: Read and sign the Certification section, including your telephone number. Attach all completed pages together to submit with the mailing. (Do not include blank pages.)

Information: For more information on mailing standards, prices, and fees please go to Postal Explorer at pe.usps.com.

PS Form 3541, June 2012 (Instructions)