Ps Form 4027 PDF Details

The PS Form 4027 plays a crucial role in the provision of rural mail service in the United States, serving as a formal petition for changes or extensions in rural delivery routes. Designed to be completed by petitioners, it addresses the need for adjustments in service areas, focusing on enhancements that serve an average of at least one family per additional mile of travel, including retraces. The form emphasizes a clear stipulation: extensions are generally not considered if the roads involved are private or not well-maintained and accessible throughout the year. Petitioners are required to submit this form to the postmaster of their desired service office, providing detailed information such as the names of heads of families, the average number of pieces of mail received daily, and the distance from the nearest rural highway post or contract route office, ensuring thorough communication regarding the requested service changes. On the flip side, instructions to the postmaster outline steps for evaluating the petition, including consultation with rural carriers and preparation of a detailed sketch of the proposed change area. This meticulous process, involving both petitioners and postal service administrators, ensures that any adjustments to rural delivery routes through the PS Form 4027 consider the practicality, need, and feasibility of extending or changing rural mail service.

QuestionAnswer
Form NamePs Form 4027
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesusps form to move mailbox, how do i get a hardship mail delivery, usps disabled mail delivery, usps handicap delivery

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U.S. Postal Service

PETITION FOR CHANGE IN RURAL DELIVERY

(To Be Completed by Petitioners)

PETITIONERS NOTE: Proposed extensions of rural routes should ordinarily serve an average of at least one family for each additional mile of travel, including retrace. An extension is generally not approved by the U.S. Postal Service when the road to be traveled is private or is not maintained and in good condition.

When the petition has been completed, submit it to the postmaster of the office from which service is desired.

(Include City, State and ZIP + 4 Code)

TO:

Postmaster

The undersigned request rural mail service from your post office. Petitioners not receiving mail on route should show complete mailing address in last column to insure notification of action taken.

Name of Head of Family

No. of

Pieces of

Mail Received

Daily

(Average)

Distance From Nearest

Rural

Highway

Post

Contract

Route

Office

Route

 

 

 

 

 

Office Through Which Service is Now Received

Briefly Describe the Location of the Residences

PS Form 4027, September 1988

(Attach additional sheets if needed)

(Previous edition usable)

 

(TO BE COMPLETED BY POSTMASTER)

INSTRUCTIONS TO POSTMASTER: Without incurring any expense to the U.S. Postal Service, supply the information requested below and send this form, together with amended Form 4003, Official Rural Route Description, and any related papers, to the Management Sectional Center. USE A SEPARATE FORM 4027 FOR EACH EXTENSION OR CHANGE.

Prepare a sketch of the area; indicate the change desired in red pencil and omissions in yellow pencil. Show by pencil dots the locations of the residences of families to be benefited and by cross-marks the locations of those who will be inconvenienced. Write on the sketch the local names of all corners and points involved.

See Section 157.22, Domestic Mail Manual, for instructions pertaining to box delivery contract route extensions.

For proper completion of this form, it is not necessary to obtain the actual signatures of those who will benefit as a result of this change unless the customers are presently served by some other post office. However, you should insert all the names of the family heads as well as the other related information in the appropriate columns.

1.On the attached Form 4003 the proposed change is shown on line(s) (Form 4003 contains instructions for completion.)

 

2. Number of Families

3. Daily Mileage

 

 

4. Number of Boxes

 

 

5. Number of Vehicle Stops

 

Benefited

Not Formerly

Added by This

 

Present

 

Proposed

Present

 

Proposed

 

Change

 

 

 

 

 

Served

 

 

 

 

 

 

 

 

 

 

 

 

 

Regular

 

Central

Regular

 

Central

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inconvenienced

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. Does the Request Duplicate Service? (If yes, give details in Item 10)

 

7. Are the Roads to be Traveled Private?

 

 

 

 

η

Yes

η No

 

 

η

Yes

 

η

No

 

8. Are the Roads Maintained and in Good Condition and Passable Throughout

 

9. Do you Recommend that the Service be Provided?

 

 

 

the Year? (If not, give details in Item 10)

 

 

 

(If no, state reasons in Item 10)

 

 

 

 

 

η

Yes

η No

 

 

η

Yes

 

η

No

 

10. Remarks

 

 

 

 

 

 

 

 

 

 

 

 

Consult the rural carrier concerning this proposal and attach any statement submitted.

Date

Postmaster's Signature

City, State and ZIP + 4 Code

Rural Route No.

PS Form 4027, September 1988 (Reverse)

How to Edit Ps Form 4027 Online for Free

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For every single section, complete the content asked by the application.

post office hardship form gaps to complete

You should submit the Briefly Describe the Location of area with the necessary details.

post office hardship form Briefly Describe the Location of fields to complete

It is vital to provide some information within the box Number of Families, Benefited, Not Formerly Served, Daily Mileage Added by This Change, Number of Boxes, Number of Vehicle Stops, Present, Proposed, Present, Proposed, Regular, Central, Regular, Central, and Inconvenienced.

part 3 to entering details in post office hardship form

You have to define the rights and responsibilities of every party in paragraph Consult the rural carrier, Date, Postmasters Signature, City State and ZIP Code, Rural Route No, and PS Form September Reverse.

post office hardship form Consult the rural carrier, Date, Postmasters Signature, City State and ZIP   Code, Rural Route No, and PS Form  September  Reverse blanks to fill out

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