Ps Form 4805 PDF Details

Are you looking to submit a claim for a government-furnished item? If so, look no further than PS Form 4805. This essential form can help make the process of filing your claim quick and easy, as it allows you to accurately detail all items being claimed as well as their associated costs. In this blog post, we'll provide an overview of the form and advice on how to fill it out correctly. So whether you need supplies returned or replacements issued due to damage or loss, let's dive in to see how PS Form 4805 can help!

QuestionAnswer
Form NamePs Form 4805
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names1998, usps maintenance work order form, ps form 4805 fillable, ps 4805

Form Preview Example

U.S. Postal Service

Maintenance Work Order Request

Sub-

Register

Work Order

Prior-

Work

site

Number

Number

ity

Code

 

 

 

 

 

Equipment Acronym

Equipment Eqpt. Number Class

Issued

Date

(MM-DD-YYYY) Crew No. Est. Time

Work Request (To be completed by the requesting office or organization)

Office Name

 

 

 

City

 

 

 

State

ZIP + 4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Floor

Area

 

Room

Person to Contact

 

 

 

 

 

Phone (Include area code)

 

 

 

 

 

 

 

 

 

 

 

 

 

Requested By (Name and title)

 

 

Originating Department

Phone (Include area code)

Date Required

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of Work Requested (Equipment name and number if known)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Approved By (Name, title, and signature)

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Work Order (To be completed by Maintenance)

 

 

 

 

 

 

 

 

 

 

Description of Work Performed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Work Completed By

 

 

 

 

Date

 

Work Accepted By (Close Work Order)

 

Date

 

 

 

 

 

 

 

 

 

 

 

Parts Issue (Use this section to record parts issues when MARS is unavailable for use.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Part Number

 

Nomenclature

 

Quantity

 

Issued By

 

 

 

Issued To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Official Disposition (Use this section to verify work completion and closing of the Maintenance Work Order.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Maintenance Official Approval (Signature and title)

 

 

 

Date

 

Close Work Order (Maint. Ops. Support initials)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PS Form 4805, June 1998

Equipment Breakdown Work Order

Sub-

Register

Work Order

Prior-

Work

site

Number

Number

ity

Code

 

 

 

 

 

Equipment Acronym

Equipment Eqpt. Number Class

Issued

Date

Crew No.

Est. Time

(MM-DD-YYYY)

Instructions

1.Use this report to record information about all automation or mechanization equipment breakdowns that last 18 min- utes or more.

2.Provide the work order number generated by MARS associated with the breakdown.

3.Provide detailed information about the problem and the diagnostic action taken. Attach additional pages if necessary to give a complete picture of the downtime events.

4.This report should be passed on to each tour until the equipment has been repaired.

5.This report should be reviewed and signed by both Maintenance and Opera- tions personnel.

6.After the repairs are completed and signed off on this report, forward the report to the Maintenance Operation Sup- port unit.

Work Request (To be completed by the requesting office or organization)

Office Name

 

 

 

 

City

 

 

 

 

 

State

ZIP + 4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Floor

 

Area

 

Room

 

Person to Contact

 

 

 

 

 

Phone (Include area code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Requested By (Name and title)

 

 

 

 

Originating Department

 

Phone (Include area code)

Date Required

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Event

 

 

Time

 

Date

 

 

Equipment Downtime

 

 

Breakdown Codes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Breakdown

:

AM

 

 

 

Due to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

 

Downtime Cause Code

 

 

Occurred

 

 

 

 

Maintenance

 

 

 

 

PM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Maintenance

:

AM

 

 

 

Parts

 

 

 

 

 

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

Notified

PM

 

 

 

Unavailable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Returned to

:

AM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

.

 

 

 

 

 

 

Operation Status

 

 

 

 

 

 

 

 

 

 

 

PM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Time (Amount)

Maintenance (Signature)

 

 

 

 

Operations (Signature)

 

Mail Processing Time Lost

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Work Order (To be completed by Maintenance)

Description of Work Performed

 

 

 

Work Completed By

 

 

Date

 

 

 

 

 

 

 

Parts Issue (Use this section to record parts issues when MARS is unavailable for use.)

 

 

 

 

 

 

 

 

 

 

 

 

Part Number

Nomenclature

Quantity

Issued By

 

Issued To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Official Disposition (Use this section to verify work completion and closing of the Equipment Breakdown Work Order.)

 

 

 

 

 

 

 

 

 

 

Maintenance Official Approval (Signature and title)

 

Date

Close Work Order (Maint. Ops. Support initials)

 

 

 

 

 

 

 

PS Form 4805, June 1998 (Reverse)