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!
Question | Answer |
---|---|
Form Name | Ps Form 4805 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | 1998, usps maintenance work order form, ps form 4805 fillable, ps 4805 |
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
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 |
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)