PS Form 6401 PDF Details

In today's fast-moving world, the convenience of using money orders for financial transactions remains a staple, especially for those who prefer or need alternatives to traditional banking. The USPS 6401 form is a critical tool in managing these transactions, serving as a bridge between the purchaser and the United States Postal Service (USPS) when inquiries about money orders arise. Whether a money order has been lost, stolen, or simply needs verification if it has been cashed, this form facilitates requests for copies of cashed money orders or refunds. It stipulates that inquiries can be filed at any Post Office by completing the form with black ink, paying a separate fee for each inquiry, and presenting the customer receipt. The detailed process outlined ensures that users must provide specific information such as the money order's serial number, original purchase date, and the purchaser's details. Additionally, it highlights important contractual obligations and the potential legal implications of furnishing false information. The privacy of the filer is safeguarded, with disclosures limited to necessary parties for processing the inquiry. This form exemplifies the USPS's commitment to customer service and legal compliance, ensuring transparency and security in money order transactions.

QuestionAnswer
Form Name Usps 6401 Form
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names form 6401, usps ps form 6401 pdf, printable form 6401, ps form 6401

Form Preview Example

 

Money Order Inquiry

 

SECTION A — Use Black Ink ONLY and Print Within the Boxes.

File an inquiry about a money order any time after purchase as follows:

You can get a copy of a cashed money order or request a refund as follows:

ƒƒ File the inquiry at any Post Office.

ƒƒ Complete all blocks, sign, and present your customer receipt to the Post Office employee. The

ƒƒ Use one form for each money order.

employee will verify the information you provide.

ƒƒ You must pay a separate fee for each form (i.e., money order inquiry).

ƒƒ We will issue a refund 60 days or later from the issue date of the money order, or provide a copy of the

 

money order if it has been cashed.

Money Order Serial No. (As shown on original receipt)

Date on Original Receipt (MM-DD-YYYY)

-

-

Post Office No. (As shown on original receipt)

Money Order Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Purchaser’s First Name (Not for Bank Use)

 

MI

 

Purchaser’s Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

Bank Use or Post Office Only (Bank/Financial Institution Name or Post Office)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address (For mailing refund, correspondence, or copies)

 

Apt. or Suite No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ZIP+4®

 

Country (If applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Telephone No. (Optional) (Include area code)

 

 

 

 

 

International Telephone No. (If applicable)

 

-

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

ABA No. - Bank Use Required

0 1 1

Reference No. - Bank or Post Office Use Only

Certification and Signature

I understand that anyone who furnishes false or misleading information on this form may be subject to criminal sanctions (including fines and imprisonment) and/or civil sanctions (including multiple damages and civil penalties). I agree to repay the Postal Service, upon demand, the amount of the refund if the designated payee, purchaser, or financial institution cashes the original money order. The rights and remedies set forth in 18 U.S.C. 287, 18 U.S.C. 1001, and 31 U.S.C. 3802 shall be incorporated as if fully set forth.

Signature of Customer Filing the Money Order Inquiry

For Postal Use Only

Date Signed (MM-DD-YYYY)

9 9 9 9 9 9 9 9 9

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-

Privacy Act Statement: Your information will be used to respond to your request. Collection is authorized by 39 U.S.C. 401, 403, and 404; 31 U.S.C. 5318, 5325, and 5331. Providing the information is voluntary, but if not provided, we may not process your transaction. We do not disclose your information to third parties without your consent, except to facilitate the transaction, to act on your behalf or request, or as legally required. This includes the following limited circumstances: to a congressional office on your behalf; to financial entities regarding financial transaction issues; to a U.S. Postal Service auditor; to entities, including law enforcement, as required by law including anti-money laundering statutes and regulations, or in legal proceedings; and to contractors and other entities aiding us to fulfill the service (service providers). For more information regarding our privacy policy visit us at usps.com.

POST OFFICE: AFFIX STAMPS OR METER STRIP HERE

Mail to:

St. Louis Accounting Service Center

 

General Accounting Branch

 

PO Box 80453

 

St. Louis, MO 63180-0453

After you file an inquiry, you can check the status by calling our toll-free number 1-866-974-2733.

SECTION B THIS AREA IS FOR OFFICIAL USE ONLY

By presence of this signature, I have verified the customer receipt presented by the purchaser.

Customer’s Photo ID No.

 

 

 

 

 

 

 

 

 

 

 

 

ID Type: e.g., Driver’s License or State Issued ID, Military ID, Alien Registration, Passport

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Finance No. of Accepting Office

 

 

 

 

 

 

 

 

ZIP Code™

 

 

 

 

 

 

Telephone No. (include area code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No-Fee Money Order Serial No. (If applicable)

 

 

 

 

 

 

 

 

Date (MM-DD-YYYY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Post Office ID

 

 

Signature of Postal Service Employee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

-

Amount

$ .

Date Inquiry Filed (MM-DD-YYYY)

 

-

 

 

 

-

 

 

 

 

 

 

 

 

PS Form 6401, August 2016 PSN: 7530-02-000-9536 (Page 1 of 2)

Instructions for Completing Money Order Inquiry Form

Customer Action:

1.Complete Section A of the form in BLACK ink. Include the date of the original money order in boxes provided. Use ONE form per money order. Boxes titled Bank Use Only and Bank or Post Office Use Only are not required for individual customers. The telephone number fields are optional.

2.Sign the form and enter the date in the box titled Date Signed.

3.Show your money order customer receipt and personal identification to the sales and service associate at the service window.

Postal Service Employee Action:

1.Request the money order customer receipt and check the serial number, date, Post Office number, and amount against the information on the form. Return the money order customer receipt to the customer.

2.Collect the appropriate fee for the money order inquiry and place a meter strip or stamps in the outlined box.

3.In Section B: Enter the customer identification information (acceptable forms of identification are driver’s license, state issued ID, military

ID, alien registration card, or passport). Enter the following information for the office accepting the PS Form 6401 inquiry form: 10-digit finance number, telephone number, Post Office issue ID, signature of postal employee and date inquiry accepted.

4.If you have elected to issue a no-fee money order to the customer for a damaged or mutilated money order, complete office ZIP Code, serial number, date of issue, and dollar amount from the no-fee money order in Section B. Do not charge an inquiry fee for a no-fee money order. Write “FEE WAIVED” in the area designated for stamps or meter strip.

5.Sign and date the bottom of the form.

6.Place the original form in an envelope addressed to the St. Louis Accounting Center (address located on front of this form) and mail the same day. Do NOT retain.

Instructions for Completing Money Order Inquiry Submitted by Banks

Bank Action:

1.Complete Section A of the form in BLACK ink. (You must include your business/organization name and address. Use ONE form per money order.)

2.The ABA number is required for bank inquiries.

3.Sign the form.

4.Enter the date signed in the boxes provided.

Postal Service Employee Action for Bank Inquiries:

1.Customer photo ID, government issue ID, and customer receipt are not required for bank requests.

2.Include the 10-digit finance number, ZIP Code, and telephone number of the office accepting the Money Order Inquiry form.

3.Do not require a fee, this service is provided free of charge.

4.Do not issue a no-fee money order to a bank.

5.Put the original form in an envelope addressed to the St. Louis Accounting Center (address located on front of this form) and mail the same day. Do NOT retain.

Instructions for Completing Internal Money Order Inquiry Submitted by U.S. Postal Service

Postal Service Employee Action:

1.Complete Section A of the form in BLACK ink. You must include USPS organization name on line titled Bank Use or Post Office Use Only (Bank/Financial Institution Name or Post Office), address and date from the original receipt. Use ONE form per money order.

2.Sign and date the form.

3.Customer ID, government issue ID, and customer receipt are not required for internal requests.

4.Include the 10-digit finance number (the 10-digit number is your finance number and your 4-digit unit ID), ZIP Code, and telephone number of the office completing the Money Order Inquiry form (only if a no-fee money order is issued).

5.No fee is required for internal requests.

6.Enter Post Office Issue ID (this is the ZIP Code plus one digit to signify main office or branch).

7.Sign and date the bottom of the form.

8.Put the original form in an envelope addressed to the St. Louis Accounting Center (address located on front of this form) and mail the same day. Do NOT retain.

9.A scanned image will be provided to your facility if the money order has been cashed.

PS Form 6401, August 2016 (Page 2 of 2)

How to Edit PS Form 6401 Online for Free

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step 1 to filling in usps lost money order form 6401

Write down the details in Certification and Signature I, Signature of Customer Filing the, For Postal Use Only, Date Signed MMDDYYYY, Privacy Act Statement Your, POST OFFICE AFFIX STAMPS OR METER, Mail to, St Louis Accounting Service Center, After you file an inquiry you can, SECTION B THIS AREA IS FOR, By presence of this signature I, Customers Photo ID No, ID Type eg Drivers License or, Finance No of Accepting Office, and ZIP Code.

part 2 to completing usps lost money order form 6401

In the Post Office ID, Signature of Postal Service, Date Inquiry Filed MMDDYYYY, and PS Form August PSN Page of field, emphasize the relevant particulars.

usps lost money order form 6401 Post Office ID, Signature of Postal Service, Date Inquiry Filed MMDDYYYY, and PS Form  August  PSN  Page  of blanks to fill

The area Bank Action, Complete Section A of the form in, money order, The ABA number is required for, Sign the form, Enter the date signed in the, Postal Service Employee Action for, Customer photo ID government, Include the digit finance number, Do not require a fee this service, Do not issue a nofee money order, Put the original form in an, same day Do NOT retain, Instructions for Completing, and Postal Service Employee Action is going to be where one can indicate each side's rights and obligations.

usps lost money order form 6401 Bank Action, Complete Section A of the form in, money order, The ABA number is required for, Sign the form, Enter the date signed in the, Postal Service Employee Action for, Customer photo ID government, Include the digit finance number, Do not require a fee this service, Do not issue a nofee money order, Put the original form in an, same day Do NOT retain, Instructions for Completing, and Postal Service Employee Action fields to fill out

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