USPS Domestic Claim PDF Details

Do you need to file a claim for something damaged or lost in the mail? If so, the USPS Domestic Claim Form is the tool you need. This form allows you to report the issue and start the process of getting reimbursed for your loss. In this article, we'll provide an overview of the information required on the form and how to submit it. We'll also cover some common scenarios in which you might need to file a domestic claim.

Here are a few facts you might like to read before you start using the USPS domestic claim.

QuestionAnswer
Form Name Usps Domestic Claim
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names usps claims, usps claim form printable, usps form claim, usps form 1000

Form Preview Example

 

 

 

 

PLEASE FILE DOMESTIC CLAIMS ONLINE AT

DOMESTIC OR INTERNATIONAL CLAIM

 

 

 

 

 

 

 

(Includes Inquiry for Domestic Registered Mail

 

 

 

 

www.usps.com/domestic-claims

 

 

 

 

 

 

 

 

 

 

with No Declared Value)

 

 

 

 

 

 

 

 

 

 

 

What is the problem? My item is:

Lost

All Contents Damaged or Missing

 

 

Some Contents Damaged or Missing

 

No COD remittance received - amount to be remitted to mailer $

 

 

 

 

Delayed Priority Mail Express

 

 

 

 

 

(non-negotiable documents - domestic only)

 

Mailing Receipt/Label Number: (Number from mailing receipt/label -- include all letters and numbers)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Case Number (International only)

 

 

 

 

 

 

 

 

 

 

COD #

 

 

 

 

 

Date of Mailing (MM/DD/YYYY)

 

Mail

 

First-Class Mail®

 

Priority Mail Express

Priority Mail Express COD

 

Bound Printed Matter Parcels

 

 

 

 

 

 

Priority Mail®

 

Collect on Delivery (COD)

First-Class Package Services

Standard Mail®

 

Category

 

 

 

 

 

Standard Post

 

Library Mail

Registered Mail

 

(bulk insurance only)

 

Select only

 

Media Mail®

 

Critical Mail®

Parcel Select Lightweight®

 

Ordinary (uninsured)

 

 

 

 

Parcels (International items

 

one category.

 

International Insured

 

 

(bulk insurance only)

 

only)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailer Name and Address Information

 

 

Addressee Name and Address Information

First Name

MI Last Name

First Name

MI

Last Name

Business Name (Use only if the mailer is a company)

 

 

 

 

 

 

 

Business Name (Use only if the addressee is a company)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address 1 (Number, Street)

 

 

 

 

 

 

 

 

 

 

Address 1 (Number, Street)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address 2 (Suite / Apartment Number)

 

 

 

 

 

 

 

 

 

Address 2 (Suite / Apartment Number)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State Province (As applicable)

ZIP+4® or Postal Code

 

 

 

 

 

State

Province (As applicable)

 

 

ZIP+4 or Postal Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Urbanization (Puerto Rico only) or Telephone Number (Optional)

 

 

 

 

 

Urbanization (Puerto Rico only)

Telephone Number (Optional)

Country

 

 

(Include Area Code)

 

 

 

 

 

 

 

or Country

 

 

 

(Include Area Code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-mail Address (Optional)

 

 

 

 

 

 

 

 

 

 

E-mail Address (Optional)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01 Cash, Gift

03 Clothing/

 

05 Media,

07 Computers

10 Liquor/Wine

 

 

 

13 Firearms

15 Other

Description

Item

Cards/

Home

 

Music/

 

 

08 Collectibles

11 Animals

 

 

 

14 Hazardous

16 Event Tickets

Codes

Certificates

Products

 

Video

 

 

 

 

 

of Lost,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Material

 

02 Jewelry

04 Arts/Crafts

 

06 Electronics

09 Sports Equipment 12 Document Reconstruction

 

Damaged or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Missing

 

Describe Contents and Select the Lost (L) or Damaged (D) box for each

Item Code (See

Purchase Date

 

Value or Repair

 

item listed. (List one item per line)

 

 

 

 

 

 

 

 

list above)

 

(MM/DD/YYYY)

Cost $

Contents

 

 

 

 

 

 

 

 

 

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

L

 

 

 

 

 

 

 

 

 

List one item

 

 

 

 

 

 

 

 

 

 

 

 

 

D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

per line.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

L

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Add extra

2

 

 

 

 

 

 

 

 

 

 

 

 

 

D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

pages

 

 

 

 

 

 

 

 

 

 

 

 

 

 

L

 

 

 

 

 

 

 

 

 

as needed.

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Amount Claimed for Items Listed Above (Do not include postage or fees.)

 

 

$

Fees Paid

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postage $

Insurance $

 

 

 

 

Registered $

 

COD $

 

 

Other $

Weight

Total weight of shipment

lb.

oz. (International items only)

 

 

 

 

 

 

 

 

 

Payment

 

Pay the Mailer

Pay the Addressee (In some cases, payment may be limited to the mailer or to the addressee)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supporting

Read “WHAT YOU NEED” on page 2 for required attachments.

 

 

 

 

 

 

 

 

 

 

Did you attach a copy of your proof of value and/or estimate of repair for the items listed above?

Yes

No

Documents

Did you attach your original mailing receipt?

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certification

I certify that all information furnished on this form is accurate, truthful, and complete, and that I understand that anyone who

Please sign,

furnishes false or misleading information on this form or who omits information requested on this form may be subject to

date, and enter

criminal and/or civil penalties, including fines and imprisonment.

 

 

 

 

 

 

 

 

 

 

your telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

number (op-

Customer Submitting Claim:

 

 

Mailer

 

 

 

 

Addressee

 

 

 

 

 

 

 

 

 

 

tional) (include

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of U.S. Customer Filing the Claim

 

 

 

 

Date Signed (MM/DD/YYYY)

Telephone Number (Optional) (Include

Area Code or

 

 

 

 

Country Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Area Code)

 

 

 

 

as appropriate).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PS Form 1000, July 2013 (Page 1 of 2) PSN 7530-02-000-9931

 

 

 

 

 

 

See our Privacy Act Statement on Page 2

Domestic Claims:

Instructions – How to File a Domestic or International Claim or Inquiry for Domestic Registered Mail with No Declared Value

1.For faster service, please file your domestic claim online at www.usps.com/domestic-claims. If you are unable to file online, you may submit this form to: USPS Domestic Claims, PO Box 80143, St. Louis, MO 63180-0143.

2.Damaged/Missing Contents: Retain the mailing container, including wrapping, packaging, and any contents that were received, and upon written request, you must make them available to the local Post Officefor inspection, retention, and disposition in accordance with the claims decision.

3.For more information about domestic claims, go to our Web site at www.usps.com/domestic-claims. Please retain copies of all documents mailed to St. Louis.

Domestic Registered Mail™ with No Declared Value Inquiry: Please complete this form and take it to your local Post Office™ for processing.

International Claims:

1.You must initiate an inquiry before filing a claim unless you are in the possession of a mailing with damaged or missing contents. You may initiate an inquiry by calling our International Inquiry Center at 1-800-222-1811.

2.If you are in possession of a mailing with damaged or missing contents (except an item from Canada), complete this form and present it and the damaged item(s), container, wrapping, packaging and any other contents received to a Post Office immediately. They will assist you in completing the claim.

3.If you are in possession of a mailing with damaged or missing contents mailed in Canada, contact the Canadian sender and instruct them to file the claim.

4.International claims may be payable to the mailer only or only to the addressee (varies by country). For more information about international inquiries and claims, see the Mailing Standards of the United States Postal Service, International Mail Manual at http://pe.usps.com or go to our Web site at www.usps.com/international-claims.

WHAT YOU NEED:

1.Your original mailing receipt for Insured, COD, Registered Mail, Priority Mail International®, or Priority Mail Expressservice must be retained until the claim is resolved. Commercial customers will need the electronic manifest or hard copy PS Form 3877. Please retain a copy for your records.

2.Proof of value, such as a sales receipt (if applicable), invoice or bill of sale, or statement of costs for reconstruction of Priority Mail Express service documents. For online transactions, a copy of the canceled check, money order, credit card billing statement and the itemized email receipt or a final and itemized transaction receipt. If paid through an Internet account, an itemized transaction sheet indicating the amount deducted and the details of the transaction, including names, date, item(s) description, etc. Proof of value may be provided by either the mailer or addressee. Please retain a copy for your records.

3.Claims for damaged or missing contents:

a.See respective Domestic Claims and International Claim sections above.

b.Attach an estimate of repair costs from a reputable dealer for items to be repaired.

NOTE: If you are the addressee, do not return or remail any damaged items.

Time Limits for Filing Claims and Inquiries

Important: Read this information about time limits before filing a claim or inquiry.

Damaged or Missing Contents is defined as any mailing that has been received but some or all of the contents are damaged or missing. A Lost Article is defined as any mailing that has not been received and has not been returned to the sender.

Damaged

Domestic Services

International Services

or

 

 

 

 

You should file all claims for damaged or missing contents immediately, but

You must file all claims for damaged or missing

Missing

Contents

you must file no later than 60 days from the date of mailing.

contents immediately.

 

 

 

Types of Service

When to File (from mailing date)

 

No Sooner Than

No Later Than

 

 

 

 

 

 

 

 

 

DOMESTIC SERVICES

 

 

 

 

Insured Mail, includes Priority Mail®

21 Days

180

Days

 

COD

45 Days

180 Days

 

Registered Mail

15 Days

180

Days

 

Registered Mail COD

45 Days

180

Days

Lost

Priority Mail Express

7 Days

90

Days

Articles

Priority Mail Express COD

45 Days

90

Days

 

APO/FPO Insured First-Class Mail®, space available (SAM), or parcel airlift (PAL)

45 Days

1 Year

 

APO/FPO Insured (Surface Mail)

75 Days

1 Year

 

INTERNATIONAL SERVICES

 

 

 

 

Global Express Guaranteed®

3 Days1

30

Days

 

Priority Mail Express International

3 Days2

90

Days

 

Priority Mail Express International with guarantee

3 Days1

30 Days3

 

Registered Mail and Priority Mail® International parcels

7 Days

6 Months

1No sooner than 3 days or the guaranteed date of delivery

2No sooner than 3 days or the estimated date of delivery

330 days to submit an inquiry for delayed delivery; 90 days to submit an inquiry for lost articles, damage or missing contents

 

 

If you need more information, go to our website at www.usps.com. To check the status of your claim, call toll free 1-866-974-2733.

Privacy Act Statement: Your information will be used to respond to inquiries related to domestic or international claims or Registered Mail inquiries. Collection is authorized by 39 U.S.C. 401, 403, 404, 407, 411; and 31 U.S.C. 7701. Providing the information is voluntary, but if not provided, we may not process your request. 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 or in legal proceedings; and to contractors and other entities aiding us to fulfill the service (service providers). For more information regarding our privacy policies visit www.usps.com/privacypolicy.

PS Form 1000, July 2013 (Page 2 of 2) PSN 7530-02-000-9931

How to Edit USPS Domestic Claim Form Online for Free

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usps claim form pdf empty fields to consider

Add the requested particulars in the Address Suite Apartment Number, Address Suite Apartment Number, City, City, State Province As applicable, ZIP or Postal Code, State, Province As applicable, ZIP or Postal Code, Urbanization Puerto Rico only or, Telephone Number Optional Include, Urbanization Puerto Rico only or, Telephone Number Optional Include, Email Address Optional, and Email Address Optional section.

usps claim form pdf Address  Suite  Apartment Number, Address  Suite  Apartment Number, City, City, State Province As applicable, ZIP or Postal Code, State, Province As applicable, ZIP or Postal Code, Urbanization Puerto Rico only or, Telephone Number Optional Include, Urbanization Puerto Rico only or, Telephone Number Optional Include, Email Address Optional, and Email Address Optional fields to complete

You need to write particular data in the area Add extra pages as needed, Fees Paid, Weight, Payment, Supporting Documents, Total Amount Claimed for Items, Postage Insurance Registered, Total weight of shipment lb oz, Pay the Mailer, Pay the Addressee, In some cases payment may be, Read WHAT YOU NEED on page for, Yes Yes, No No, and I certify that all information.

step 3 to entering details in usps claim form pdf

The Types of Service, When to File from mailing date, No Sooner Than, No Later Than, Lost Articles, DOMESTIC SERVICES Insured Mail, Days Days Days Days Days, Days Days Days Days, Days Days Days Days Days, Days Days Days Months, and No sooner than days or the section could be used to indicate the rights and obligations of each side.

Filling out usps claim form pdf stage 4

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