Usps Form 3587 – Fill Out and Use This PDF

Name and Address of Individual or Organization

Telephone

Name and Address of Mailing Agent (If other than

Telephone

Mailer

for Which Mailing is Prepared

mailer)

Customer Registration I.D. (CRID) ________________

Customer Registration I.D. (CRID) ________________

Post Office of Mailing

Processing Category

Mailer's Mailing Date

Total # of Bundles

Total # of Pieces per Bundle

EDDM Flats

Type of Postage

Delivery Type

Weight of a Single Piece

Every Door Direct Mail Barcode

Mailing

EDDM Retail Indicia

__ . __ ounces

Max Weight 3.3 ounces

Metered

Route Type(s)

Incentive/Discount Claimed

Meter Strip

Entry

Price Category

Price

Subtotal

Incentive/Discount

Status

No. of Pieces

Amount

Total Postage

Postage

Affix Meter Strip Here

The mailer's signature certifies acceptance of liability for and agreement to pay any revenue deficiencies assessed on this mailing,

subject to appeal. If an agent signs this form, the agent certifies that he or she is authorized to sign on behalf of the mailer and that

the mailer is bound by the certification and agrees to pay any deficiencies. In addition, agents may be liable for any deficiencies

Certification

resulting from matters within their responsibility, knowledge, or control. The mailer hereby certifies that all information furnished on

this form is accurate, truthful, and complete; that the mail and the supporting documentation comply with all postal standards and the

mailing qualifies for the prices and fees claimed; and that the mailing does not contain any matter prohibited by law or postal

regulation. I understand that anyone who furnishes false or misleading information on this form or who omits information requested

on this form may be subject to criminal and/or civil penalties, including fines and imprisonment.

Privacy Notice: For information regarding our Privacy policy visit www.usps.com

Signature of Mailer or Agent

Printed Name of Mailer or Agent Signing Form

Telephone

Postmaster: Report Total Postage in AIC 207

Subtotal Postage

Incentive/Discount Amount

Acceptance

USPSUse Only

USPS UseOnly

Acceptance

Weight of a Single Piece

_____ . _____ ounces

Total Number of Pieces

Total Postage

USPS Acceptance Employee Signature

Round Date (Required)

Payment Date

USPS Acceptance Employee Printed Name

Number of Bundles

Any postage figures adjusted from mailer's entries? If yes, reason:

Yes

No

Round Date (Required)

OnlyUseUSPS

Verification Date

USPSUseOnly

Verification

I CERTIFY that this mailing has been inspected for

Verification

each item below if required:

Date Mailer Notified

Contact

(1) eligibility for postage prices claimed;

(2) proper preparation (and presort where required);

By (Initials)

Time

AM

(3) proper completion of postage statement.

PM

USPS Verification Employee Signature

Print USPS Verification Employee Printed Name