PS Form 3623 PDF Details

Part 1 is for completion by applicant. Part 2 is for completion by postmaster at Non-PostalOne! Post Office when application filed.

Item 1: the organization name in item 1 must match the name of the authorized organization exactly.

Item 3: the applicant named in item 3 must be an authorized official of the organization completing this form.

Submit to: submit the completed request to the postmaster at the Post Office outside the PostalOne! system.

Issued to: confirmation will be issued only to the organization holding the original authorization or that has applied for authorization.

Postmaster: be sure that the applicant has completed items 1 to 10 in Part 1.

QuestionAnswer
Form NamePS Form 3623
Form Length1 page
Fillable?Yes
Fillable fields10
Avg. time to fill out2 min
EditionJanuary 2017
Where to sendThe postmaster at the Post Office outside the PostalOne! system where confirmation is needed
Other namesPS Form 3623, 3623, USPS 3623, Request for Confirmation of Authorization
Official sourcePS Form 3623 (Rev January 2017), USPS