Usps Form 4240 PDF Details

The USPS 4240 form, a crucial document for the U.S. Postal Service, plays a vital role in the operations of rural carriers, providing a structured method to report and verify their daily and weekly work hours, including regular and overtime hours, as well as specific delivery data. By detailing the start and end points of a carrier's route, the number of deliveries made—including regular, central, and curb boxes, and stops—it offers a comprehensive snapshot of a carrier's workload and efficiency. Management uses these reports for verifying work hours and ensuring rural carriers are compensated correctly, especially considering the fluctuations in daily deliveries and the need for adjustments due to unexpected events or route changes. Instructions on the form guide both the carriers in filling out their delivery data and supervisors in completing their verification processes, making it an essential tool for the accurate recording of operational metrics and, crucially, for the adjustment of carriers' compensation when route evaluations change. This systematic recording and review process, outlined in the form, underscores its importance in maintaining the efficiency and reliability of postal delivery services in rural areas.

QuestionAnswer
Form NameUsps Form 4240
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namespostal form 4240, usps ps form 4240, ps form e4240, form ds 4240

Form Preview Example

U.S. Postal Service®

 

 

Post Office™, State and ZIP +4®

 

 

 

 

Guarantee Period

 

Pay Period(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rural Carrier Trip Report

 

 

 

 

 

 

 

 

From

 

Thru

No.

From

Thru

 

(See instructions for completing form on reverse)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Regular Carrier

 

 

 

Regular Relief Carrier

 

 

Total Work Hours

 

 

Regular Rural Carrier

 

Name

 

 

 

EIN

 

Name

 

 

EIN

 

Cumulative

 

 

Hours

Hundredths

 

 

 

 

 

 

 

 

 

 

 

Beginning of PP

 

 

 

 

Official Schedule of Carrier

 

 

 

 

Actual Number

 

 

 

 

 

 

 

Reports

Leaves

Returns

 

Ends

 

Regular Boxes Central Boxes Stops

Auth Dism Del

Families

Businesses

Current PP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

End of PP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Route No.

Length (Miles) Classification

 

 

Weekly Route

Weekly Hours

Daily Hours

Boxes Vacant Over

 

 

 

DELIVERY DATA

 

 

 

 

 

 

 

 

 

 

 

 

 

" L"

M

J

Aux

Standard Hrs./Mins.

(Evaluated)

(Evaluated)

90 Days

 

 

Residential

 

Business

 

Det

 

 

 

 

 

 

 

 

 

 

 

 

 

Non

H

K

 

 

 

 

 

 

 

 

 

Other

 

Other

Box/

 

 

" L"

 

 

 

 

 

 

Other

Curb NDCBU

 

 

 

 

Carrier's Daily Time Record*

Management Daily and Weekly Verifications

Central Other Curb NDCBU Central

NPU

 

 

 

 

 

 

(Exact hour and minutes)

 

 

 

TotalActual

 

Regular

Relief

 

 

 

 

 

Day

Rptd.

Left

Rtnd.

Comp.

 

Lunch

Daily Hours

 

Initials of

 

REMARKS

 

 

 

and

 

Daily

Carrier

Carrier

Manager

 

 

 

of

 

Date

at

Office

to

Work

 

Period

Hundredths

Weekly

Weekly

 

(Explain any failure to serve the entire route; include miles actually

 

Week

Post

to Serve

Post

at Post

 

Actual

 

(Less Lunch)

Overtime

Work

Work

Verifying

 

served.Also, state cause for any deviation from schedule. If regular

 

 

 

 

 

Office

Route

Office

Office

 

Time

Regular

 

Relief

 

Hours

Hours

Entries

 

carrier was absent, give name of relief. If more space is needed, use

 

 

 

( 1 )

( 2 )

( 3 )

( 4 )

( 5 )

 

( 6 )

 

( 7 )

 

( 8 )

( 9 )

( 10 )

( 11 )

( 12 )

 

reverse of this form.)

 

 

 

 

Sat.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mon.

 

 

 

 

 

 

 

 

 

 

 

Weekly Overtime

 

 

 

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tues.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Week

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wed.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thur.

 

 

 

 

 

 

 

 

 

 

 

Week 1

Week 1

 

 

 

 

P/P

 

 

Fri.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sat.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mon.

 

 

 

 

 

 

 

 

 

 

 

Weekly Overtime

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tues.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Week

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wed.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thur.

 

 

 

 

 

 

 

 

 

 

 

Week 2

Week 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fri.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sat.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

Mon.

 

 

 

 

 

 

 

 

 

 

 

Weekly Overtime

 

 

 

 

 

Week

 

Tues.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wed.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thur.

 

 

 

 

 

 

 

 

 

 

 

Week 1

Week 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P/P

 

 

Fri.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sat.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

Mon.

 

 

 

 

 

 

 

 

 

 

 

Weekly Overtime

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Week

 

Tues.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wed.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thur.

 

 

 

 

 

 

 

 

 

 

 

Week 2

Week 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fri.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I certify that this report is correct, and that entries have been made promptly daily.

 

 

 

I certify that all entries have been completed and verified.

 

Carrier's Signature

 

 

 

 

Date (MM/DD/YYYY)

 

Postmaster or Designated Supervisor's Signature

Date (MM/DD/YYYY)

 

 

 

 

 

 

 

 

 

 

 

 

 

PS Form 4240, February 2009 (Page 1 of 2)

PSN 7530-02-000-9206

 

 

 

 

 

 

 

 

 

 

INSTRUCTIONS

All entries shall be in ink. Complete one copy and retain at Post Office™.

Postmaster or Designated Supervisor shall:

Complete all information blocks on the upper portion of the form.

Complete Columns 7-12 on a daily or weekly basis, as appropriate.

See that the carrier makes appropriate entries for each delivery trip in columns 1-6 and the REMARKS column.

Determine total actual daily workhours and minutes and, using USPS® Notice 30, Conversion Table, or facsimile, convert this time to hours and hundreths and enter the time in Columns 7-8. Entries in Columns 9-11 must also be shown in hours and hundreths.

Record the CUMULATIVE TOTALS for actual hours worked by the regular carrier for the 52-week guarantee period (as specified in the Agreement), and not on the basis of calendar or fiscal year.

Record daily overtime for all actual time worked in excess of 12 hours a day or 8 hours a day, whichever is appropriate (National Agreement). Authorized overtime hours worked during prescribed Christmas period shall be identified by circling the entry

in column 9.

Record weekly overtime for all hours and hundreths worked in excess of 56 or 40 in a week, whichever is appropriate (National Agreement), in the open blocks in Columns 10 and 11.

Enter A/L, S/L, etc., in Column 7 when the regular carrier is on annual leave, sick leave, etc., enter hours worked each day by the relief carrier in Column 8.

Submit amended PS Form 4003 if unnecessary travel can be eliminated or when otherwise required.

During the pay period, if a sufficient number of boxes are added to or subtracted from the route to trigger a change in the route's evaluation, adjust the carrier's compensation as required in Article 9 2.C.10.

Close out the PS Form 4240 and begin a new sheet of the Guarantee Period.

Carrier Shall:

Make daily entries in Columns 1-6 and the REMARKS column.

If additional space is required for REMARKS, use the ADDITIONAL INFORMATION space below; precede remarks by date(s) where appropriate.

Record information regarding the changes (increase or decrease) in the number of boxes, stops, families, official route miles, etc., in the space below as the changes occur.

Names of Post Offices Supplied by Locked Pouch:

1.

4.

7.

2.

5.

8.

3.

6.

9.

 

 

 

Use this information to update "DELIVERY DATA" when the next PS Form 4240 is prepared.

 

 

Box #, Street Address,

 

Residential

 

 

Business

 

 

 

 

 

 

 

 

Boxes/Stops

Apt./Suite # and

 

 

Other

 

 

Date

(+) or (-)

Other

Curb NDCBU

Other

Curb NDCBU

Customer's Name

Central

 

 

 

 

 

 

Other Central

Det

Box/

NPU

Additional Information:

PS Form 4240,February 2009 (Reverse)