Ps Form 8076 - Authorization To Hold Mail - 2001

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3
We can hold your mail for a minimum of
,
Authorization to Hold Mail
30 days.
but not for more than
NOTE: Complete and give to your letter carrier or mail to the post office that delivers your mail.
Postmaster: Please hold mail for:
Name(s)
A.
Please deliver all accumulated mail and
resume normal delivery on the ending
date shown below.
Address (Number, street, apt./suite no., city, state, ZIP + 4)
B.
I will pick up all accumulated mail when I
return and understand that mail delivery
will not resume until I do.
Beginning Date
Ending Date (May only be changed by
Customer
the customer in writing)
Signature
For Post Office Use Only
Date Received
Clerk
Bin Number
Route Number
Carrier
(Complete this section only if customer selected option B)
Resume Delivery of Mail (Date)
By
Accumulated mail
has been picked up.
8076,
PS Form
April 2001

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