TERMS OF SERVICE
The terms of service are defined exclusively by postal regulations.
You may not use PO Box service just to avoid paying forwarding
charges or for any purpose prohibited by law or Postal Service
regulations. We will immediately terminate PO Box service if used
for any unlawful purpose. PO Box service may be provided to minors
(unless parents or guardians submit a written objection to the
postmaster).
UPDATING YOUR INFORMATION
The information on your PS Form 1093 must always be current.
As soon as any information changes (such as your street address,
telephone number, or email address), you are responsible for updating
the information. Failure to update your information may result in
termination of service. We keep the form on file at the Post Office
where you use the service.
ACCUMULATED MAIL
We encourage you to empty your box regularly. You can make a
special arrangement with the postmaster if you are not able to pick
up your mail. Complete PS Form 8076, Authorization to Hold Mail, or
create your request online at usps.com, and we’ll take care of it. Hold
Mail orders are good for only 30 days. If the volume of your incoming
mail repeatedly exceeds the capacity of the box you are using, we
may require that you use Business Pickup (Caller) Service, change to
a larger box (and pay the applicable fees), or apply for one or more
additional boxes. Your service may also be suspended. You may also
request Premium Forwarding Service
®
to have your mail shipped
to you by Priority Mail
®
service once a week for a small fee.
CHANGE OF ADDRESS
If you choose to discontinue your PO Box service, please complete
a change of address form found in the Mover’s Guide
®
available
by request from our retail associates or on our website at
www.usps.com/moversguide. If you use the change of address form,
give it to a retail associate or your letter carrier. You may also mail the
form to your Post Office. File change of address orders as follows:
No-Fee PO Boxes: The PO Box customer or any other person listed
on the PS Form 1093 may file an individual change of address order.
Only the box customer may file a change of address order for an
entire family.
All other PO Boxes: Only the box customer who signs the
PS Form 1093 may file change of address orders. Forwarding of mail
for other persons receiving mail at the box is the responsibility of the
box customer.
PO BOX KEYS
Two keys are issued for key-type PO Boxes. An access code is
provided for combination lock-type PO Boxes. At most locations, a
refundable deposit is required for each key. If needed, you can obtain
additional keys (and pay the applicable fee and deposit). Whenever
your box service terminates, return all keys to the Postal Service for a
refund of the deposit. Customers must not duplicate PO Box keys.
PO BOX REFUNDS
Once you have begun using your PO Box, you may request a refund
at the Post Office where your box is located. Fees are refunded as
follows:
3-Month Payments (automatic renewal required):
No refunds
6-Month Payments:
Within the first 3 months – ½ the fee paid
After 3 months – no refunds
12-Month Payments:
Within the first 3 months – ¾ the fee paid
Within the first 6 months – ½ the fee paid
Within the first 9 months – ¼ the fee paid
After 9 months – no refunds
BOX SERVICE ADDRESS
We deliver to your PO Box address as printed on your mail, so be
sure to provide correct and current address information to your
correspondents.
Your PO Box number should appear on a separate line, followed by
the Post Office’s city, state, and ZIP+4
®
. When we assign your box
number, we will provide the corresponding ZIP+4 code.
For Official Use: Completed by the Postal Service
YOUR NEW BOX NUMBER IS
CITY
STATE
YOUR ZIP+4
®
IS
–
HOW TO USE THE COMBINATION LOCK
1. Clear the dial by turning RIGHT three times and stop on _______
2. Turn LEFT and stop the second time around on _______
3. Turn RIGHT and stop on _______
4. Turn the latch key LEFT to open
PS Form 1093, January 2012 (Page 2 of 4) 7530-02-000-7165. See our Privacy Act Statement on page 4 of this form.
❑ ❑
Box Number(s) __________________________
Application for Post Office Box
™
Service
Fill out all non-shaded fields, and take this application to the Post Office
™
.
1. This service is for (Required selection): Business/Organization Use Residential/Personal Use
2. Name of Business/Organization (if applicable):
3. Name of Person Applying (Last, First, MI — include title if representing a business/organization):
4. Address: Number, Street, Suite ____________________________________________________________________________________
___________________________________________________________________________________________________________
City _____________________________________________________________ State __________ ZIP+4® ______________________
Verify initials
5. Telephone Number (Include Area Code)
6. Email Address
7. Box Size(s) (Required) See page 1 for details ❑ Size 1 ❑ Size 2 ❑ Size 3 ❑ Size 4 ❑ Size 5
8. Applicant must select and enter the ID Number for two items of valid identification listed below. You must present the IDs at a Post Office. One item must contain a
photograph and one must be traceable to the bearer (prove your physical address). Both must be current.
Select one photo ID:
Valid driver’s license or state non-driver’s ID card
Armed forces, government, university, or recognized corporate ID
Passport, passport card, alien registration card, or certificate of naturalization
Select one non-photo ID:
Current lease, mortgage, or deed of trust ❑ ❑
❑ ❑ Voter or vehicle registration card
❑ ❑ Home or vehicle insurance policy
Photo ID Number: _________________________________ Non-Photo ID Number: ________________________________
Verify initials (For Post Office Use Only) _____________
9. On the back of this form, list the name(s) of all individuals, including members of a business, who will be receiving mail at this (these) PO Box number(s).
10. On the back of this form, list the names of the persons or representatives of the business/organization authorized to pick up mail addressed to this (these)
PO Box number(s).
Optional Automatic Renewal Payment — Terms and Agreement (Required for 3-month payment option)
By initialing below and establishing automatic renewal paym ents at a Post Office, I hereby authorize the U. S. Postal Service
®
(USPS
®
) to charge my cred it card for the amo unt of my
designated box si ze per USPS pricing on the scheduled interval I have selected (i .e., 3, 6, or 12 months). This ch arge could appear on my credit card statement as early as the 15th of
the month prior to the due date. If I provided my email address, I understand that I will receive email notification at least 10 days prior to the actual credit card charge. I will also receive
a payment due notic e in my PO Box befo re the payment due date. I understand that I may cance l the automatic payment option any time after the initial applicatio n/payment pro cess is
complete during the business hours a t the Post Office where my box is located. If I do not cancel by the 14th of the month prior to the next payment due date, I understand that the payment
will be charged to my credit card. I understand that if the payment cannot be transacted due t o incorrect or obsolete payment inform ation or the transaction would excee d the credit limit
of the account, or the bank or credit c ard company rejec ts/returns the payment request, my PO Box may be closed and any mail received a fter closure would be r eturned to the sender. If
my PO Box is closed for nonpayment, I understand that I coul d be charged a late payment fee to r eactivate my PO Box service. If there are any changes to my cre dit card number, billing
address, or expira tion date, I agree to notify the Post Office w here my box is located of these chan ges. I underst and that this a greement will remain in effect until I or USPS terminates the
PO Box service. The USPS may receive updated credit card account information from the institution th at issued the card identified for pay ment. If I dec ide to close my PO Box, I must visit
the Post O ffice where my box i s located during business hours. (See the PO Box refund policy for information on refunds.) The USPS may terminate my participation under this automatic
payment agreement in the event I pro vide incorrect, false, or fraudule nt account information or if I hav e any returned pa yment items.
Customer Initials _______
Number, Street, Suite ____________________________________________________________________________________________________________
City __________________________________________________________________________ __________
__________________________
Application Date
Billing Address (if different from address in 4 above):
State ZIP+4
®
Customer Eligible for No-Fee Service
Yes No
(Same as item 3) I certify that all information furnished on this form is accurate,
truthful, and complete. I understand that anyone who furnishes false or misleading information on this form
or omits information requested on this form may be subject to criminal and/or civil penalties, including
fines and imprisonment.
Number of Keys
Issued
_______________ ❑ ❑
_______________________________________________________________________________________________
Signature of Applicant
PS Form 1093, January 2012 (Page 3 of 4) 7530-02-000-7165. See our Privacy Act Statement on page 4 of this form.
Post Office Date Stamp
