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HOW TO APPLY FOR A PO BOX (US Postal Service)

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HOW TO APPLY FOR A PO BOX
Many people have discovered that Post Ofce Box
™
service is a safe,
convenient way to receive their mail. Learn all about PO Box
™
service
on the rst two pages of this form. Then, decide whether to apply
online or at a Post Ofce
™
.
SELECT A PO BOX SIZE
Across the U.S., Postal Service
™
PO Boxes are available in ve sizes.
However, not all Post Ofce locations have every size. Be sure to
select the right size for your mail volume and schedule.
Our smallest box (Size 1) ts 10–15 letter-sized envelopes or up to
two rolled magazines. Start with a Size 2 box if you receive more than
15 mailpieces a week. Size 3, 4, or 5 is recommended if you receive
magazines and catalogs.
Size 1:
3" X 5.5"
Size 4:
11" X 11"
Size 2:
5" X 5.5"
Size 3:
11" X 5.5"
Size 5:
22.5" X 12"
It’s easy to nd a box that’s right for you. Find an available PO Box by
going to www.usps.com/poboxes.
If you need more room than our largest box provides, ask at your local
Post Ofce about Business Mail Pickup (Caller) Service.
FEES
To nd a PO Box in your area and get fee information, visit
www.usps.com/poboxes. You may pay your initial PO Box fees online
or at the Post Ofce where the PO Box is located.
THERE ARE TWO SIMPLE WAYS TO APPLY
Apply online: Complete the online application at
www.usps.com/poboxes and make your rst payment with a credit
or debit card. (Online registration is not available for Business Mail
Pickup (Caller) Service or Qualifying No-Fee box customers.)
Apply at a Post Ofce: Complete pages 3 and 4 and take this
whole form to a Post Ofce most convenient for you. Once we verify
your information and receive your payment, we will provide your
POBox address and begin your service.
ID REQUIRED
Whether you apply online or at a Post Ofce, two valid forms of
identication (one photo and one non-photo) are required when
you obtain your keys or combination at the Post Ofce where your
box is located. You must present the IDs at a Post Ofce. One item
must contain a photograph and one must be traceable to the bearer
(prove your physical address). Both must be current. Acceptable
forms of ID include:
Photo ID Options:
■ Valid U.S. driver’s license or state non-driver’s identication card
■ U.S. Armed forces, government, university, or recognized
corporate employee identication card
■ Passport, passport card, alien registration card, or certicate of
naturalization
■ NEXUS or Matricula Consular card.
Non-Photo ID Options:
■ Current lease, mortgage, or deed of trust
■ Voter or vehicle registration card
■ Home or vehicle insurance policy
Note: Social Security cards, credit cards, and birth certicates are
not acceptable forms of ID.
RENEWAL PAYMENTS
Renewal payments are due the last day of the month your service
period ends. If your payment is late, you will not be able to access
the mail in your box. After 10 days of nonpayment, we remove the
mail, treat it as undeliverable, and close your box. You may also
incur a late payment fee. Note that closed POBoxes are available
for new customers immediately, so late payment can lead to loss of
your PO Box address. You may renew your PO Box online, at a Post
Ofce, by mail, or a Self-Service Kiosk (SSK). It is your responsibility
to pay your renewal fee on time. Convenient payment options are:
Pay online: Use a current valid credit or debit card to make a
one-time payment or set up automatic renewal payments at
www.usps.com/poboxes.
Pay in person: Pay at the Post Ofce where your PO Box is located
using cash, check, credit card, or debit card, or set up automatic
renewal payments (available at most Post Ofces). Automatic
renewal payment is required for 3-month payment option.
Pay at any SSK: Find an SSK at www.usps.com/locator or by
downloading the mobile application at www.usps.com/mobile.
PS Form 1093, August 2019 (Page 1 of 4) PSN 7530-02-000-7165. See our Privacy Act Statement on page 4 of this form.
Pay by mail: Send a check or money order along with the PO Box
number (payable to “U.S. Postal Service”) to the postmaster, city,
state, and ZIP Code
™
where your POBox is located. Payments by mail
must be received by the due date. (Do not send cash by mail.)
TERMS OF SERVICE
The terms of service are dened 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 le at the Post Ofce
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 (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 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 Ofce. 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 le an individual change of address order.
Only the box customer may le a change of address order for an
entire family.
All other PO Boxes: Only the box customer who signs the
PSForm1093 may le 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Ofce where your box is located. Fees are refunded as
follows:
3-Month Payments (automatic renewal required):
No refunds
6-Month Payments:
Within the rst 3 months – ½ the fee paid
After 3 months – no refunds
12-Month Payments:
Within the rst 3 months – ¾ the fee paid
Within the rst 6 months – ½ the fee paid
Within the rst 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 Ofce’s city, state, and ZIP+4
®
. When we assign your box
number, we will provide the corresponding ZIP+4 code.
For Ofcial 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, August 2019 (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 Ofce Box
™
Service
Fill out all non-shaded elds, and take this application to the Post Ofce
™
.
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 separate forms of valid identication listed below. You must present the IDs at a Post Ofce. 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: Select one non-photo ID:
❑ Valid U.S. driver’s license or state non-driver’s ID card ❑ Current lease, mortgage, or deed of trust
❑ U.S. Armed forces, government, university, or recognized corporate employee ID ❑ Voter or vehicle registration card
❑ Passport, passport card, alien registration card, or certicate of naturalization ❑ Home or vehicle insurance policy
❑ NEXUS or Matricular Consular card
Photo ID Number: _________________________________ Non-Photo ID Number: ________________________________
Verify initials (For Post Ofce 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 payments at a Post Ofce, I hereby authorize the U.S. Postal Service
®
(USPS
®
) to charge my credit card for the amount of my designated box size per USPS
pricing on the scheduled interval I have selected (i.e., 3, 6, or 12 months). This charge 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 notication at least 10 days prior to the actual credit card charge. I will also receive a payment due notice in my PO Box before the payment due date. I understand
that I may cancel the automatic payment option any time after the initial application/payment process is complete during the business hours at the Post Ofce 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 to incorrect or obsolete payment
information or the transaction would exceed the credit limit of the account, or the bank or credit card company rejects/returns the payment request, my PO Box may be closed and any mail received after closure
would be returned to the sender. If my PO Box is closed for nonpayment, I understand that I could be charged a late payment fee to reactivate my PO Box service. If there are any changes to my credit card number,
billing address, or expiration date, I agree to notify the Post Ofce where my box is located of these changes. I understand that this agreement 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 that issued the card identied for payment. If I decide to close my PO Box, I must visit the Post Ofce where my box is 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 provide incorrect, false, or fraudulent
account information or if I have any returned payment items.
Customer Initials _______ Billing Address (if different from address in 4 above):
Number, Street, Suite ____________________________________________________________________________________________________________
City __________________________________________________________________________ State __________ ZIP+4
®
__________________________
Application Date Number of Keys
Issued
_______________
Customer Eligible for No-Fee Service
❑ Yes ❑ No
Post Ofce Date Stamp
Signature of Applicant (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
nes and imprisonment.
_______________________________________________________________________________________________
PS Form 1093, August 2019 (Page 3 of 4) 7530-02-000-7165. See our Privacy Act Statement on page 4 of this form.
Application for Post Ofce Box
™
Service
The Postal Service
™
may consider it valid evidence that a person is authorized to remove mail from the box if that person possesses a key or
combination to the box.
11. Names of individuals (including members of a business) who will be receiving
mail at this (these) PO Box number(s) are listed below.
a. Residential/Personal Use – Each adult listed must present two forms of
valid identication to the Post Ofce.
b. Business/Organization Use – Each person listed must, upon request,
present two forms of valid identication to the Post Ofce.
A parent or guardian may receive the mail of minors by listing their names (no ID
is required).
12. Persons or representatives of the business/organization who are authorized
to pick up mail addressed to this (these) PO Box number(s) are listed below.
All names listed must have veriable ID and upon request, present this
identication to the Postal Service.
Verify initials (for Post Ofce Use Only)_________ Verify initials (for Post Ofce Use Only)________
©
2019 United States Postal Service
®
. All Rights Reserved. The Eagle Logo, PO Box and Your Other Address are some of the many trademarks of the U.S. Postal
Service
®
.
PS Form 1093, August 2019 (Page 4 of 4) PSN 7530-02-000-7165
Privacy Act Statement: Your information will be used to provide Post Ofce Box™ service. Collection
is authorized by 39 U.S.C. 401, 403, 404, 407, and 411; 22 U.S.C. 214: 31 U.S.C. 7701.
Supplying your information is voluntary, but if not provided, we may not be able to provide this service to
you. We do not disclose your information to third parties without your consent, except to act on your behalf
or request, or as legally required. This includes the following limited circumstances: to a congressional
ofce on your behalf; to agencies and entities to facilitate or resolve nancial transactions; to a U.S. Postal
Service® auditor; for law enforcement purposes, to labor organizations as required by applicable law;
incident to legal proceedings involving the Postal Service; to government agencies in connection with
decisions as necessary; to agents or contractors when necessary to fulll a business function or provide
products and services to customers; for customer service purposes; to a federal, state, or local government
agency for the performance of its duties; to a person empowered to serve legal process; and to a foreign
government agency for violations and alleged violations of law. Information concerning an individual box
holder who has led a protective court order with the postmaster will not be disclosed except pursuant to
court order. For more information regarding our privacy policies visit www.usps.com/privacypolicy.
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HOW TO APPLY FOR A PO BOX (US Postal Service)

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Completed 25 March 2021

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