Federal Agency Stamp Requisition
PS Form 17-G, January 2019 PSN 7530-01-000-9499
Instructions
Use and approval
Only federal agencies that have an Official Mail account can use this form. To
order, you must get approval from your agency’s mail manager.
Minimum order
You must order a minimum of $40 per order. Coils of stamps will be added to
orders less than $40 to satisfy the minimum dollar amount.
Available quantities
Stamps are available in the following multiples:
Panes of 10
Panes of 20
Books of 20
Coils of 100
If you need other stamp denominations, send an email to:
OMAS.Stamp.Info@usps.gov.
How to order
1. In the Ordered By section, enter (a) your name and title; (b) your mailing address
at the agency; (c) your telephone number with area code (e.g., XXX-XXX-XXXX),
(d) your email address (e.g., johnsmith@federalagency.gov), (e) the name of your
federal agency (f) the 2-digit month and day and 4-digit year of the date of the
order and (g) the agency code and agency cost code (both are special codes
you get from your agency’s mail manager). Sign the form on the Signature line.
2. In the Stamps, Coil Stamps, and Stamped Envelopes sections, multiply the
quantity of panes, books, coils, or boxes by the unit price and enter the total
dollars and cents in the Amount column. Add the amounts in the Amount column
for each section and enter the total dollars and cents in total purchase block for
each section (e.g., Total Stamps Purchase, Total Coil Stamps Purchase, and Total
Stamped Envelope Purchase).
3. In the Requisition Total block, enter the combined total purchase amounts for all
three sections in dollars and cents.
4. In the Shipping Label section, type or clearly print the name, office, and
complete mailing address of the individual to receive the stamp order. Make sure
the information is accurate because this is your shipping label.
5. Keep a copy of the form for your records.
6. Send the form using one of the following methods:
FAX: 816-545-1201
EMAIL: OMAS-stamporders@usps.gov
MAIL:
STAMP FULFILLMENT SERVICES – ORDER ENTRY
8300 NE UNDERGROUND DR
PILLAR 210
KANSAS CITY MO 64144-9998
Ordered By
Name and Title
Street Address
City, State, ZIP+4
®
Telephone Number (Include area code)
— —
E-mail Address
Federal Agency
Date of Order Agency Code Agency Cost Code
—— ——
————
Month Day Year
Signature
Stamps
Description/
Denomination
Quantity of
Panes or
Books
X
Unit
Price
= Amount
1¢
Pane of 20
X 20¢ =
2¢
Pane of 20
X 40¢ =
3¢
Pane of 20
X 60¢ =
10¢
Pane of 20
X
$2.00
=
Additional ounce (15¢)
Pane of 20
X $3.00 =
Postcard rate (35¢)
Pane of 20
X $7.00 =
$1.00
Pane of 10
X $10.00 =
$5.00
Pane of 10
X $50.00 =
55¢
Book of 20 (Forever)
X $11.00 =
Total Stamps Purchase
Coil Stamps
Description/
Denomination
Quantity
of Coils
X Price = Amount
Additional ounce (15¢)
Coil of 100
X $15.00 =
Postcard rate (35¢)
Coil of 100
X $35.00 =
55¢
Coil of 100
FCM (Forever)
X $55.00 =
Total Coil Stamp Purchase
Stamped Envelopes
Description
Quantity
of Boxes
X Price = Amount
#10 Regular Envelope
Pack of five
X $3.45 =
#10 Regular Envelope
Box of 500
X $295.45 =
Total Stamped Envelope Purchase
Delivery Fee
Stamp Delivery Fee
Price = Amount
For orders $40.00 to $50.00 $1.30 =
For orders $50.01 or more $1.80 =
Requisition Total $
Shipping Label (Print clearly)
Name and Title
Office/Unit
Street Address
City
State Zip+4
click to sign
signature
click to edit
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