PS Form 3811-A, April 2015 PSN 7530-02-000-9054
Request for Delivery Information/
Return Receipt
Note: This PS Form 3811-A serves to provide delivery information for a hardcopy return receipt (PS Form 3811) that was not received by the customer.
It is not for use with items sent with Signature Conrmation™ Restricted Delivery, Adult Signature, or insurance for more than $500.
Instructions for Use
Accepting Office
1. Internal Use Only. Help the customer complete Section 2 of this form and carefully compare it to the customer’s receipt. Ensure that the date on the
customer’s receipt is not more than 90 days old — the Postal Service can process this request only if the customer submits it within 90 days from the
date on the mailing receipt. If the customer meets these requirements, complete the shaded portions in Section 1.
2. Select ONE of the following two options:
A. If the item was mailed to an ofce using a product tracking system (all ofces in the U.S., including Alaska, Puerto Rico, and the Virgin Islands),
choose one of the following two options:
If your ofce has intranet access, use the intranet to generate the request via e-mail. If e-mail is not provided in Section 2, item D., manually
complete Section 3 and mail to the customer.
If your ofce does not have intranet access, send this entire form, with Sections 1 and 2 completed, to a designated inquiry location.
If the electronic record is available, the ofce (either the accepting ofce with intranet access, or the designated inquiry location) requests the
record electronically and discards this form. If the electronic record is not found, the ofce manually completes Section 3 and mails the bottom
portion of this form to the customer.
B. If the item was mailed to an ofce using manual record management (refer to Postal Operations Manual, Section 619 for full listing), send this
entire form, with Sections 1 and 2 completed, to the delivery ofce.
Delivery Office - Use Only for Manually Filed Delivery Record Inquiries (2B checked above)
1. If the form is not postmarked to show that the fee was paid at the time of the mailing, return this form to the accepting ofce.
2. Complete the items in Section 3 below. Enter the delivery information or indicate the reason for no information.
3. After completion, detach and insert the bottom portion of this document in an envelope addressed to the customer and deposit it in the mailstream.
Discard the remaining portion.
SECTION 1
Acceptance/Delivery Office/Manual Inquiries: Detach at dotted line and return bottom
portion to customer when the inquiry is resolved. Discard remainder of form.
Electronic Inquiries: Generate request from intranet
and discard the entire form if record is found.
SECTION 2
A. TYPE OF SERVICE C. ARTICLE INFORMATION
Certied Mail™ Priority Mail Express
®
Collect on Delivery Registered Mail™
USPS Tracking Number
Mailing Date (mm/dd/yy)
B. ARTICLE ADDRESSED TO D. CUSTOMER
Addressee Name Customer Name
Addressee Address Customer Address
E-mail address (Complete ONLY if an electronic inquiry)
SECTION 3
For Accepting or Delivery Office Use Only
Postal Service™ records show no delivery
information because:
Record not found
Forwarded (date ___________________)
Returned (date ____________________)
Delivered to the following individual, company or organization Delivery Office Postmark
Delivery Address (if different from address in section 2B)
Delivery Date
Accepting Ofce City/State/ZIP Code™:
Accepting Ofce: Add a postmark to this PS Form 3811-A if the customer
meets the following requirements:
Provides a receipt showing that the Return Receipt fee was paid at the
time of mailing.
Submits this request within 90 days from the date on the mailing receipt.
(No., street, apt./ste. no.)
(No., street, apt./ste. no.)
(City, state, ZIP Code)
(City, state, ZIP Code)
Postmark
