Domestic Claim or Registered Mail Inquiry

Despite our best efforts, mail is occasionally damaged or lost.

We are constantly improving the way we handle mail so that loss or damage will not occur.
WHAT YOU NEED TO FILE A CLAIM:

1. Your original mailing receipt for Insured, COD, Registered Mail™, Express Mail® service (original sales receipt from the USPS®
showing article number and insurance amount is acceptable if original mailing receipt is not available). Original mailing receipts for
Unnumbered Insured and Express Mail service must be surrendered at the time the claim is initiated.

2. Evidence of value, such as a sales receipt (if applicable), invoice or bill of sale, or statement of costs for reconstruction of Express
Mail service documents. Either the mailer or addressee may furnish evidence of value. For Internet purchases, a copy of the front
and the back of the canceled check, money order, or a copy of the credit card billing statement is required. If the purchase was
made using an Internet account, a final or complete transaction sheet indicating the amount deducted from the account is
required.

3. Proof of Damage and/or Estimate of Repair: For damage, loss, or partial loss of contents, the addressee must present the
following:
(a) The container, wrapping, packaging, and any contents that were received;
(b) The original mailing receipt, or other proof of mailing specified in paragraph 1, above;
(c) Evidence of value; and
(d) Estimate of repair (if applicable).
NOTE: Do not return the damaged parcel(s) to the mailer to file the claim. Either the addressee or the mailer may file claims for
damage or loss of contents.

4. Proof of Loss for Unnumbered Insured Mail Only: The mailer must present the following:
Written and signed documentation from the addressee (such as a letter), dated at least 21 days from the date of mailing,
stating the addressee did not receive the article.

5 .Completed Section A of claim form, PS Form 1000, Domestic Claim or Registered Mail™ Inquiry.
Enter the appropriate article code(s) in Section A4c on PS Form 1000:
01 Cash 05 Media: Music/Video 09 Sports Equipment 13 Firearms
02 Jewelry 06 Electronics 10 Liquor/Wine 14 Hazardous/Sexually Oriented Material
03 Clothing/Home Products 07 Computers 11 Animals 15 Other
04 Art/Crafts 08 Collectibles 12 Document Reconstruction/Event Tickets

TIME LIMITS FOR FILING CLAIMS

Claims for Damage or Partial Loss of Contents:

All claims for damage or loss of contents should be filed immediately, but no later than 60 days from the date of mailing.

Claims for Loss:

Type of Service Claim may not be filed until . . . . Claim must be filed by . . . .
Insured 21 days 180 days
COD 45 days 180 days
Registered Mail 15 days 180 days
Registered COD 45 days 180 days
Express Mail Service 7 days 90 days
Express Mail COD Service 45 days 90 days
APO/FPO Insured (First-Class Mail, SAM, PAL, or COD) 45 days 180 days
APO/FPO Insured (Surface mail) 75 days 180 days
.. . . . after date of mailing. . . . . from date of mailing.

If you need more information, ask for a copy of Publication 122, Customer Guide to Filing Domestic Claims or
Registered Mail Inquiry, or visit www.usps.com.
To check the status of your claim, call toll free 1-866-974-2733.

Privacy Statement: Your information will be used to process and respond to your indemnity claim or Registered Mail inquiry. Collection is
authorized by 39 USC 401, 403, and 404. Providing the information is voluntary, but if not provided, we may not process your transaction. We do
not disclose your information without your consent to third parties, except to facilitate the transaction (such as to the sender or addressee), to act
on your behalf or request, or as legally required. This includes the following limited circumstances: to a congressional office on your behalf, to
financial entities regarding financial transaction issues, to a USPS auditor, to entities, including law enforcement, as required by law or in legal
proceedings; and to contractors and other entities aiding us to fulfill the service (service providers). For more information on our privacy policies
see our privacy policy link on usps.com.

Please detach this page before submitting claim form.

PS Form 1000, March 2005 (7530-02-000-9931)
 Domestic Claim or Registered Mail™ Inquiry
(Type or print legibly with a black ink ball-point pen.)
A. Completed by Customer (Claims may be filed at any Post Office™, Station, or Branch)
1. Mailer Information 2. Addressee Information
a. First Name b. MI c. Last Name a. First Name b. MI c. Last Name

d. Business Name (Use only if the mailer is a company) d. Business Name (Use only if the addressee is a company)

e. Street Name 1 (No., st., ste./apt. no.) e. Street Name 1 (No., st., ste./apt. no.)

f. Street Name 2 (No., st., ste./apt. no.) f. Street Name 2 (No., st., ste./apt. no.)

g. City h. State i. ZIP + 4® g. City h. State i. ZIP + 4

j. Telephone No. j. Telephone No.

(Include area code) (Include area code)
3. Payment Assignment - Alternate Payment Address 4. Description of Lost or Damaged Article(s) - Add Extra Sheets as Needed
a. Who Is to Receive Payment? (Check one) a. c. Article
Item d. Value e. Purchase
b. Description of Article Code -
Mailer Addressee No. See Cover or Cost Date
b. Street Name 1 (If other than address above) (No., st., ste./apt. no.)
1

c. Street Name 2 (No., st., ste./apt. no.)

2

d. City e. State f. ZIP + 4

3

5. COD Amount to Be Remitted to Sender 6. Total Amount Claimed

(For business mailer COD claims only) $ for All Articles $
7. I hereby certify that all information furnished on this form is accurate, truthful, and complete. I understand that anyone who furnishes false or misleading
Certification and Signature information on this form, whether by including it or omitting it, may be subject to criminal and/or civil penalties, including fines and imprisonment.

a. Customer Submitting Claim: b. Signature of Customer Filing the Claim c. Date Signed (MM/DD/YYYY)

Mailer Addressee
B. Completed by Postal Employee Where Claim Is Filed
1a. Service Category (Check only one) 1b. If service category is Express
Mail Service Merchandise, COD
i. Numbered Insured Mail iv. Registered Mail w/o Insurance (Inquiry Only) vii. COD Mail or document reconstruction, was
ii. Unnumbered Insured Mail v. Express Mail® Service (Merchandise) viii. Registered COD Mail the service guarantee met?
iii. Registered Mail w/ Insurance vi. Express Mail Service (Document Reconstruction) ix. Express Mail COD Service Yes No
2. Postage Paid 3. Insurance Fee 4. Other Refundable Fees
$ $ $
5. Reason for Claim Category (Check only one)
a. Article Not Delivered c. Some Contents Delivered e. All Contents Damaged g. No COD Remittance Received
b. Container Only Delivered d. Some Contents Damaged f. Repair of Damaged Contents h. Delay of Express Mail Service
Containing Non-Negotiable Documents

6. If claim reason is for damage or loss of contents, was the wrapper/container/packaging and article presented? Yes No
If YES, indicate reason for damage (check one) and provide description on separate sheet.

a. Visible Damage b. Transported by Non-USPS® Carrier c. Damage Caused by USPS d. Damage not Caused by USPS
7. a. (Check one)
Location of Damaged Article(s) Post Office MRC Discarded by Post Office
(Enter city, state, ZIP + 4, and b. City c. State d. ZIP + 4 e. Telephone No. (Include area code)
telephone no.)

8. Mailing Receipt Presented? (Important: Unnumbered Insured and Express Mail service mailing receipts 9. Evidence of Value for Article(s) Presented? (Attach copy)
must be surrendered by the customer and retained in Post Office files)
Yes No Yes No
10. a. Mailing Receipt No. (Include all letters and numbers) b. ZIP + 4 Where Package Mailed

Proof of Insurance
Verification c. COD No. (COD claims only, include all letters and numbers) d. Mailing Date ((MM/DD/YYYY)

11. Local Adjudication 12f. Round Date Stamp

a. Approved (Enter money order no., date, and amount): of Accepting Office

M.O. No.: Date: Amount: $

b. Denied (Enter reason):

11c. Signature of Approval Authority 12a. Signature of Employee Accepting Claim 12b. Date (MM/DD/YYYY) 12c. ZIP + 4 of
Accepting Office

11d. Date (MM/DD/YYYY) 12d. Telephone Number (Include area code) 12e. Finance Number and 4-Digit Unit ID

PS Form 1000, March 2005 (7530-02-000-9931) Copies to: 1 - St. Louis ASC 2 - Customer 3 - Accepting Post Office
See Privacy Act Statement on Cover
Postal Service Instructions — Post Office™ Where Claim Filed

Section A

Verify customer entries for accuracy in Section A against 7. If the claim is for damage, indicate the location of the
those on the original mailing receipt. On the back of the damaged article(s).
mailing receipt: (1) write "Claim Filed"; (2) round date 8. Verify if the mailing receipt was presented. For
stamp; (3) photocopy for your file; and (4) return to unnumbered insured and Express Mail service claims,
customer (except unnumbered insured and Express the original receipt must be retained in Post Office files.
Mail® service claims). NOTE: Original mailing receipts 9. Indicate if evidence of value was presented (attach
must be retained for unnumbered insured and Express copy).
Mail service claims.
10. Record the mailing receipt number and COD number
(if applicable). For Registered™ COD Mail and
Section B Express Mail COD service, record both numbers.
Enter ZIP Code™ where article was mailed and
Complete items 1–10 and 12 of Section B before the mailing date. Do not enter the Delivery Confirmation
customer leaves. service number.
11. For locally adjudicated (unnumbered) claims: If claim is
paid, enter money order number, date and amount
1. Enter the service category.
(signature of approval is required). If claim is denied,
2. Enter postage paid. enter reason for denial. In either case, the PS Form 1000
3. Enter insurance fee paid. must be sent to the St. Louis Accounting Service enter.
4. Enter other refundable fees paid, (e.g., Delivery 12. Accepting office must: Sign claim form, enter the
Confirmation™ service fees, restricted delivery fees, acceptance date, ZIP + 4®, telephone number, finance
or special handling fees). number and 4-digit unit ID number, and round date
5. Check the reason for the claim. stamp.
6. Damage or loss of contents: Indicate if the wrapper,
container, packaging, and article are presented. If
yes, check the reason for damage and attach a
separate sheet that provides a complete description
of the damage. If there is no visible damage to the
container and damage could have occurred while in
postal custody, provide explanation.

Distribution of Form
NOTE: Mail claim forms to the St. Louis Accounting Service
Center DAILY.

Domestic Numbered Claims Local Adjudicated Claims Registered Mail Inquiry

Part (Insured, Express Mail Service, Registered (With no insurance)
(Unnumbered Insured)
Mail with insurance, and COD)

With supporting documents, send to: After adjudication, send to: Filing instructions:

CLAIMS SERVICING SECTION CLAIMS SERVICING SECTION POM, Section 812

1 ACCOUNTING SERVICE CENTER ACCOUNTING SERVICE CENTER Handbook DM-901, Registered Mail,
PO BOX 80143 PO BOX 80144 Section 741.
ST LOUIS MO 63180-0143 ST LOUIS MO 63180-0144

2 Customer Customer Customer

Retain at: Retain at: Retain at:

3 POST OFFICE ACCEPTING CLAIM POST OFFICE ACCEPTING CLAIM POST OFFICE ACCEPTING CLAIM

PS Form 1000, March 2005 (7530-02-000-9931) 1 - St. Louis ASC (Reverse) 2 - Customer (Reverse) 3 - Accepting Post Office (Reverse)