PS Form 3615-A "Application for Picture Permit Imprint"

What Is PS Form 3615-A?

PS Form 3615-A, Application for Picture Permit Imprint is a form issued by the United States Postal Service (USPS). This document is filled out to request the authorization of the USPS to use the picture permit imprint for a commercial image and text.

The latest version of the form - also known as the USPS Form 3615-A - was released on June 1, 2013. An up-to-date PS Form 3615-A fillable version can be downloaded below or found on the USPS Forms website.

The document is short and simple. It consists of three sections:

  • Section A. Applicant's Eligibility. Indicate your permit imprint authorization number and the name of the issuing office. You can obtain this number by submitting the PS Form 3615, Mailing Permit Application and Customer Profile.
  • Section B. Acknowledges, Representations, and Warranties. Read carefully the disclaimer provided in this part.
  • Section C. Intellectual Property License and Indemnification. Read carefully the pre-printed text, indicate names and titles of mailer and mail service provider (if applicable), sign the PS Form 3615-A, and enter the date of application.

The signed copy of the document should be submitted to the USPS via email. The address is provided at the USPS official website. After the Program Office (PO) approves your application, send a PDF copy of the addressed mail piece to show how your envelope or postcard should look with the proposed Picture Permit design, its dimensions, and clear zone.

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USPS Picture Permit Imprint

‚ÄčThe USPS Picture Permit Imprint Indicia (requested by completing the PS Form 3615-A) - often referred to as the Picture Permit Imprint - is the USPS service that allows organizations to customize their mail by including their brand image, organization logo or trademark in the Permit Imprint Indicia. This can raise brand awareness, boost the visual impact of the mail, and increase the open rate of the mail piece.

The service is available for the following types of mail only:

  • First-Class Mail automation letters and postcards;
  • USPS Marketing Mail automation letters.

The person responsible for the image is the mail owner. All the images must be in color. It may not contain any embedded text or numbers, nor have a drop shadow on any of the edges. The required indicia elements - like the class of the mail, the permit, or the "U.S. Postage Paid" inscription - may be in black.

To apply for the USPS Picture Permit Imprint, you have to own a Permit Indicia and be capable to produce a Full-Service Intelligent Mail Barcode. After finishing the online registration, you will receive a link to the PS Form 3615-A, Application for Picture Permit Imprint. You can find detailed information regarding the authorization process, technical and product requirements, registration links, and PO mail and email addresses at the USPS official website.

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Download PS Form 3615-A "Application for Picture Permit Imprint"

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Application for Picture Permit Imprint
®
Pursuant to the Mailing Standards of the United States Postal Service, Domestic Mail Manual (DMM
) 604.5, Permit Imprint (Indicia),
the mailer listed below (and the mailer’s respective agents or representatives), the “Applicant”, seeks authorization from the United
®
States Postal Service
“Postal Service™” to use the picture permit imprint format for the attached commercial images and/or text.
A. Applicant’s Eligibility
Permit Imprint Authorization, PS Form 3615:
Permit Number
Issuing Office
Applicant represents that all applicable standards and requirements for permit imprint mailings, including without limitation those set
forth in DMM 604.5, have been met.
B. Acknowledgements, Representations, and Warranties
In the event that the attached proposed commercial images or text — that is pictorial or graphic image, text, name and/or likeness,
trademark, including service mark, logo, slogan, and all other types of trademarks as applicable, and any other intellectual
property — the “Proposed Content” is authorized by the Postal Service for use as picture permit imprint indicia, Applicant
acknowledges, represents and warrants the following:
1. The Postal Service has sole, complete, and unreviewable discretion to suspend or cancel any picture permit imprint
authorization without prior notice and without liability for any claims arising out of such suspension or cancellation by Applicant
or any third party.
2. The Postal Service asserts that it has not exercised Title 28 U.S.C. § 1498 with respect to any intellectual property that may be
applicable to the production or use of picture permit imprint indicia.
3. The Proposed Content is not provided or endorsed by the Postal Service, and Applicant will not make nor cause to be made
any representations which could cause a reasonable person to believe that the Proposed Content is provided or endorsed by
the Postal Service.
4. Applicant will not make nor cause to be made: (a) any references to the Proposed Content as “stamps” or as “postage stamps”;
or (b) any representations that could cause a reasonable person to believe that the Proposed Content is a postage stamp
issued by the Postal Service.
5. Applicant possesses, through license or ownership (to the extent needed), the right to display, distribute, reproduce, and
otherwise use the Proposed Content.
6. The Proposed Content was prepared in compliance with the laws of copyright, trademark, name and likeness, and other
intellectual property.
7. The Proposed Content will be used only as provided by applicable Postal Service regulations, including without limitation
requirements for permit imprint indicia contained in DMM 604.5.
8. Applicant will obtain written approval from the Postal Service at least five (5) business days prior to public dissemination of any
press release or other promotional communication regarding this Application or the use of picture permit imprint indicia.
9. Applicant is liable for any claims arising out of the use of the Proposed Content.
C. Intellectual Property License and Indemnification
In the event that the Proposed Content is authorized by the Postal Service for use as Picture Permit Imprint indicia, Applicant
agrees to the following:
1. Applicant licenses the Postal Service worldwide, royalty-free, irrevocably, non-exclusively to use the picture permit imprint as
needed to receive, handle, deliver, and otherwise process the mail to which the Proposed Content is affixed that Applicant
causes to be received by the Postal Service for delivery.
2. Applicant indemnifies and holds harmless the Postal Service, its directors, officers, employees, and representatives from any
and all claims, demands, liabilities, or causes of action, including costs and attorney’s fees, arising or resulting from the violation
of any such intellectual property laws or similar laws by the Postal Service’s use of the Proposed Content under this license.
Mailer’s Name and Title
Mail Service Provider’s Name and Title (if applicable)
Applicant’s Signature
Date of Application
*Privacy N otice: For more information on our privacy policies visit usps.com/privacypolicy.
3615-A,
PS Form
June 2013
Application for Picture Permit Imprint
®
Pursuant to the Mailing Standards of the United States Postal Service, Domestic Mail Manual (DMM
) 604.5, Permit Imprint (Indicia),
the mailer listed below (and the mailer’s respective agents or representatives), the “Applicant”, seeks authorization from the United
®
States Postal Service
“Postal Service™” to use the picture permit imprint format for the attached commercial images and/or text.
A. Applicant’s Eligibility
Permit Imprint Authorization, PS Form 3615:
Permit Number
Issuing Office
Applicant represents that all applicable standards and requirements for permit imprint mailings, including without limitation those set
forth in DMM 604.5, have been met.
B. Acknowledgements, Representations, and Warranties
In the event that the attached proposed commercial images or text — that is pictorial or graphic image, text, name and/or likeness,
trademark, including service mark, logo, slogan, and all other types of trademarks as applicable, and any other intellectual
property — the “Proposed Content” is authorized by the Postal Service for use as picture permit imprint indicia, Applicant
acknowledges, represents and warrants the following:
1. The Postal Service has sole, complete, and unreviewable discretion to suspend or cancel any picture permit imprint
authorization without prior notice and without liability for any claims arising out of such suspension or cancellation by Applicant
or any third party.
2. The Postal Service asserts that it has not exercised Title 28 U.S.C. § 1498 with respect to any intellectual property that may be
applicable to the production or use of picture permit imprint indicia.
3. The Proposed Content is not provided or endorsed by the Postal Service, and Applicant will not make nor cause to be made
any representations which could cause a reasonable person to believe that the Proposed Content is provided or endorsed by
the Postal Service.
4. Applicant will not make nor cause to be made: (a) any references to the Proposed Content as “stamps” or as “postage stamps”;
or (b) any representations that could cause a reasonable person to believe that the Proposed Content is a postage stamp
issued by the Postal Service.
5. Applicant possesses, through license or ownership (to the extent needed), the right to display, distribute, reproduce, and
otherwise use the Proposed Content.
6. The Proposed Content was prepared in compliance with the laws of copyright, trademark, name and likeness, and other
intellectual property.
7. The Proposed Content will be used only as provided by applicable Postal Service regulations, including without limitation
requirements for permit imprint indicia contained in DMM 604.5.
8. Applicant will obtain written approval from the Postal Service at least five (5) business days prior to public dissemination of any
press release or other promotional communication regarding this Application or the use of picture permit imprint indicia.
9. Applicant is liable for any claims arising out of the use of the Proposed Content.
C. Intellectual Property License and Indemnification
In the event that the Proposed Content is authorized by the Postal Service for use as Picture Permit Imprint indicia, Applicant
agrees to the following:
1. Applicant licenses the Postal Service worldwide, royalty-free, irrevocably, non-exclusively to use the picture permit imprint as
needed to receive, handle, deliver, and otherwise process the mail to which the Proposed Content is affixed that Applicant
causes to be received by the Postal Service for delivery.
2. Applicant indemnifies and holds harmless the Postal Service, its directors, officers, employees, and representatives from any
and all claims, demands, liabilities, or causes of action, including costs and attorney’s fees, arising or resulting from the violation
of any such intellectual property laws or similar laws by the Postal Service’s use of the Proposed Content under this license.
Mailer’s Name and Title
Mail Service Provider’s Name and Title (if applicable)
Applicant’s Signature
Date of Application
*Privacy N otice: For more information on our privacy policies visit usps.com/privacypolicy.
3615-A,
PS Form
June 2013