PS Form 1583-A "Application to Act as a Commercial Mail Receiving Agency"

What Is PS Form 1583-A?

PS Form 1583-A, Application to Act as a Commercial Mail Receiving Agency is a form issued by the United States Postal Service (USPS) used to register a Commercial Mail Receiving Agency (CMRA). The form was last updated on June 1, 2011, and is available for download below.

A CRMA is a private company that acts as an agent for customer's mail that is able to hold it until pickup or forward to the customer's address. Unlike a post office, a CRMA can receive courier packages or other non-mail. CRMA customers can receive their mail at the agency's address instead of their home address. The agency can also provide additional services, such as courier or facsimile.

The application - also known as USPS Form 1583-A - should contain information about the CRMA, identification, and contact information about the owner or the manager of the agency.

The PS 1583-A is related to the PS Form 1583, Application for Delivery of Mail Through Agent, which authorizes the CRMA to receive mail on the customer's behalf and proves that a responsible party is linked to the mailbox. The CMRA must have a copy of this form on file for each addressee or company receiving mail at the agency. Any person or company renting a Post Office (PO) Box directly through the post office or a mailing address from an approved CMRA must fill this form out. The agency keeps the original of the PS Form 1583 and the customer can keep a copy.

ADVERTISEMENT

How to Fill Out PS Form 1583-A?

The form must be completed by the CMRA owner or manager. The commercial mail receiving agency form must be executed in duplicate in the presence of the postmaster or designee. Step-by-step PS Form 1583-A instructions are provided below:

  • Block 1, Date. Enter the date of completing the form;
  • Block 2, Name of Commercial Mail Receiving Agency. Enter the name of the CRMA;
  • Block 3, Name of CMRA Owner/Manager. Enter the name of the owner or manager of the CRMA;
  • Block 4, Street Address of CMRA. Enter the address of the CRMA, including ZIP code;
  • Block 5, P.O. Box Address of CMRA. Enter the full mailing address of the Post Office Box of the agency;
  • Block 6, CMRA Telephone Number. Provide the CMRA phone number;
  • Block 7, Permanent Home Address of CMRA Owner/Manager. Enter the home address of the owner or manager of the CMRA, whose name you entered in Block 3;
  • Block 8, Home Telephone Number of CMRA Owner/Manager. Enter the CRMA owner or manager phone number;
  • Block 9, Agency Manager or Contact. Provide the name and telephone of the agency manager or contact.;
  • Block 10. Provide two types of CRMA owner or manager identification. At least one of them must contain their photograph. Social security cards, credit cards, and birth certificates cannot be accepted as the form of identification. The postmaster or designee must enter the provided forms of identification;
  • Block 11, Signature of CMRA Owner or Manager and Date. The owner or manager must sign and date the form in this block;
  • Block 12, Signature of Postmaster or Designee and Date. Leave blank. The postmaster or their designee should sign the form in this block.

ADVERTISEMENT

Download PS Form 1583-A "Application to Act as a Commercial Mail Receiving Agency"

Download PDF

Fill PDF online

Rate (4.8 / 5) 32 votes
United States Postal Service
1. Date
Application to Act as a Commercial Mail Receiving Agency
TO: POSTMASTER
In registering with the Postal Service to act as an agency to receive delivery of mail of others, the agent agrees to the
following: (1) the Commercial Mail Receiving Agency (CMRA) must have on file a Form 1583, Application for Delivery
of Mail Through Agent, for each addressee or firm receiving mail at the agency; (2) a CMRA must represent its
delivery address as a private mailbox; (3) the CMRA is not authorized to accept Registered Mail from their clients for
mailing, the Post Office is the only acceptable mailing point; (4) the CMRA must be in full compliance with Domestic
Mail Manual (DMM) 508.1.8.1 through 508.1.8.4 and other applicable postal requirements to receive delivery of mail
from the Postal Service; and (5) when any information required on this form changes, the CMRA owner or manager
must file a revised application with the postmaster.
NOTE: The CMRA owner or manager must execute this form in duplicate in the presence of the postmaster or
designee. The CMRA owner or manager retains the signed duplicate copy and signs in this space
to signify receipt and understanding of applicable DMM regulations regarding delivery of mail to a CMRA by the
Postal Service. This application may be subject to verification procedures by the Postal Service to confirm that the
CMRA owner or manager resides at the permanent home address listed below, and that identification presented in
box 10 is valid. Failure to comply with DMM 508.1.8.1 through 508.1.8.4 and all other applicable Postal Service
requirements may subject the agency to withholding of mail until corrective action is taken.
2. Name of Commercial Mail Receiving Agency (CMRA) (Corporation or
3. Name of CMRA Owner/Manager
Trade Name)
4. Street Address of CMRA (Number, street, city, state, and ZIP Code)
5. P.O. Box Address of CMRA (Include city, state, and ZIP Code)
6. CMRA Telephone Number
7. Permanent Home Address of CMRA Owner/Manager (Number, street,
city, state, and ZIP Code)
(
)
8. Home Telephone Number of CMRA Owner/Manager
(
)
9. Agency Manager or Contact (Name and telephone number)
WARNING: The furnishing of false or misleading information on this
form, or omission of material information, may result in criminal
sanctions (including fines and imprisonment) and/or civil sanctions
(
)
(including multiple damages and civil penalties). (18 U.S.C. 1001)
10. Two types of identification are required. One must contain a
See Privacy Act Statement on Reverse
photograph of the CMRA owner or manager. Social Security cards,
11. Signature of CMRA Owner or Manager and Date
credit cards, and birth certificates are unacceptable as identification.
The postmaster or designee must write in type of identifying
information.
a.
b.
Acceptable identification includes: valid driver's license or state non-
12. Signature of Postmaster or Designee and Date
driver's identification card; armed forces, government, university or
recognized corporate identification card; Passport, alien registration
card or certificate of naturalization; current lease, a mortgage, or Deed
of Trust; voter or vehicle registration card; or a home or vehicle
insurance policy. A photocopy of your identification may be retained
by postmaster or designee for verification.
1583-A,
PS Form
June 2011
This form is on the Internet at www.usps.com.
United States Postal Service
1. Date
Application to Act as a Commercial Mail Receiving Agency
TO: POSTMASTER
In registering with the Postal Service to act as an agency to receive delivery of mail of others, the agent agrees to the
following: (1) the Commercial Mail Receiving Agency (CMRA) must have on file a Form 1583, Application for Delivery
of Mail Through Agent, for each addressee or firm receiving mail at the agency; (2) a CMRA must represent its
delivery address as a private mailbox; (3) the CMRA is not authorized to accept Registered Mail from their clients for
mailing, the Post Office is the only acceptable mailing point; (4) the CMRA must be in full compliance with Domestic
Mail Manual (DMM) 508.1.8.1 through 508.1.8.4 and other applicable postal requirements to receive delivery of mail
from the Postal Service; and (5) when any information required on this form changes, the CMRA owner or manager
must file a revised application with the postmaster.
NOTE: The CMRA owner or manager must execute this form in duplicate in the presence of the postmaster or
designee. The CMRA owner or manager retains the signed duplicate copy and signs in this space
to signify receipt and understanding of applicable DMM regulations regarding delivery of mail to a CMRA by the
Postal Service. This application may be subject to verification procedures by the Postal Service to confirm that the
CMRA owner or manager resides at the permanent home address listed below, and that identification presented in
box 10 is valid. Failure to comply with DMM 508.1.8.1 through 508.1.8.4 and all other applicable Postal Service
requirements may subject the agency to withholding of mail until corrective action is taken.
2. Name of Commercial Mail Receiving Agency (CMRA) (Corporation or
3. Name of CMRA Owner/Manager
Trade Name)
4. Street Address of CMRA (Number, street, city, state, and ZIP Code)
5. P.O. Box Address of CMRA (Include city, state, and ZIP Code)
6. CMRA Telephone Number
7. Permanent Home Address of CMRA Owner/Manager (Number, street,
city, state, and ZIP Code)
(
)
8. Home Telephone Number of CMRA Owner/Manager
(
)
9. Agency Manager or Contact (Name and telephone number)
WARNING: The furnishing of false or misleading information on this
form, or omission of material information, may result in criminal
sanctions (including fines and imprisonment) and/or civil sanctions
(
)
(including multiple damages and civil penalties). (18 U.S.C. 1001)
10. Two types of identification are required. One must contain a
See Privacy Act Statement on Reverse
photograph of the CMRA owner or manager. Social Security cards,
11. Signature of CMRA Owner or Manager and Date
credit cards, and birth certificates are unacceptable as identification.
The postmaster or designee must write in type of identifying
information.
a.
b.
Acceptable identification includes: valid driver's license or state non-
12. Signature of Postmaster or Designee and Date
driver's identification card; armed forces, government, university or
recognized corporate identification card; Passport, alien registration
card or certificate of naturalization; current lease, a mortgage, or Deed
of Trust; voter or vehicle registration card; or a home or vehicle
insurance policy. A photocopy of your identification may be retained
by postmaster or designee for verification.
1583-A,
PS Form
June 2011
This form is on the Internet at www.usps.com.
Privacy Act Statement
Privacy Act Statement: Your information will be used to authorize
the delivery of intended addressees' mail to you as their agent.
Collection is authorized by 39 U.S.C. 401, 403, and 404.
Providing the information is voluntary, but if not provided, we cannot
provide this service to you. We do not disclose your information
without your consent to third parties, except for the following limited
circumstances: to a congressional office on your behalf; to financial
entities regarding financial transaction issues; to a U.S. Postal
Service auditor; to entities, including law enforcement, as required
by law or in legal proceedings; to contractors and other entities
aiding us to fulfill the service; and for the purpose of identifying an
address as an address of an agent who receives mail on behalf of
other persons. Information concerning an individual who has filed
an appropriate protective court order with the postmaster will not be
disclosed except pursuant to court order. For more information
regarding our privacy policies visit usps.com/privacypolicy.
1583-A,
PS Form
June 2011 (Reverse)
Page of 2