PS Form 1093 Application for Post Office Box Service

What Is a PS Form 1093?

PS Form 1093, Application for Post Office Box Service is used to get a Post Office Box at a post office. A PO Box is a uniquely addressable lockable box located on the premises of a post office station. There are three reasons to fill out a PS 1093 form:

  • Security. To avoid having delivered packages sit on the doorstep, an individual makes sure their deliveries are safe and secure. If a package is too large to fit in the PO Box, it will be held at the post office;
  • Privacy. Home address is kept private and important documents and communications remain confidential giving an individual a peace-of-mind;
  • Accessibility. The mail can be received at an individual's convenience with 24/7 access in some locations and extended hours in others.

The latest version of the form was released by the United States Postal Office (USPS) in January 2012 with all previous editions obsolete. An up-to-date PS Form 1093 fillable version is available for download below or can be found through the USPS official website along with the related PS Form 1093-A, PS Form 1093-A-S, PS Form 1093-C and PS Form 1093-S - a Spanish version of this application.

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HOW TO APPLY FOR A PO BOX
Id REQUIREd
Many people have discovered that Post Office Box
service is a safe,
convenient way to receive their mail. Learn all about PO Box
service
Whether you apply online or at a Post Office, two valid forms
on the first two pages of this form. Then, decide whether to apply
of identification are required when you obtain your keys or
online or at a Post Office
.
combination at the Post Office where your box is located. You must
present the IDs at a Post Office. One item must contain a photograph
SELECT a pO BOX SIZE
and one must be traceable to the bearer (prove your physical
Across the U.S., Postal Service
PO Boxes are available in five sizes.
address). Both must be current. Acceptable forms of ID include:
However, not all Post Office locations have every size. Be sure to
photo Id Options:
select the right size for your mail volume and schedule.
Valid driver’s license or state non-driver’s identification card
Our smallest box (Size 1) fits 10–15 letter-sized envelopes or up to
two rolled magazines. Start with a Size 2 box if you receive more than
Armed forces, government, university, or recognized corporate
15 mailpieces a week. Size 3, 4, or 5 is recommended if you receive
identification card
magazines and catalogs.
Passport, passport card, alien registration card, or certificate of
naturalization
non-photo Id Options:
Current lease, mortgage, or deed of trust
Size 1
:
Size 2:
Size 3:
Voter or vehicle registration card
3" X 5.5"
5" X 5.5"
11" X 5.5"
Home or vehicle insurance policy
note: Social Security cards, credit cards, and birth certificates are
not acceptable forms of ID.
REnEWaL paYMEnTS
Renewal payments are due the last day of the month your service
Size 5:
Size 4:
period ends. If your payment is late, you will not be able to access
22.5" X 12"
11" X 11"
the mail in your box. After 10 days of nonpayment, we remove the
mail, treat it as undeliverable, and close your box. You may also
incur a late payment fee. Note that closed PO Boxes are available
It’s easy to find a box that’s right for you. Find an available PO Box by
for new customers immediately, so late payment can lead to loss of
going to www.yourotheraddress.com.
your PO Box address. You may renew your PO Box online, at a Post
If you need more room than our largest box provides, ask at your local
Office, by mail, or at an Automated Postal Center
(APC
). It is your
®
®
Post Office about Business Mail Pickup (Caller) Service.
responsibility to pay your renewal fee on time. Convenient payment
FEES
options are:
To find a PO Box in your area and get fee information, visit
pay online: Use a valid credit or debit card to make a one-time
www.yourotheraddress.com. You may pay your initial PO Box fees
payment or set up automatic renewal payments at
online or at a Post Office.
www.usps.com/poboxes.
THERE aRE TWO SIMpLE WaYS
pay in person: Pay at the Post Office where your PO Box is located
TO appLY
using cash, check, credit card, or debit card, or set up automatic
renewal payments (available at most Post Offices). Automatic renewal
apply online: Complete the online application at
payment is required for 3-month payment option.
www.usps.com/poboxes and make your first payment with a credit
or debit card. (Online registration is not available for Business Mail
pay at any automated postal Center (apC): Find an APC at
Pickup (Caller) Service or Qualifying No-Fee box customers.)
www.usps.com/locator or by downloading the mobile application at
www.usps.com/mobile.
apply at a post Offi ce: Complete pages 3 and 4 and take this
whole form to a Post Office most convenient for you. Once we verify
pay by mail: Send a check or money order (payable to “U.S. Postal
your information and receive your payment, we will provide your
Service”) to the postmaster, city, state, and ZIP Code
where your
PO Box address and begin your service.
PO Box is located. Payments by mail must be received by the due
date. (Do not send cash by mail.)
PS Form 1093, January 2012 (Page 1 of 4) PSN 7530-02-000-7165. See our Privacy Act Statement on page 4 of this form.
   
HOW TO APPLY FOR A PO BOX
Id REQUIREd
Many people have discovered that Post Office Box
service is a safe,
convenient way to receive their mail. Learn all about PO Box
service
Whether you apply online or at a Post Office, two valid forms
on the first two pages of this form. Then, decide whether to apply
of identification are required when you obtain your keys or
online or at a Post Office
.
combination at the Post Office where your box is located. You must
present the IDs at a Post Office. One item must contain a photograph
SELECT a pO BOX SIZE
and one must be traceable to the bearer (prove your physical
Across the U.S., Postal Service
PO Boxes are available in five sizes.
address). Both must be current. Acceptable forms of ID include:
However, not all Post Office locations have every size. Be sure to
photo Id Options:
select the right size for your mail volume and schedule.
Valid driver’s license or state non-driver’s identification card
Our smallest box (Size 1) fits 10–15 letter-sized envelopes or up to
two rolled magazines. Start with a Size 2 box if you receive more than
Armed forces, government, university, or recognized corporate
15 mailpieces a week. Size 3, 4, or 5 is recommended if you receive
identification card
magazines and catalogs.
Passport, passport card, alien registration card, or certificate of
naturalization
non-photo Id Options:
Current lease, mortgage, or deed of trust
Size 1
:
Size 2:
Size 3:
Voter or vehicle registration card
3" X 5.5"
5" X 5.5"
11" X 5.5"
Home or vehicle insurance policy
note: Social Security cards, credit cards, and birth certificates are
not acceptable forms of ID.
REnEWaL paYMEnTS
Renewal payments are due the last day of the month your service
Size 5:
Size 4:
period ends. If your payment is late, you will not be able to access
22.5" X 12"
11" X 11"
the mail in your box. After 10 days of nonpayment, we remove the
mail, treat it as undeliverable, and close your box. You may also
incur a late payment fee. Note that closed PO Boxes are available
It’s easy to find a box that’s right for you. Find an available PO Box by
for new customers immediately, so late payment can lead to loss of
going to www.yourotheraddress.com.
your PO Box address. You may renew your PO Box online, at a Post
If you need more room than our largest box provides, ask at your local
Office, by mail, or at an Automated Postal Center
(APC
). It is your
®
®
Post Office about Business Mail Pickup (Caller) Service.
responsibility to pay your renewal fee on time. Convenient payment
FEES
options are:
To find a PO Box in your area and get fee information, visit
pay online: Use a valid credit or debit card to make a one-time
www.yourotheraddress.com. You may pay your initial PO Box fees
payment or set up automatic renewal payments at
online or at a Post Office.
www.usps.com/poboxes.
THERE aRE TWO SIMpLE WaYS
pay in person: Pay at the Post Office where your PO Box is located
TO appLY
using cash, check, credit card, or debit card, or set up automatic
renewal payments (available at most Post Offices). Automatic renewal
apply online: Complete the online application at
payment is required for 3-month payment option.
www.usps.com/poboxes and make your first payment with a credit
or debit card. (Online registration is not available for Business Mail
pay at any automated postal Center (apC): Find an APC at
Pickup (Caller) Service or Qualifying No-Fee box customers.)
www.usps.com/locator or by downloading the mobile application at
www.usps.com/mobile.
apply at a post Offi ce: Complete pages 3 and 4 and take this
whole form to a Post Office most convenient for you. Once we verify
pay by mail: Send a check or money order (payable to “U.S. Postal
your information and receive your payment, we will provide your
Service”) to the postmaster, city, state, and ZIP Code
where your
PO Box address and begin your service.
PO Box is located. Payments by mail must be received by the due
date. (Do not send cash by mail.)
PS Form 1093, January 2012 (Page 1 of 4) PSN 7530-02-000-7165. See our Privacy Act Statement on page 4 of this form.
pO BOX KEYS
TERMS OF SERVICE
Two keys are issued for key-type PO Boxes. An access code is
The terms of service are defined exclusively by postal regulations.
You may not use PO Box service just to avoid paying forwarding
provided for combination lock-type PO Boxes. At most locations, a
refundable deposit is required for each key. If needed, you can obtain
charges or for any purpose prohibited by law or Postal Service
regulations. We will immediately terminate PO Box service if used
additional keys (and pay the applicable fee and deposit). Whenever
your box service terminates, return all keys to the Postal Service for a
for any unlawful purpose. PO Box service may be provided to minors
(unless parents or guardians submit a written objection to the
refund of the deposit. Customers must not duplicate PO Box keys.
postmaster).
pO BOX REFUndS
UpdaTIng YOUR InFORMaTIOn
Once you have begun using your PO Box, you may request a refund
at the Post Office where your box is located. Fees are refunded as
The information on your PS Form 1093 must always be current.
As soon as any information changes (such as your street address,
follows:
telephone number, or email address), you are responsible for updating
3-Month payments (automatic renewal required):
the information. Failure to update your information may result in
No refunds
termination of service. We keep the form on file at the Post Office
6-Month payments:
where you use the service. �
Within the first 3 months – ½ the fee paid
aCCUMULaTEd MaIL
After 3 months – no refunds
We encourage you to empty your box regularly. You can make a
12-Month payments:
special arrangement with the postmaster if you are not able to pick
Within the first 3 months – ¾ the fee paid
up your mail. Complete PS Form 8076, Authorization to Hold Mail, or
Within the first 6 months – ½ the fee paid
create your request online at usps.com, and we’ll take care of it. Hold
Within the first 9 months – ¼ the fee paid
Mail orders are good for only 30 days. If the volume of your incoming
After 9 months – no refunds
mail repeatedly exceeds the capacity of the box you are using, we
BOX SERVICE addRESS
may require that you use Business Pickup (Caller) Service, change to
a larger box (and pay the applicable fees), or apply for one or more
We deliver to your PO Box address as printed on your mail, so be
additional boxes. Your service may also be suspended. You may also
sure to provide correct and current address information to your
request premium Forwarding Service
to have your mail shipped
®
correspondents.
to you by Priority Mail
service once a week for a small fee.
®
Your PO Box number should appear on a separate line, followed by
CHangE OF addRESS
the Post Office’s city, state, and ZIP+4
. When we assign your box
®
number, we will provide the corresponding ZIP+4 code.
If you choose to discontinue your PO Box service, please complete
a change of address form found in the Mover’s Guide
available
®
For Official Use: Completed by the postal Service
by request from our retail associates or on our website at
YOUR nEW BOX nUMBER IS
www.usps.com/moversguide. If you use the change of address form,
CITY
give it to a retail associate or your letter carrier. You may also mail the
form to your Post Office. File change of address orders as follows:
STaTE
no-Fee pO Boxes: The PO Box customer or any other person listed
YOUR ZIp+4
IS
®
on the PS Form 1093 may file an individual change of address order.
Only the box customer may file a change of address order for an
entire family.
all other pO Boxes: Only the box customer who signs the
PS Form 1093 may file change of address orders. Forwarding of mail
for other persons receiving mail at the box is the responsibility of the
box customer.
HOW TO USE THE COMBInaTIOn LOCK
1. Clear the dial by turning RIgHT three times and stop on _______
2. Turn LEFT and stop the second time around on
_______
3. Turn RIgHT and stop on
_______
4. Turn the latch key LEFT to open
PS Form 1093, January 2012 (Page 2 of 4) 7530-02-000-7165. See our Privacy Act Statement on page 4 of this form.
(USPS
State
ZIP+4
Box number(s) __________________________
application for post Office Box
Service
Fill out all non-shaded fields, and take this application to the Post Office
.
1. This service is for (Required selection):
Business/Organization Use
Residential/Personal Use
2. Name of Business/Organization (if applicable):
3. Name of Person Applying (Last, First, MI — include title if representing a business/organization):
Verify initials
4. Address: Number, Street, Suite ____________________________________________________________________________________
___________________________________________________________________________________________________________
City _____________________________________________________________ State __________ ZIP+4® ______________________
6. Email Address
5. Telephone Number (Include Area Code)
7. Box Size(s) (Required) See page 1 for details
❑ Size 1
❑ Size 2
❑ Size 3
❑ Size 4
❑ Size 5
8. Applicant must select and enter the ID Number for two items of valid identification listed below. You must present the IDs at a Post Office. One item must contain a
photograph and one must be traceable to the bearer (prove your physical address). Both must be current.
Select one photo Id:
Select one non-photo Id:
Valid driver’s license or state non-driver’s ID card
Current lease, mortgage, or deed of trust
Armed forces, government, university, or recognized corporate ID
❑ Voter or vehicle registration card
Passport, passport card, alien registration card, or certificate of naturalization
❑ Home or vehicle insurance policy
photo Id number: _________________________________
non-photo Id number: ________________________________
Verify initials (For Post Office Use Only) _____________
9. On the back of this form, list the name(s) of all individuals, including members of a business, who will be receiving mail at this (these) PO Box number(s).
10. On the back of this form, list the names of the persons or representatives of the business/organization authorized to pick up mail addressed to this (these)
PO Box number(s).
Optional automatic Renewal payment — Terms and agreement (Required for 3-month payment option)
By initialing below and establishing automatic renewal payments at a Post Office, I hereby authorize the U.S. Postal Service
) to charge my credit card for the amount of my
®
®
designated box size per USPS pricing on the scheduled interval I have selected (i.e., 3, 6, or 12 months). This charge could appear on my credit card statement as early as the 15th of
the month prior to the due date. If I provided my email address, I understand that I will receive email notification at least 10 days prior to the actual credit card charge. I will also receive
a payment due notice in my PO Box before the payment due date. I understand that I may cancel the automatic payment option any time after the initial application/payment process is
complete during the business hours at the Post Office where my box is located. If I do not cancel by the 14th of the month prior to the next payment due date, I understand that the payment
will be charged to my credit card. I understand that if the payment cannot be transacted due to incorrect or obsolete payment information or the transaction would exceed the credit limit
of the account, or the bank or credit card company rejects/returns the payment request, my PO Box may be closed and any mail received after closure would be returned to the sender. If
my PO Box is closed for nonpayment, I understand that I could be charged a late payment fee to reactivate my PO Box service. If there are any changes to my credit card number, billing
address, or expiration date, I agree to notify the Post Office where my box is located of these changes. I understand that this agreement will remain in effect until I or USPS terminates the
PO Box service. The USPS may receive updated credit card account information from the institution that issued the card identified for payment. If I decide to close my PO Box, I must visit
the Post Office where my box is located during business hours. (See the PO Box refund policy for information on refunds.) The USPS may terminate my participation under this automatic
payment agreement in the event I provide incorrect, false, or fraudulent account information or if I have any returned payment items.
Customer Initials _______
Billing address (if different from address in 4 above):
Number, Street, Suite ____________________________________________________________________________________________________________
City __________________________________________________________________________
__________
__________________________
®
Application Date
Number of Keys
Customer Eligible for No-Fee Service
Issued
_______________
Yes
No
Signature of Applicant
(Same as item 3) I certify that all information furnished on this form is accurate,
truthful, and complete. I understand that anyone who furnishes false or misleading information on this form
or omits information requested on this form may be subject to criminal and/or civil penalties, including
fines and imprisonment.
Post Office Date Stamp
_______________________________________________________________________________________________
PS Form 1093, January 2012 (Page 3 of 4) 7530-02-000-7165. See our Privacy Act Statement on page 4 of this form.
application for post Office Box
Service
The Postal Service
may consider it valid evidence that a person is authorized to remove mail from the box if that person possesses a key or
combination to the box.
11. Names of individuals (including members of a business) who will be receiving
12. Persons or representatives of the business/organiza tion who are authorized
mail at this (these) PO Box number(s) are listed below.
to pick up mail addressed to this (these) PO Box number(s) are listed belo w.
All names listed must ha ve verifi able ID and upon request, present this
a. Residential/personal Use – Each adult listed must present two forms of
identifi cation to the Postal Service.
valid identifi cation to the Post Offi ce.
b. Business/Organization Use – Each person listed must, upon request,
present two forms of valid identifi cation to the Post Offi ce.
A parent or guardian may receive the mail of minors by listing their names (no ID
is required).
Verify initials (for Post Offi ce Use Only)_________
Verify initials (for Post Offi ce Use Only)________
privacy act Statement: Your information will be used to provide Post Office Box
service
entities, including law enforcement, as required by law or in legal proceedings; to contractors
and to ensure delivery to the box. Collection is authorized by 39 U.S.C. 401, 403, and 404.
and other entities aiding us to fulfill the service (service providers); to process servers; to
Providing the information is voluntary; but, if not provided, we will be unable to provide this
domestic government agencies if needed as part of their duties; and to a foreign government
service to you. We do not disclose your information to third parties without your consent,
agency for violations and alleged violations of law. Information concerning an individual box
except to facilitate the transaction, to act on your behalf or request, or as legally required.
holder who has filed a protective court order with the postmaster will not be disclosed except
This includes the following limited circumstances: to a congressional office on your behalf; to
pursuant to court order. For more information regarding our privacy policies,
financial entities regarding financial transaction issues; to a U.S. Postal Service
auditor; to
visit usps.com/privacypolicy.
®
2011 United States Postal Service
. All Rights Reserved. The Eagle Logo, PO Box and Your Other Address are some of the many trademarks of the U.S. Postal Service
.
©
®
®
PS Form 1093, January 2012 (Page 4 of 4) PSN 7530-02-000-7165

Download PS Form 1093 Application for Post Office Box Service

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Where Can I Get a PS Form 1093?

The USPS Form 1093 can be found online through the USPS official website. USPS PO Box application contains 4 pages, two of them are instructions.

The PO Box form includes the following bullets:

  • This service is for the business/organization or residential/personal use;
  • Name of the business/organization;
  • Full name of the person applying;
  • Full address;
  • Telephone number;
  • Email address;
  • Box size(s) required: the box size determines its price;
  • ID numbers for two items of valid identification;
  • Names of all individuals, including members of a business receiving mail at this PO Box number;
  • Names of the persons or representatives of the business/organization authorized to pick up mail addressed to this PO Box number;
  • Terms and agreement for an optional automatic renewal payment. Renewal payments are due the last day of the month the service period ends. If the payment is late, an individual will not be able to access the mail in the PO Box.

The information on the form must always be current. As soon as any information changes (such as the street address, the telephone number, or the email address), an individual is responsible for updating the information. Failure to update this information may lead to termination of service.

A PO Box can be reserved with an online account, or by opening a new account. Once an individual finds a PO Box that is right for them and reserves it, the USPS PO Box form can be printed, and taken to a post office with two acceptable forms of ID.

How to Apply for a PO Box Online?

The online application must be completed at the USPS official website. The first payment is made with a credit or debit card. Online registration is not available for Business Mail Pickup (Caller) Service or Qualifying No-Fee box customers. Whether people apply online or at a post office station, two valid forms of identification are required when they obtain their keys or combination at the post office where the PO Box is located. The IDs must be presented at a post office. One item must contain a photograph and one must be traceable to the bearer (prove the physical address). Both must be current. Acceptable forms of ID include:

Photo ID options:

  • The valid driver's license or state nondriver's identification card;
  • The armed forces, government, university, or recognized corporate identification card;
  • The passport, the passport card, the alien registration card, or the certificate of naturalization.

Non-Photo ID Options:

  • The current lease, the mortgage, or the deed of trust;
  • The voter or vehicle registration card;
  • The home or vehicle insurance policy.

Social Security cards, credit cards, and birth certificates are not acceptable forms of ID.

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