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USPS 1583 Intake Form

Multi choice

This address Must match your Address ID document

Required

Photo ID Type (Multiple Choice) Options:
Expiration Date
Month
Day
Year
Time
HoursMinutes
Applicant Address ID Info

*Two ID's required. One must be a government-issued photo ID. The second must show your current address.

Authorized Individual

Authorized Individual Information (Complete only if you selected Yes)

Add Authorized Person Home Address

Authorized State

*Must match the Authorized Individual's Address ID

Authorized Person Photo ID Type
Authorized ID Expiration Date
Month
Day
Year
Time
HoursMinutes
Authorized Address ID Type

*If you select "Yes" all authorized Individual field and ID's must be completed before mailbox access is granted.

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