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Get USPS PS 2856 2008-2024

Domestic PS Form CLAIMS SERVICING SECTION ACCOUNTING SERVICES PO BOX 80143 ST LOUIS MO 63180-0143 2856 January 2008 PSN 7530-09-000-3988 International Round Date Stamp. Damage Report of Insured Parcel and Contents FOR INTERNAL USE ONLY Do Not Complete This Form in Presence of the Customer 1. Customer Name 2. Mailing Receipt/Article 3. Mailing Container Type/Brand Box Padded Envelope Tube Flat Medium Sturdy Flimsy 5. Damage to Mailing Container Check all that apply USPS Packaging Express Mail / Priority Mail Ready Post Packaging No Visible Damage Cut Torn or Ripped Other Please describe Liquid Damage Crushed or Smashed Soiled or Stained Depression on Box 6. Packing Materials Check all that apply Bubble Wrap Styrofoam Peanuts Double-boxes Newspaper Foam Tissue 7. Was container/packing material sufficient to protect contents from damage during normal handling Yes Not Sure No 8. What appears to have been the cause of the damage Check all that apply and write your comments in the space provided below. Fragility of Contents Crushing Shock Leakage of Contents Perishable Contents Inadequate Packaging Comments 9. List undamaged items included in the package. 10. If there is no visible damage to the article s what is customer s evidence of damage 11. Location POST OFFICE of Damaged Articles CUSTOMER Disposition City State Reason check one ZIP 4 Under 10. 00 Telephone No* include area code For Repairs Claim Denied MRC - Date sent Claim paid - value over 10. 00 Returned to Customer Discarded - Date Return Date 12. Reminder Did you prepare a PS Form 3831 Receipt for Article s Damaged in Mails If not prepare one and mail it to the customer. 13. Additional Comments 14. Verified by Print Name Signature ZIP Code When submitting claims attach to PS Form 1000 PS Form 2855 or Online Claim Summary and send to Retain a copy of all forms and documentation for your records. Damage Report of Insured Parcel and Contents FOR INTERNAL USE ONLY Do Not Complete This Form in Presence of the Customer 1. Customer Name 2. Mailing Receipt/Article 3. Mailing Container Type/Brand Box Padded Envelope Tube Flat Medium Sturdy Flimsy 5. Customer Name 2. Mailing Receipt/Article 3. Mailing Container Type/Brand Box Padded Envelope Tube Flat Medium Sturdy Flimsy 5. Damage to Mailing Container Check all that apply USPS Packaging Express Mail / Priority Mail Ready Post Packaging No Visible Damage Cut Torn or Ripped Other Please describe Liquid Damage Crushed or Smashed Soiled or Stained Depression on Box 6. Damage to Mailing Container Check all that apply USPS Packaging Express Mail / Priority Mail Ready Post Packaging No Visible Damage Cut Torn or Ripped Other Please describe Liquid Damage Crushed or Smashed Soiled or Stained Depression on Box 6. Packing Materials Check all that apply Bubble Wrap Styrofoam Peanuts Double-boxes Newspaper Foam Tissue 7. Packing Materials Check all that apply Bubble Wrap Styrofoam Peanuts Double-boxes Newspaper Foam Tissue 7. Was container/packing material sufficient to protect contents from damage during normal handling Yes Not Sure No 8. .

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