Get Ps109 Form

U.S. USPS Form usps-ps-109 Application to Print Special Services Barcoded Forms/Labels - How to Submit Customers that print barcodes on special services forms/labels must register with the USPS. Please complete this application and either fax it to 901-681-4521 or mail it to BARCODE CERTIFICATION NATIONAL CUSTOMER SUPPORT CENTER US POSTAL SERVICE 6060 PRIMACY PKWY STE 201 MEMPHIS TN 38188-0001 Upon receipt of your application the USPS will verify your DUNS number and verify if the software you are using to print barcodes has been certified by the USPS. If it has been determined that your software has already been certified for the vendor from which you purchased your product you will be notified that you are exempt from the certification process and no additional action is required on your part. If your software has not been cer tified you will receive a Special Services Certification Test Kit that explains what is required to receive USPS certification* The purpose of the test kit is to ensure that your barcodes are readable by our electronic software and equipment used for capturing delivery and signature information* Mailer/Agent Information 1. Primary Contact 2. Phone Include area code 3. Fax Include area code 4. Email 5. Company Name 6. Address 7. City 9. ZIP 4 8. State 10. DUNS Number of Company Contact Dun Bradstreet at 1-800-333-0505 or at www. dnb. com to obtain you company s unique nine-digit DUNS number. 11. Forms/Labels to be Printed Indicate each form/label to be printed and enter the approximate annual volume for each 12a* Do you use forms/labels provided by a third-party vendor No 12b. Are you a vendor Yes - COMPLETE THE FOLLOWING Vendor Name Yes Contact Name and Telephone Number Include area code 13. Do you use software provided by a third-party vendor Product Name and Version Number Contact 14. Do you have a Postal Service contact i*e* Mailpiece Design Analyst assisting you with your conversion efforts Postal Representative Title Pager Include area code Submission of this application is necessary to ensure that your DUNS number is registered with the U*S* Postal Service. If we do not have your DUNS number on file we cannot capture an electronic record of your mailpieces. If your software has not been cer tified you will receive a Special Services Certification Test Kit that explains what is required to receive USPS certification* The purpose of the test kit is to ensure that your barcodes are readable by our electronic software and equipment used for capturing delivery and signature information* Mailer/Agent Information 1. Primary Contact 2. Phone Include area code 3. Fax Include area code 4. Email 5. Company Name 6. Address 7. Primary Contact 2. Phone Include area code 3. Fax Include area code 4. Email 5. Company Name 6. Address 7. City 9. ZIP 4 8. State 10. DUNS Number of Company Contact Dun Bradstreet at 1-800-333-0505 or at www. City 9. ZIP 4 8. State 10. DUNS Number of Company Contact Dun Bradstreet at 1-800-333-0505 or at www. dnb. com to obtain you company s unique nine-digit DUNS number. 11. Forms/Labels to be Printed Indicate each form/label to be printed and enter the approximate annual volume for each 12a* Do you use forms/labels provided by a third-party vendor No 12b.