Fillable PS Form 3533, Application and Voucher for Refund of Postage ...
Application and Voucher for Refund of Postage, Fees, and Services
(Use blue or black ink and print within the boxes.)
Part 1 - Application (Completed by customer)
Apt. or Suite No.
® ZIP + 4
Telephone No. (Include area code)
Amount of Refund Request
Customer Account No.
Signature of Customer
Date of Request (MM/DD/YYYY)
Fill & Sign Online, Print, Email, Fax, or Download
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