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)
You have been logged out of your account because someone has loged in to your account on a different computer. If you would like to continuie using PDFfiller please re-login. Pdffiller needs to inforce one user per account policy to insure account privacy and security.