USPS Form 1583

Autofill

Please fill the fields below to generate form 1583. Then please print, sign, and send the form to us.

You need Acrobat Reader to generate the form.

You must provide two separate forms of identification to verify your identity and physical address. One must contain your photo and the other your address. You may not use the same ID for both purposes.

Date*

Account Number*

First Name*

Last Name*

Email Address*

Physical Address (as shown on ID)*

City*

State or Province*

Postal Code*

Country*

Phone*

Photo ID Information

Type of Photo ID*

Photo ID Number*

Name as shown on Photo ID*

Address ID Information

Type of Address ID*

Issuing Entity*

Address ID Number*

Name as shown on Address ID*

Complete Below Only For Business Accounts

This is a Business Account

Business Name*

Business Type*

Place of Registration*

Business Address*

City*

State or Province*

Postal Code*

Country*

Phone*

USPS Form 1583

Autofill

You need Acrobat Reader to generate the form.

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