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Page Title: Completing the Required Form
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fee that will be collected.   Refer to Module R of the DMM to find the correct fee. Completing the Required Form PS Form 3811, Domestic Return Receipt, is used for return receipt service (see figure 5-9).  It is a green two-sided form that is normally affixed to the address side of larger parcels and to the back of envelopes or small  parcels.   This  must  be  done  without  covering other markings or endorsements. Complete this form as follows: Block 1:  Check this box ONLY when “Return Receipt Requested Showing Address Where Delivered” service is requested. Block 2:  Check this box if “Restricted Delivery” service is requested in addition to the return receipt. Block 3:  Enter the complete name and address of the addressee, just as it appears on the article presented for mailing. 5-9 REVERSE FRONT VV   855 491 589 US FLORENCE  FLEGLEMEYER 123 46TH ST INDIANAPOLIS  IN  46205 PCSN JACK  FROST NETPDTC 6490 SAUFLEY FIELD RD PENSACOLA  FL  32509 X PCf0509 Figure 5-9. An example of a completed Domestic Return Receipt (PS Form 3811) (front/reverse).

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