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Block 9: Enter the signature and title of the clerk
accepting the claim.
Block 10: Enter the FPO number where the damaged
article(s) were turned in.
PREPARATION OF PS FORM 1000
Once the customer provides evidence of insurance,
evidence of value, and proof of loss (or the damaged
item and package) to the post office, assist them in
completing PS Form 1000. The information on PS
Form 1000 is self-explanatory, and all applicable
spaces must be completed.
Assist the customer in completing Section A (see
figure 10-6).
Complete Section B (see figure 10-7) or Section C
of PS Form 1000 (see figure 10-8) using the
instructions on the reverse side of the form.
Prepare PS Form 1000, Section A as follows:
Block 1: Enter the senders name and address.
Block 2: Enter the addressees name and address.
Block 3: Check the appropriate box for the service type
used for the article.
Block 4: Enter the mailing receipt number. If the
mailing receipt is not available, then obtain the number
from the label or sticker affixed to the articles wrapper.
Block 5: Enter the date the article was mailed (Mo.,
Day, Yr.). Obtain this date from the postmark on the
mailing receipt or wrapper.
Block 6: This block applies to Express Mail ONLY. If
the WAIVER OF SIGNATURE box on Label 11-B is
marked, then check YES, otherwise check NO.
Block 7: LEAVE BLANK. This service is not available
at MPOs.
Block 8: Check the appropriate box to indicate the
reason for filing this claim.
Block 9: Enter a detailed description of the lost or
damaged article(s), including whether the article(s)
were new or used.
Block 10: Enter the total value claimed for the lost
or damaged article(s).
If an article has been
repaired, enter the amount paid to have the article
repaired (not to exceed the actual value of the
article).
Block 12a: This block applies to the sender ONLY.
When the sender files the claim they must indicate who
gets the claim payment by checking the appropriate
box.
Block 12b: LEAVE BLANK, unless the customer can
provide additional information that will help match the
payment check with the claim.
Block 12c-e: These blocks apply to the sender ONLY.
The sender signs, dates, and enters their phone number,
if available.
Block 13a: This block applies to the addressee ONLY.
When the addressee files the claim, they must check the
appropriate box.
Block 13 b-g: These blocks apply to COD articles
ONLY. LEAVE BLANK.
Block 13h-j:
These blocks apply to the addressee
ONLY. The addressee signs, dates, and enters their
phone number, if available.
10-9
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Figure 10-5. An example of a completed PS Form 3831, Receipt for Article(s) Damaged in Mails.
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