Transcription of Request For Exception To Current/Proposed Delivery Mode ...
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Mail Delivery by the Current/Proposed method imposes an extreme physical hardship on the customer named below, (Domestic Mail Manual 508 ). A. CUSTOMER INFORMATIONName of CustomerDelivery Address CityStateZIP Code TelephoneEmailCustomer Signature (required)DateB. CURRENT TYPE OF Delivery (Check one)FFCurbline/Rural Box, Apartment BoxFFNeighborhood Delivery (Cluster Box)FFOther (please describe) _____ _____ C. TYPE OF Delivery REQUESTEDType of Delivery RequestedPhysical Reason for hardship Request (attach additional pages if needed) _____ _____ _____ D. REQUESTS FOR EXCEPTIONR equests for Exception to current Delivery mode to extreme physical hardship must be accompanied by evidence of the existence of the source of said hardship for example, enclosures, attachments, photographs, physician s statement or other suitable documentation.
Mail delivery by the current/proposed method imposes an extreme physical hardship on the customer named below, (Domestic Mail Manual 508 2.1.2). A. CUSTOMER INFORMATION Name of Customer Delivery Address City State ZIP Code™ Telephone Email Customer Signature (required) Date B. CURRENT TYPE OF DELIVERY (Check one)
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