MUTUAL EXCHANGE REQUEST FORM
The following regular rural carriers request a mutual exchange of their
respective post offices in accordance with Article 12.4.A.3:
Rural Carrier A, (Name) .
Rural Carrier on Route Number .
(Post Office) (City) .
(State) (Zip) , and
Rural Carrier B, (Name) .
Rural Carrier on Route Number .
(Post Office) (City) .
(State) (Zip) .
Signatures on this form signify approval by all parties involved with the
exchange. The posting of both routes for regular rural carriers in each
installation will occur within a reasonable time after the completion of
this form in accordance with Article 12.3.A.
. .
Office A – Rural Carrier Date
. .
Office A – Postmaster Date
. .
Office B – Rural Carrier Date
. .
Office B – Postmaster Date