United States Postal Service Post Office: Note Mail Arrival

Date & Time (Do Not Round-Stamp)

Postage Statement—First-Class Mail
and First-Class Package Service
Use this form for First-Class Mail and First-Class Package Service.

Permit Holder Name, Address, Email, Telephone Mailing Agent (If other than permit holder) Mail Owner (If other than permit holder)
Name, Address, Telephone Name, Address
Mailer

CAPS Cust. Ref. No. CRID CRID CRID

Post Office of Mailing Mailer’s Mailing Date Federal Agency Cost Code Statement Seq. No. Permit # No. and type
of Containers
Sacks
Type of Postage Processing For Mail Enclosed Weight of a Single Piece SSF Transaction ID# Parcels Only Hold
1 ft. Letter
Permit Imprint
Precanceled
Category
Letters
within Another Class
Marketing Mail
. pounds
For Pickup (HFPU)
Trays
No. of pieces
Mailing

Stamps Flats Bound Printed Matter Total Pieces Total Weight 2 ft. Letter
Metered Customer Generated Trays
Parcels Library Mail Electronic Labels
EMM Letter
Periodicals SigCon
Move Update Method Letter or flat-size mailpieces contain: Trays
Media Mail
Ancillary Service Alternative Method Round Trip ONLY: One DVD/CD or other disk. For Automation Price Pieces, Flat Trays
Endorsement Enter Date of Address
Multiple
NCOA Link Combined Mailing This is a Political Campaign Mailing Yes No Matching and Coding Pallets
OneCode ACS
Single Class
ACS Other
n/a Alternative This is Official Election Mail Yes No
Address Format / /

Parts Completed (Select all that apply): A B C D S NSA

1 Subtotal Postage (Add parts totals)

Postage

Price at Which Postage Affixed (Check one). Correct Lowest Neither

2 Complete if mailing includes pieces bearing metered/PC Postage. pcs. x $ .
= Postage Affixed -
3 Incentive/Discount Flat Dollar Amount -
4 Fee Flat Dollar Amount +
5 Permit # Net Postage Due (Line 1 +/- Lines 2, 3, 4)
USPS Use Only

Additional Postage Payment (State reason)

For postage affixed, add additional payment to net postage due;

for permit imprint, add additional payment to total postage. Total Adjusted Postage Affixed
Postmaster: Report Total Postage in AIC 121 (Permit Imprint Only) Total Adjusted First-Class Mail Postage Permit Imprint

Postmaster: Report Total Postage in AIC 128 (Permit Imprint Only) Total Adjusted First-Class Package Service Postage Permit Imprint

Incentive/Discount Claimed: Type of Fee:

The mailer’s signature certifies acceptance of liability for and agreement to pay any revenue deficiencies assessed on this mailing, subject to appeal. If an agent signs this form,
Certification

the agent certifies that he or she is authorized to sign on behalf of the mailer and that the mailer is bound by the certification and agrees to pay any deficiencies. In addition,
agents may be liable for any deficiencies resulting from matters within their responsibility, knowledge, or control. The mailer hereby certifies that all information furnished on this
form is accurate, truthful, and complete; that the mail and the supporting documentation comply with all postal standards and that the mailing qualifies for the prices and fees
claimed; and that the mailing does not contain any matter prohibited by law or postal regulation. I understand that anyone who furnishes false or misleading information on this
form or who omits information requested on this form may be subject to criminal and/or civil penalties, including fines and imprisonment.
Privacy Notice: For information regarding our Privacy Policy visit www.usps.com.

Signature of Mailer or Agent Printed Name of Mailer or Agent Signing Form Telephone

Weight of a Single Piece Total Weight Are postage figures at left adjusted from mailer’s Round Stamp (Required)
Payment Date
To be completed in non-PostalOne! sites

. pounds
entries? Yes No If yes, reason:

Total Pieces Total Postage

USPS Use Only

Presort Verification Performed? (If required) Yes No

I CERTIFY that this mailing has been inspected for Date Mailer Notified Contact
each item below if required:
(1) eligibility for postage prices claimed;
(2) proper preparation (and presort where required);
(3) proper completion of postage statement;
(4) payment of annual fee; and By (Initials) Time AM
(5) sufficient funds on deposit (if required) PM

USPS Employee’s Signature Print USPS Employee’s Name

PS Form 3600-FCM, July 2022 (Page 1 of 6) PSN 7530-13-000-5569 This form and mailing standards are available on Postal Explorer at pe.usps.com.
First-Class Mail

Part A — Automation Price

Postcards (eligible for postcard price)
Price No. of Pieces Subtotal Postage Discount Total* Fee Total Total Postage
A1 5-Digit
A2 AADC
A3 Mixed AADC

Letters
Price No. of Pieces Subtotal Postage Discount Total* Fee Total Total Postage
A4 5-Digit
A5 AADC
A6 Mixed AADC

Flats
Price No. of Pieces Subtotal Postage Discount Total* Fee Total Total Postage
A7 5-Digit
A8 3-Digit
A9 ADC
A10 Mixed ADC
* May contain both Full Service Intelligent Mail and other discount—see Instructions page for additional information.

A11 Part A Total (Add lines A1 — A10)

Full Service Intelligent Mail Option

A12 DISPLAY ONLY Postcards — Number of Pieces that Comply ____________ x $0.003
A13 DISPLAY ONLY Letters — Number of Pieces that Comply ____________ x 0.003
A14 DISPLAY ONLY Flats — Number of Pieces that Comply ____________ x 0.003

PS Form 3600-FCM, July 2022 (Page 2 of 6)

First-Class Mail

Part B — Nonautomation Price

Postcards (eligible for postcard price)
Price No. of Pieces Subtotal Postage Discount Total Fee Total Total Postage
B1 Presorted
B2 Single-Piece

Machinable Letters
Price No. of Pieces Subtotal Postage Discount Total Fee Total Total Postage
B3 AADC
B4 Mixed AADC
Residual
From First-Class Mail Mailing (Includes
B5
up to 1 oz. and between 1 oz. and 3.5
oz.)
B6 Nonpresorted/Single-Piece*
Single-Piece
B7
From USPS Marketing Mail Mailing

Nonmachinable Letters
Price No. of Pieces Subtotal Postage Discount Total Fee Total Total Postage
B8 5-Digit
B9 3-Digit
B10 Mixed ADC
B11 Nonpresorted/Single-Piece*
Single-Piece
B12
From USPS Marketing Mail Mailing
Nonmachinable Surcharge**
B13
(for single-piece letters)

Flats
Price No. of Pieces Subtotal Postage Discount Total Fee Total Total Postage
B14 Presorted
B15 Single-Piece
Single-Piece
B16
From USPS Marketing Mail Mailing

Permit Reply Mail

Price No. of Pieces Subtotal Postage Discount Total Fee Total Total Postage
Single-Piece Letters
B17
(1 oz. or less)
Single-Piece Letters
B18
(over 1 oz. to 3.5 oz.)
Single-Piece Flats
B19
(1 oz. or less)
Single-Piece Flats
B20
(over 1 oz. to 13 oz.)
* First-Class Mail metered letter price
** Only on FCM letters with one or more nonmachinable characteristics

B21 Part B Total (Add lines B1 — B20)

PS Form 3600-FCM, July 2022 (Page 3 of 6) PSN 7530-13-000-5570

First-Class Package Service

Part C — Parcels
Commercial Parcels less than 16 oz. (1 lbs.)
Zone Price No. of Pieces Subtotal Postage Discount Total Fee Total Total Postage
C1 1&2
C2 3
C3 4
C4 5
C5 6
C6 7
C7 8
C8 9
Irregular shape
C9
surcharge

Commercial Parcels — NSA

Zone Price No. of Pieces Subtotal Postage Discount Total Fee Total Total Postage
C10 1&2
C11 3
C12 4
C13 5
C14 6
C15 7
C16 8
C17 9
Irregular shape
C18
surcharge

Commercial Parcels — NSA

Zone Price No. of Pieces Subtotal Postage Discount Total Fee Total Total Postage
C19 Single-Piece
Irregular shape
C20
surcharge

Retail Parcels 13 oz. (0.8125 lbs.) or less

Zone Price No. of Pieces Subtotal Postage Discount Total Fee Total Total Postage
C21 1&2
C22 3
C23 4
C24 5
C25 6
C26 7
C27 8
C28 9

Retail Parcels 13 oz. (0.8125 lbs.) or less from USPS Marketing Mail
Zone Price No. of Pieces Subtotal Postage Discount Total Fee Total Total Postage
C29 1&2
C30 3
C31 4
C32 5
C33 6
C34 7
C35 8
C36 9

C37 Part C Total (Add lines C1 — C36)

PS Form 3600-FCM, July 2022 (Page 4 of 6)

Round Trip DVD, CD, or Other Disc Mail

Part D — Round Trip Mailing that Contain a DVD, CD, or Other Disc
Automation Letters
Price No. of Pieces Subtotal Postage Discount Total* Fee Total Total Postage
D1 5-Digit
D2 AADC
D3 Mixed AADC

Machinable Letters
Price No. of Pieces Subtotal Postage Discount Total Fee Total Total Postage
D4 AADC
D5 Mixed AADC
D6 Single-Piece

Automation Flats
Price No. of Pieces Subtotal Postage Discount Total* Fee Total Total Postage
D7 5-Digit
D8 3-Digit
D9 ADC
D10 Mixed ADC

Nonautomation Flats
Price No. of Pieces Subtotal Postage Discount Total* Fee Total Total Postage
D11 ADC
D12 Mixed ADC
D13 Single-Piece

Permit Reply Mail

Price No. of Pieces Subtotal Postage Discount Total Fee Total Total Postage
Single-Piece Letters
D14
(1 oz. or less)
Single-Piece Flats
D15
(2 oz. or less)
* May contain both Full Service Intelligent Mail and other discount—see Instructions page for additional information.

D16 Part D Total (Add lines D1 — D15)

Full Service Intelligent Mail Option

D17 DISPLAY ONLY Letters — Number of Pieces that Comply ____________ x $0.003
D18 DISPLAY ONLY Flats — Number of Pieces that Comply ____________ x 0.003

PS Form 3600-FCM, July 2022 (Page 5 of 6) PSN 7530-15-000-7023

Extra Services and Fees

Part S
Fee No. of Pcs. or Lbs. Subtotal Postage Discount Total Total Postage
S1 Certificate of Mailing (3 or more - Form 3665)
S2 Certified Mail
S3 Collect on Delivery (COD)
S4 USPS Tracking*
S5 Insurance
S6 Registered Mail
S7 Signature Confirmation Restricted Delivery*
S8 Return Receipt Electronic
S9 Return Receipt (Form 3811)
S10 Certified Mail Restricted Delivery
S11 Signature Confirmation*
S14 Certified Mail Adult Signature Required
S15 Adult Signature 21 Required
S16 Adult Signature 21 Restricted Delivery
S17 Picture Permit Imprint
S18 Day Certain Delivery
S19 Certificate of Bulk Mailing (Form 3606-D)
S20 Sunday Delivery
S21 Same Day
S22 Extended Coverage
S23 Impb Noncompliance Fee
S25 Live Animal Transportation
S26 Next Day
S27 Certified Mail Adult Signature Restricted Delivery
S28 Hazardous Material Transportation
S29 Perishables
S30 Registered Mail Restricted Delivery
S31 Insurance Restricted Delivery
S32 Collect on Delivery Restricted Delivery
S35 USPS Tracking Plus
S37 Adult Signature 18 Required NSA Only
S38 Adult Signature 18 Restricted Delivery NSA Only
S55 Nonstandard Fee > 22" <= 30"
S56 Nonstandard Fee > 30"
S57 Nonstandard Fee > 2 Cubic Ft
* Available for parcels only
Items mailed with Extra Services must meet the mailing standards for the extra service.

S99 Part S Total (Add lines S1 — S57)

PS Form 3600-FCM, July 2022 (Page 6 of 6)

First-Class Mail — Instructions
Use this form for First-Class Mail and First-Class Package Service.

Step 1: Complete Mailer and Mailing sections on page 1. The Mailer section must be completely filled in, including the
Permit Holder in the first box, the Mailing Agent, if any as described below, in the second box, and the Mail Owner,
as described below, if other than the Permit Holder, in the third box.
Mailing Agent: The mailing agent is a business entity, organization, or individual acting on behalf of one or more
mail owners by providing mailing services for which the mail owners compensate the mailing agent. A business
entity, organization, or individual whose services define it as a mailing agent may also be considered a mail owner,
but only for its own mail or the mail of its subsidiaries. Mailing agents include, but are not limited to the following:
Printer, letter shop, address list provider/manager; mail preparer, postage payment provider, mailing logistics
provider, mailing tracking provider, ad agency, and mailing information manager.
Mail Owner: The mail owner is the business entity, organization, or individual who makes business decisions
regarding the mailpiece content, directly benefits from the mailing, and ultimately pays for postage on the mailpiece
directly or by way of a mailing agent.

Step 2: Before you complete the Postage section, go to parts A through S. Complete the part(s) that pertain to your mailing.
The following information will help you to determine which parts to complete:
Part A: Automation prices—All pieces must be reported on the appropriate line at the full published price (not
including the Full Service Intelligent Mail incentive). Pieces that comply with the Full Service Intelligent Mail option
requirements are additionally reported on the lines provided. Enter total in Part A Total box.
Part B: Nonautomation prices. Report any mixed weight residual mail from a presort mailing on line B4. Report
single piece and residual pieces on line B5, when choosing to present mail with various weights, separately. Enter
total in Part B Total box.
Part C: Commercial and Retail Parcels. Enter total in Part C Total box.
Part D: Round Trip DVD, CD, or other disc mailer. Enter total in Part D Total box.
Part S: Extra Services—Report any combined Extra Services on the lines provided for them, e.g., Insured mail that
is also Restricted Delivery would be reported on line S31—Insurance Restricted Delivery. Enter total in Part S Total
box.

Step 3: Add the postage in parts A through S without rounding.

Step 4: Return to the Postage section on page 1. Check the boxes that correspond to the form parts used. Add the postage
amounts for all parts and enter on Line 1 Subtotal Postage, rounded off to two decimal places. For postage affixed
mailings round off to three decimal places.

Step 5: Complete Line 2 for Postage Affixed mailings. Check the box for the Price at Which Postage Affixed (Correct,
Lowest, or Neither). Multiply the number of pieces by the postage affixed. Put the total in the Postage Affixed block.

Step 6: Lines 3 and 4 are for postage adjustments that apply to the entire mailing. Report any Incentive/Discount on Line 3
and any Fee on Line 4.

Step 7: Calculate Line 5 Net Postage Due by subtracting any Postage Affixed and Incentive/Discount (Lines 2 and 3) from
the Subtotal Postage (Line 1) and adding any Fee (Line 4). For permit imprint mailings, the Net Postage Due is the
amount that will be withdrawn from the permit imprint account listed in the Permit # box in the Mailing section. For
postage affixed mailings, the Net Postage Due is the amount that must be tendered in addition to that already
affixed to the mail, and it may be tendered by any of the applicable methods including withdrawal from an advance
deposit account that can be listed by Permit # on Line 5.

Step 8: Read and sign the Certification section, including your telephone number. Attach all completed parts and submit
with the mailing.

Instructions continued on next page

PS Form 3600-FCM, July 2022 (Instructions)

First-Class Mail — Instructions
Use this form for First-Class Mail and First-Class Package Service.

Further Information About Discount Total Column

Mailings that qualify for Full Service Intelligent Mail Option will report the discount in the Discount Total column of
each line of the postage statement. The Full Service Intelligent Mail Option lines are for display and data gathering
purposes only.
When there is a Full Service discount but no other incentive discount, the Full Service discount is reported directly
in the Discount Total column.
When there is both a Full Service discount and an incentive discount, the Discount Total must include both
discounts so it must be calculated in an offline calculation with the resulting value reported in the Discount Total
column. The calculation is performed as follows:
The Subtotal Postage (SP) amount is not affected and is calculated in the usual way. The Discount Total (DT) is
calculated by, first, determining the Full Service discount (FSD) by multiplying the number of Full Service pieces by
the per-piece Full Service discount. Then you must calculate the Incentive Discount (ID) by subtracting the Full
Service discount (FSD) from the Subtotal Postage (SP) and multiplying the result by the Incentive Discount
percentage (ID%) expressed in decimal form, such as .02. Then add the Full Service discount (FSD) and the
Incentive Discount (ID) to get the Discount Total (DT).
This calculation can be expressed as an equation as follows:
DT = FSD + ID or DT = FSD + ((SP — FSD) x ID%)

For more information on mailing standards, prices, and fees please go to Postal Explorer at pe.usps.com.

PS Form 3600-FCM, July 2022 (Instructions)