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PS 6012-I

Operation Santa Letter (Individual) (10/2009)

Download and Print the PS 6012-I

Request may not be processed if the form is incomplete or illegible.

A. Customer Information (Please print)

Name (Last, First, MI)

Address (Number, street, suite, etc.)

City - State - ZIP+4®

Telephone Number (Include area code)

Signature

Privacy Act Statement: Your information will be used to fulfill your request for seasonal letters which the USPS® identifies as undeliverable as addressed. Collection is authorized by 39 USC 401, 403, 404. Providing the information is voluntary, but if not provided, we may not fulfill your request. We do not disclose your information to third parties without your consent, except to facilitate the transaction, to act on your behalf or request, or as legally required. This includes the following limited circumstances: to a congressional office on your behalf; to financial entities regarding financial transaction issues; to a USPS auditor; to entities including law enforcement, as required by law or in legal proceedings; and to contractors and other entities aiding us to fulfill the service (service providers). For more information regarding our privacy policy, visit us at usps.com.
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The individual

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