Purpose: To authorize another department to use your Postage Metering Account Number
(PMAN).
The department requesting authorization is responsible for obtaining signatures from each authorized department representative before the mailing is presented to Central Mail Services.
This form must accompany each mailing that is to be metered with a different postage meter number than your own department number. This form will be kept on file for one year.
If this is a one-time mailing:
Name and date of the mailing _____________________________________________________
Description of mailing (i.e., quantity and size of envelopes/packages)
______________________________________________________________________________
I, ___________________________________, authorize ________________________________
(Printed name of authorized PMAN holder) (Department name)
to use this PMAN ___________________ for the above listed mailing.
Signature of authorized PMAN holder ______________________________________________
If this PMAN is to be used on an annual basis:
Time frame of annual usage ____________________ to ________________________
MM/DD/YYYY MM/DD/YYYY
I, ___________________________________, authorize ________________________________
(Printed name of authorized PMAN holder) (Department name)
to use this PMAN ___________________ for the purpose of the following annual mailing:
______________________________________________________________________________
Signature of authorized PMAN holder ______________________________________________