| PS Form 3575 (Back) | PS Form 3575 (Front) |
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Text from the front of the form is as follows:
PRIVACY ACT STATEMENT: Your information will be used to provide mail forwarding and Change-of-Address (COA) services and move related advertisements, to verify your identity, to facilitate communication, to identify and mitigate potential fraud and to provide address correction services. Collection is authorized by 39 U.S.C. 401, 403, 404. Providing the information is voluntary, but if not supplied, we may not be able to process and fulfill your request for services. 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 standard and specific routine uses: Incident to legal proceedings; for law enforcement purposes; to a congressional office; to agents or contractors; to auction; to labor organizations; to federal, state, local, or foreign agencies; to agencies and entities for financial matters; for customer service purposes; for voter registration to a duly formed election board or registration commission; to a federal, state, or local government agency upon certification when required for the performance of its duties; to a law enforcement agency after the Postal Inspection Service has confirmed that the COA Information is needed for a criminal investigation; for service of process; for purpose of jury service; to agencies or entities at customer's request; to a disaster relief organization; pursuant to the order of a court of competent jurisdiction; for address correction services only if the matter is in possession of the name and old address; and to USPS licensed service providers to perform mailing list address correction services for lists containing your name and old address.
For a list of licensed service providers please visit https://postalpro.usps.com/NCOALink_Service_Providers.
For more information regarding our privacy policies visit www.usps.com/privacypolicy.
VOTE: Remember to update your voter registration if you are filling a permanent Change-of-Address.
Visit Moversguide.USPS.com to complete your USPS Change of Address Online
Or
Return this form with your valid ID to a Retail Location Near you.
*Your request cannot be activated until your identity has been verified.
Visit https://faq.usps.com for more information.
