Certified mail form

Here is a sample certified mail form:

Certified Mail Form

Return Receipt Requested

United States Postal Service

Certified Mail No.

Date

To:

[Recipient's Name] [Recipient's Address]

From:

[Your Name] [Your Address]

Return Receipt Requested

I hereby request that a return receipt be sent to me at the address listed above, upon delivery of the enclosed item.

Item Description:

[Describe the item being sent, e.g. "Letter", "Package", "Document", etc.]

Weight:

[Enter the weight of the item, if applicable]

Value:

[Enter the value of the item, if applicable]

Special Handling:

[Check any special handling options, if applicable]

Signature:

[Your Signature]

Certification:

I hereby certify that the above information is true and correct.

Signature:

[Your Signature]

Date:

[Date]

Postage Paid:

[Insert postage stamp or affix postage]

Certified Mail Receipt:

Upon delivery, the recipient will sign the return receipt and return it to you. The return receipt will serve as proof of delivery.

Important:

• Make sure to complete all fields accurately and legibly.
• Attach the item to be sent to the recipient.
• Affix the postage stamp or insert the postage.
• Take the certified mail form to a post office or mail carrier to have it processed.

Note: The USPS may have specific requirements or restrictions for certified mail, so it's always a good idea to check with your local post office for more information.