Certify mail form

Here is a sample form for certifying mail:

Certified Mail Form

Return Receipt Requested

To: [Recipient's Name] Address: [Recipient's Address]

From: [Your Name] Address: [Your Address]

Date: [Date of Mailing]

Certification Number: [Insert Certification Number]

Description of Item: [Insert brief description of item being mailed, e.g. "Letter", "Package", etc.]

Weight: [Insert weight of item, if applicable]

Value: [Insert value of item, if applicable]

Special Handling: [Insert any special handling instructions, e.g. "Fragile", "Do Not Bend", etc.]

Signature of Sender: [Insert your signature]

Signature of Postal Employee: [Insert signature of postal employee who handled the mail]

Date of Delivery: [Insert date of delivery, if applicable]

Return Receipt: [Insert "Yes" or "No" to indicate whether a return receipt was requested]

Additional Instructions: [Insert any additional instructions or comments]

Certification Statement: I hereby certify that the above-described item was mailed to the above-named recipient on the date indicated, and that I am the sender of the item.

Signature: [Insert your signature]

Date: [Insert date]

Note: This is a sample form and may vary depending on the specific requirements of the postal service or the type of mail being sent. It is recommended to check with your local post office for the most up-to-date and accurate information.