![](media/image1.wmf){width="8.25in" height="0.4326388888888889in"}**1.
Company Name**
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ **2.
Date:** \_\_\_\_\_\_\_\_/\_\_\_\_\_\_\_\_\_/\_\_\_\_\_\_\_\_

**3. Supporting Request for** **PostalOne! Online** **MID**

(check all that apply)

**4. Administrator's Printed Name**
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Administrator's Signature
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------+-----------------------+-----------------------+
| **5. Company          | **Company Address**   | **City, State &       |
| Location**            |                       | ZIP+4**               |
|                       |                       |                       |
| **Company Name**      |                       |                       |
+-----------------------+-----------------------+-----------------------+
|                       |                       |                       |
+-----------------------+-----------------------+-----------------------+

**6. List of Accounts**

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<td><strong>Permit # Pub #</strong></td>
<td rowspan="2"><p><strong>Permit</strong></p>
<p><strong>Type</strong></p></td>
<td rowspan="2"><strong>Company Name or Publication Name</strong></td>
<td colspan="4" rowspan="2"><p><strong>Address City State
ZIP</strong></p>
<p><em><strong>ADDRESS OF COMPANY IN POSTAL ONE</strong></em></p></td>
<td colspan="3" rowspan="2"><p><strong>Post Office
Information</strong></p>
<p><strong>City State ZIP+4</strong></p>
<p><em><strong>LOCATION WHERE THE PERMIT IS HELD</strong></em></p></td>
<td rowspan="2"><strong>Approver Initials USPS USE ONLY</strong></td>
</tr>
<tr class="even">
<td><strong>Finance #</strong></td>
</tr>
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USPS Representative Printed Name
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Signature
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Legend:**

***Permit Type:***
~Additional\ Postage\ (AD)\ Permit\ Imprint\ (PI)\ Metered\ (MT)\ Precanceled\ (PC)\ OMAS\ Imprint\ (OI)\ OMAS\ Metered\ (OM)\ Periodical\ Pending\ (PP)~

> ~Postage\ Due\ (PD)\ Periodicals\ (PE)\ Ghost\ (GH)\ Business\ Reply\ Mail\ (BR)\ --\ (List\ by\ sub\ account\ number)~
>
> **Additional Accounts Information**
>
> ***INSTRUCTIONS***
>
> **[Customer Responsibilities]{.underline}**
>
> The customer is responsible for completing the key fields on the
> Additional Accounts Information Form.

**1. Company Name --** This section identifies the company requesting
the MID(s) or PostalOne! Online Access. This information is used for
administrative purposes only.

**2. Date --** Enter the date of the request.

**3. Supporting Request for:** If the document will be used for
requesting access to *PostalOne!* and or adding additional permits or
publications to an existing *PostalOne!* account then select
**PostalOne! Online Access**. If requesting verification of mailer
volumes select **MID Request. If you are applying for *PostalOne!*
access and a MID, please check both boxes. It is recommended that you
apply for a MID when you are applying for PostalOne! Access.**

**4. Administrator's Printed Name and Signature--** Printed Name and
Signature of the Company Administrator as identified on the original
Customer Request for WEB Access PS Form 1357-C.

**5. Company Location** : Company Name, Company Address, City, State and
ZIP+4 Code --This section identifies a company's designated location. It
may be a location where no mailings are performed or where no accounts
are held with any Post Office or Business Mail Acceptance office.
**PostalOne! Online Access** - This is the location where all of your
permits/publications will be assigned/grouped. This will allow users to
view all permits/publications assigned to that location. **MIDs-**This
is used for validation of mailing volumes at that location. Use multiple
Additional Accounts Information Forms for different Company Locations.

**6. List of Accounts**

> **Permit \# / Pub \# / Finance \# - PostalOne! Online Access -** Enter
> each permit number or publication number you desire to connect to the
> Company Location. The finance number will be provided by the BMEU.
> **MIDs** -- Enter the permit number or publication number you desire
> to have mailing volumes validated.

-   **Permit Type \# -** Enter Permit Type **(i.e.** Additional Postage
    (AD), Permit Imprint (PI), Metered (MT), Precanceled (PC), OMAS
    Imprint (OI), OMAS Metered (OM) , Periodical (PE), Periodical
    Pending (PP), Business Reply (BR), Postage Due (PD), Periodicals
    (PE), Ghost (GH).

-   **Company Name or Publication Name -** Enter the name of the Company
    on the Permit Account or the Name of the Publication.

-   **Address, City, State, ZIP+4 Code --** Enter the company's address
    that appears on the *PostalOne!* account record. The *PostalOne!*
    Account record must be updated with the current information if: 1)
    If the company's address is not current; 2) the company' s address
    or mailing agent is not in the correct field. (See Account
    Management -- USPS Responsibilities)

-   **Post Office Information - City, State, ZIP+4 Code** *(LOCATION
    WHERE THE PERMIT IS HELD*) - Enter the City State and ZIP+4 Code of
    the postal location where the permit / publication is held.

> **[USPS Responsibilities]{.underline}**

1.  **Application Requirements: *PostalOne!* Online Access -** 1.)
    PostalOne! Application 2.) Customer Request for WEB Access (i.e. PS
    Form 1357-C) 3.) Additional Accounts Information Form (if required).
    **MID Request --** 1.) Mid Application 2.) Additional Accounts
    Information Form (if required).

2.  **Approver Initials -- For *PostalOne!* Online Access** **--**The
    USPS Representative will be responsible for the validation and
    standardization of the company's name on all the accounts,
    verification of current addresses and verification of
    permits/publications are owned by the requesting company. **MID
    Request** -- The USPS Representative will be responsible for
    verifying mailer volumes.

> **3. USPS Rep. Print and Sign -- *PostalOne!* Online Access** **-** If
> the application was submitted to a USPS Representative (i.e. BSN, NAM
> etc) for account verification , the USPS Representative will print and
> sign their name. The USPS Representative will be responsible for the
> validation and standardization of the company's name on all accounts,
> verification of current addresses and verification of
> permits/publications are the owned by the requesting company. **MID
> Request** -- The USPS Account Representative will be responsible for
> verifying mailer volumes.

4.  **Account Management-** Ensure that the *PostalOne!* fields for Mail
    Owner and Mailing Agent are correctly entered (i.e. Company
    Information - Address, contact information etc. Mailing Agent
    information -- Name, address, contact information etc.)