U.S. GOVERNMENT PUBLISHING OFFICE | CERTIFICATE OF CONFORMANCE 

Unique Identifer Must Appear On The Proper U.S. Postal Service Mailing Statement 

The contractor must submit this Certifcation of Conformance with their billing for each jacket or print order under which mailing is performed with 

the use of offcial penalty permits imprint. The unique identifer shall be created in accordance with the contract specifcations. This certifcate is 

subject to the clause entitled “Certifcate of Conformance Terms and Conditions.” This certifcate must be accompanied with the proper U.S. Postal 

Service mailing statement when presented to the Postmaster of Post Offce Clerk. Failure to submit this certifcate will delay payment. 

Jacket Program and Print Order No. Title of Material Mailed 

Contractor 

Requesting Department and Requisition No. Postal Permit No. 

Mailing Unit Number of 

Pieces Mailed 

Number of

Copies Mailed 

Postal Service Postmark 

Postmark does not constitute verifcation of mailing 

Location of Post Offce; City, State, and Zip Code 

Signature of Postmaster/Clerk Date 

Class of mail presented 

1st (Inc. Priority) Periodical Standard 

Single Copy (self mailer or envelope) 

Multiple Copies (envelope) 

Package and/or Containers (14 lbs. or less) 

Package and/or Containers (over 14 up to 25 lbs.) 

Containers (over 25 up to 40 lbs.) 

Total 

I hereby certify that, in accordance with the mailing instructions, as requisitioned from the Government Publishing Offce. I have made the above mailing and that the 

supplies mailed were in the quantities and of the quality specifed, and that such supplies were in all respects in accordance with the terms and specifcations of the 

Program, Print Order and / or the Jacket as listed above. 

Signature of Person Authorized to Sign this Certifcate Date 

The penalty for making false statements to the Government is prescribed in 18 USC 1001 GPO Form 712 (R 10/15) P.57686-7 

CERTIFICATE OF CONFORMANCE— 

TERMS AND CONDITIONS 

1. Payment of any invoice for which a completed certifcate of conformance 

has been submitted shall not be deemed to be fnal acceptance by the 

Government. 

2. Notwithstanding any provision of the contract to the contrary, the 

contractor must furnish as evidence of shipment to support payment 

pursuant to the articles entitled “Payments on Purchase Order” in GPO 

Contract Terms, a properly executed “Certifcate of Conformance” (GPO 

Form 712) in lieu of any documentation issued by the Postal Service, 

provided, that the certifcate bears the Postal Service postmark, showing 

the date of mailing and location of the Post Offce. 

3. The material mailed shall be subject to inspection and acceptance by the 

Government at the destination(s) within a reasonable time after its receipt, 

to determine compliance with the specifcations and to verify the number 

of mailing units (envelopes, packages, or containers) received. 

4. Notwithstanding any provision of the contract to the contrary, acceptance 

by the Government shall not be conclusive as regard to shortages in the 

quantity of supplies contained in any mailing unit (envelope, package, or 

container), and in the event payment has been made by the Government, 

the Government, at its option may require the contractor to (i) furnish 

such additional quantities as may be necessary or (ii) reimburse the Government on a pro-rata basis for any shortages discovered. 

5. In the event the contractor fails or refuses to furnish such additional 

quantities as may be required pursuant to 4(i) above, the Government 

may produce or procure such additional quantities of supplies under such 

terms and conditions as the Contracting Offcer deems appropriate and 

charge the contractor all costs occasioned the Government thereby. 

The rights and remedies of the Government provided in this clause are 

not exclusive, and do not limit the rights afforded to the Government by 

any other clause of the contract. 

Note: GPO Form 712 “Certifcate of Conformance”, is available on gpo.gov.