Postage Assessment Delay Inquiry Form

Postage Assessment Delay Inquiry Form
Use this form to report and assess delays in postage delivery. Please provide detailed information for prompt assistance.
Full Name
First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Reference or Tracking Number
Date Item Was Sent
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Destination Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Expected Delivery Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Actual Delivery Date (if delivered)
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Type of Item Sent
Describe the Delay and Any Issues Encountered
How has the delay impacted you or your business?
Please rate the severity of the delay
Assessment Matrix: Please indicate your level of agreement with the following statements regarding the postage delay.
Rows Strongly Disagree Disagree Neutral Agree Strongly Agree
The delay caused significant inconvenience.
Communication regarding the delay was clear.
Resolution process was satisfactory.
Attach Proof of Postage or Related Documents (optional)
Cancelof
Should be Empty:

Select theme:

Rows	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
The delay caused significant inconvenience.
Communication regarding the delay was clear.
Resolution process was satisfactory.