USPS Electronic Signature Online™

Receipt of My Electronic Signature

USPS Electronic Signature Online™ lets you keep an electronic signature with USPS for an entire year.
Apply this Electronic Signature to any incoming packages that require a signature through your
Informed Delivery® dashboard when you cannot sign in person. Your carrier will leave your packages in
your mailbox or at a preferred delivery location if they are too large for your mailbox.
12/31/2023
Your Electronic Signature will expire on ____________________

Privacy Act Statement: Your information will be used to facilitate the provision of accurate and reliable delivery data
that includes the application of your electronic signature. Collection is authorized by 39 U.S.C. 401, 403, 404, and
411. Providing your information is voluntary, but if not provided, we will be unable to process and fulfill your request.
We do not disclose your information to third parties without your consent, except to facilitate the transaction, to act on
your behalf or request, or as legally required. This includes the following limited circumstances: to a congressional
office on your behalf; to financial agencies and entities for financial matters and transactions; to U.S. Postal Service
auditors; to labor organizations as required by law; to government agencies when necessary in connection with
decisions by the requesting agency or by the Postal Service; to entities for law enforcement purposes, as required by
law or incident to legal proceedings; and for customer service purposes to contractors and other entities aiding us to
fulfill a function or provide products and services. For more information regarding our privacy policies visit
www.usps.com/privacypolicy.

Signature
X

Printed
Name Angela Martin
Delivery
Address
7468 CARLETON LOOP
BRIGHTON MI, 48116-8429