The following is an example of an FO request for the postmaster to intercept a Title
XVI check.
May 28, 2016
Per Section 507.5.1.2 of the Domestic Mail Manual, please intercept the check dated
06-03-16 with the following name and address information:
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Addressee:
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John D. Beneficiary 1234 Main Street Anytown, CA 90001
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From:
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Social Security Administration 600 W Madison St Chicago, IL 60661
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Do not return the check unless the name and address are exactly as shown above.
Please print “CP” on the Treasury envelope under return address.
Please return the check enclosed in the Treasury envelope to:
Department of the Treasury
Kansas City Regional Financial Center
P.O. Box 12599-0599
Kansas City, MO 64116-0599
(Your signature)
Mary A. Smith
Manager
Social Security Administration
13 Elm Street
Anytown, CA, 90001
Phone Number: (410) 111-1111
Fax Number: (410) 111-2222