MAIL DISTRIBUTION SCHEME CHANGE [MAILDISTCH]
LINE 1 — DATE AND TIME______________________________(DTG)
LINE 2 — UNIT________________________________________(Unit Making Report)
LINE 3 — GAINING NUMBER____________________________(Number of the Facility Gaining Responsibility)
LINE 4 — GAINING LOCATION__________________________(Place Name for the Facility Gaining Responsibility)
LINE 5 — EFFECTIVE DATE _____________________________(DTG the Change in Mail Distribution Will be Effective)
LINE 6 — LOSING NUMBER_____________________________(Number of the Facility Losing Responsibility)
LINE 7 — LOSING LOCATION___________________________(Place Name for the Facility Losing Responsibility)
LINE 8 — EFFECTIVE DATE_____________________________(DTG the Change in Losing Facility Will be Effective)
LINE 9 — FOOTNOTE CODES___________________________(Letter(s) or Letter-Number(s) of Applicable Postal Footnote(s))
LINE 10 — GAINING FACILITY__________________________(Location Name of the Affected Military Post Office)
LINE 11 — MAIL CLASS________________________________(Mail Classification Code(s) Permitted at the Location Named in Line 9 (if not ALL, Also Provide Required Disposition of Mail Classifications not Permitted))
LINE 12 — NARRATIVE_________________________________(Free Text for Additional Information Required for Clarification of Report)
LINE 13 — AUTHENTICATION___________________________(Report Authentication)
