Certified Mail Request | JCTC

Certified Mail Request

Date:  

Name:  

Department Name:  

Mail To:  

Name:  

Address:  

City:  

State:  

Zip:  

Service Type:  

Certified (yes/no):  

Insured (amount):  

Return Receipt (yes/no):  

Contact the mailroom at 502.213.2366 if you have any questions.