| Heading and notes: | No form number. TASMANIA above Crest with ELECTRIC TELEGRAPH on either side of the Crest. URGENT. printed vertically in orange. | 
| Message area: | Six lines. | 
| Reverse side: | Blank. | 
| Colours (text & form): | Black on cream. | 
| Size of form overall: | 175 × 217 mm. | 
This is the only known example of a Tasmanian urgent rate delivery form from the Colonial period.
|  Provenance: Clemente (Spink Sepember 2016, Lot 470 part), Johnstone. | TC-TU-1. Ulverstone to Hobart. Characteristics: 
 
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Details of use and rarity.
| Form sub-number | Schedule number | Earliest recorded date | Rarity rating | 
| DU-1 | None | 21 April 1892 at Hobart. | RRRR |