Item 1: status of list
A box to check for NO CHANGE SINCE LAST REPORT.
GSA1099
Emergency Call Numbers List (Key Persons)
- Agency
- GSA
- Revision
- Rev. 2/2000
- Fillable fields
- 108
- Pages
- 2
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 1099: Emergency Call Numbers List (Key Persons)
GSA Form 1099, Emergency Call Numbers List (Key Persons), is a General Services Administration (GSA) form, printed as GSA FORM 1099 (REV. 2-2000). GSA hosts it in its forms library, and GSA's page lists PBS P 5930.2A as its authority or regulation.
The instructions on the back say the form is designed to provide management with the names, agency, addresses and telephone numbers of key persons who are to be contacted in emergencies to cope with civil disturbances, fires, utility failures, and other types of emergency conditions.
The front has items 1 to 11: the status of the list, field office, date, an addressee, a table of key persons with home and office telephone numbers, remarks, distribution and the building manager's signature. The form says it is designed to be kept at the Guards' Desk. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 1099
Items 2 to 4: field office, date and addressee
The field office, the date as month and year, and a To block.
Items 5 to 8: key persons
A table with columns for agency and title, name, home address, and telephone numbers for (a) home and (b) office.
Item 9: remarks
Space for remarks under the table.
Items 10 and 11: distribution and signature
The distribution, the signature of the building manager and the name of the signer.
Instructions on the back
Three short notes headed Purpose, Preparation and Distribution.
How to complete GSA Form 1099
- 1
Check item 1 if nothing changed
The form says to check the box in Item 1 when applicable on date of preparation.
- 2
Enter the field office, date and addressee
Fill in items 2 to 4. Item 3 asks for the date as month and year.
- 3
List the key persons
Enter each person's agency and title, name, home address, and home and office telephone numbers in items 5 to 8.
- 4
Split a long list
The form says that where the list is lengthy, consider preparing more than one list, such as one for fire, police, FBI, U.S. Attorney, U.S. Marshall, Bomb Squad, and one for Field or Regional Office Personnel.
- 5
Sign and record the distribution
The building manager signs item 11a and the signer's name goes in item 11b. Item 10 records the distribution.
- 6
Update it periodically
The form says the list is to be updated periodically as required.
Why fill Form GSA1099 on indox
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
- Fill the form right in your browser, no software to install
- Free to fill and free to download, with no account
- The official blank straight from the GSA, not a copy someone retyped
- Works on a phone, tablet or computer
Where it is kept and what the form says
Where it is kept
The form says it is designed to be kept at the Guards' Desk, and that key persons such as Building Managers may benefit from an individual copy.
Who receives copies
The form says the offices which receive listings and the distribution should be made according to local requirements. It gives no mailing address.
What GSA's page says
GSA's page lists form number GSA1099, a current revision date of 02/2000 and PBS P 5930.2A as the authority or regulation.
Privacy
The table asks for home addresses and home telephone numbers. The form prints no Privacy Act statement, OMB number or time estimate.
Related forms
Who uses GSA Form 1099?
The instructions on the back describe who prepares, signs and keeps the list.
Official sources and the blank
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Questions about Form GSA1099
Who issues GSA Form 1099?
The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 1099 (REV. 2-2000). GSA's page lists PBS P 5930.2A as its authority or regulation.
Is GSA Form 1099 a tax form?
No. Its title is Emergency Call Numbers List (Key Persons). The form says it gives management the names, agency, addresses and telephone numbers of key persons to contact in emergencies.
Who signs GSA Form 1099?
Item 11a is the signature of the building manager, and item 11b is the name of the signer.
Where is the list kept?
The form says it is designed to be kept at the Guards' Desk, and that key persons such as Building Managers may benefit from an individual copy.
Can the list be split into more than one form?
The form says that where the list is lengthy, consider preparing more than one list, for example one for fire, police and other outside services and one for Field or Regional Office Personnel.
How often is the list updated?
The form says the list is to be updated periodically as required, and to check the box in item 1 when there is no change since the last report.