GSA1204

Condition Survey Report

Agency
GSA
Revision
Rev. 9/2014
Fillable fields
24
Pages
1
Official source
GSA form page
Checked
October 20, 2026
Fill GSA1204 online
Page 1 of form GSA1204

GSA Form 1204: Condition Survey Report

GSA 1204, Condition Survey Report, is a General Services Administration form, Rev. 9/2014. GSA hosts it in its forms library.

The form records the condition of premises under a lease. It names the building, the lessor, the room numbers or other identification and the lease number, and it is marked as an INITIAL or FINAL survey with a date of survey. A list of suggested items, which the form labels incomplete, runs from the building exterior to the windows, and a narrative report beside it comments on each pertinent item.

The undersigned certify that the report represents their opinion of the true and correct condition of the premises as of a stated date, and the lessor signs as well. You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of GSA Form 1204: Condition Survey Report, as printed by GSA

What's on GSA 1204

Header

Page number and number of pages, date of survey, and the INITIAL or FINAL check boxes.

Premises and lease

Building name and address, lessor's name and address, room numbers or other identification, and lease number.

Suggested items 1 to 9

Building exterior, entrances, ceiling, corridors, doors, electrical system, elevators, fire escapes, and fire protection equipment such as extinguishers, hose racks, fire alarm and sprinklers.

Suggested items 10 to 18

Floors, heating and air conditioning, office lavatories, rest room facilities, skylights, stairs, ventilators, walls, and windows down to blinds, shades, screens and awnings.

Narrative report

Space to report on all pertinent items, commenting on general condition and appearance, type of construction and condition of paint or other finish.

Certification and signatures

The certification with a date, two signature and title lines, additional signatures and the signature of lessor.

How to complete GSA 1204

  1. 1

    Mark the survey type

    Enter the date of survey, check INITIAL or FINAL, and fill in the page count.

  2. 2

    Identify the premises

    Enter the building and lessor names and addresses, the room numbers or other identification and the lease number.

  3. 3

    Go through the items

    Use the suggested items as a guide. The form labels the list incomplete and says to report on all pertinent items.

  4. 4

    Write the narrative

    Comment on general condition and appearance, type of construction and condition of paint or other finish. The form says to use the reverse if more space is needed.

  5. 5

    Certify and sign

    Enter the date in the certification, sign with titles, and obtain the lessor's signature or explain on the reverse why it was not obtained.

Why fill Form GSA1204 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

Routing and what the form says

Where it goes

The PDF gives no filing address or routing beyond its signature blocks.

More space

The form says to use the reverse of the form if more space is needed for the narrative report.

Lessor signature not obtained

The signature of lessor block says to explain on the reverse if the signature is not obtained.

Notices

GSA's page lists no authority or regulation, and the PDF prints no Privacy Act notice, OMB number or burden estimate.

Who signs GSA 1204?

  • The undersigned

    Two SIGNATURE AND TITLE lines follow a certification that the report represents the signers' opinion of the true and correct condition of the premises.

  • Additional signers

    An ADDITIONAL SIGNATURES block is printed for use if needed.

  • The lessor

    A SIGNATURE OF LESSOR block. The form says that if it is not obtained, the reason is explained on the reverse.

  • Initial or final survey

    A check one block marks the report as INITIAL or FINAL, next to the date of survey. The form does not define the two.

The form prints these signature blocks. It does not say who the undersigned are.

Official sources and the blank

Do it all with indox

View all 94 tools

Questions about Form GSA1204

Who issues GSA 1204?

The form is printed as a General Services Administration form, Rev. 9/2014. GSA hosts it in its forms library.

What is the difference between INITIAL and FINAL?

The form has a check one block for INITIAL or FINAL next to the date of survey. It does not define the two.

Is the list of items complete?

No. The form labels it SUGGESTED ITEMS (Incomplete) and says to report on all pertinent items.

What if the lessor does not sign?

The signature of lessor block says that if the signature is not obtained, the reason is explained on the reverse of the form.

What do the signers certify?

That the report represents their opinion of the true and correct condition of the described premises as of the date written in the certification.