Blocks 1 to 4: addressee, time, date and contact
The preprinted TO line, the time, the date, and a Visit or Telephone box for the type of contact.
GSA1321
Conversation with Member of Congress or Member's Staff
- Agency
- GSA
- Revision
- Rev. 3/1990
- Fillable fields
- 19
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 1321: Conversation with Member of Congress or Member's Staff
GSA Form 1321, Conversation with Member of Congress or Member's Staff, is a General Services Administration form, GSA FORM 1321 (REV. 3-90), hosted in GSA's forms library. It is a one-page record with 16 numbered blocks.
Block 1 is preprinted TO: OFFICE OF CONGRESSIONAL AND INTERGOVERNMENTAL AFFAIRS(S). The form records the time and date, whether the contact was a visit or a telephone call, the name and title of the Member of Congress with the home state and a telephone number, the subject, a summary of the conversation, and whether further action is required. The person who had the conversation and a reviewing official sign it.
The form prints no instructions, OMB number or privacy statement. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 1321
Blocks 5 to 7: the Member
Name and title of the Member of Congress, home state and telephone number.
Blocks 8 and 9: subject and summary
The subject, then a large space for the summary of the conversation.
Block 10: further action
Whether further action is required: Yes, with an explanation, or No.
Blocks 11 to 16: signatures
Name and signature of the person having the conversation, correspondence symbol, telephone number, signature of the reviewing official, title and date.
How to complete GSA Form 1321
- 1
Enter the time and date
Fill in block 2, time, and block 3, date. Block 1 is already printed.
- 2
Check the type of contact
Check Visit or Telephone in block 4.
- 3
Identify the Member
Enter the name and title of the Member of Congress, the home state and a telephone number in blocks 5 to 7.
- 4
Write the subject and summary
Enter the subject in block 8 and summarize the conversation in block 9.
- 5
Mark further action
Check Yes and explain, or check No, in block 10.
- 6
Sign and get it reviewed
The person who had the conversation signs block 11 and adds a correspondence symbol and phone number. The reviewing official signs block 14 and adds a title and date.
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What the form says
Where it goes
Block 1 is preprinted TO: OFFICE OF CONGRESSIONAL AND INTERGOVERNMENTAL AFFAIRS(S). The form prints no address.
Edition and authority
The footer reads GSA FORM 1321 (REV. 3-90). GSA's page lists a current revision date of 03/1990 and no authority or regulation. The PDF prints no instructions, OMB number or privacy statement.
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Who fills out GSA Form 1321?
The form prints no instructions. Its blocks name these people and offices.
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Questions about Form GSA1321
Who issues GSA Form 1321?
The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 1321 (REV. 3-90). GSA hosts it in its forms library.
Who is GSA Form 1321 addressed to?
Block 1 is preprinted TO: OFFICE OF CONGRESSIONAL AND INTERGOVERNMENTAL AFFAIRS(S).
What kinds of contact does it record?
Block 4 has two boxes for the type of contact: Visit and Telephone.
Who signs GSA Form 1321?
The person having the conversation signs block 11. A reviewing official signs block 14, with a title in block 15 and the date in block 16.
Does GSA Form 1321 have instructions?
The PDF prints none, and it prints no OMB number or privacy statement. GSA's page gives a current revision date of 03/1990 and lists no authority or regulation.