GSA1349

Personal Data Statement

Agency
GSA
Revision
Rev. 8/1976
Fillable fields
162
Pages
2
Official source
GSA form page
Checked
October 20, 2026
Fill GSA1349 online
Page 1 of form GSA1349

GSA Form 1349: Personal Data Statement

GSA Form 1349, Personal Data Statement, is a General Services Administration form, GSA FORM 1349 (REV. 8-76), hosted in GSA's forms library. Its Privacy Act statement says that under authority of 5 USC 4103, the Civil Service Commission allows agencies to establish and operate training programs. It says the information will be used by managers, supervisors and personnelists in career counseling and planning, and to monitor and document the performance and status of GSA career development programs, and that the form becomes a part of your career folder.

The form asks for your name, present position and work location, the positions that are your career objectives, and your availability for developmental assignments and promotions. Five sections follow: work experience; special qualifications, skills and activities; education; training; and remarks. It ends with a signed certification.

The form says disclosure is voluntary, but if all appropriate information is not provided, proper career counseling and planning will not be possible. 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 1349: Personal Data Statement, as printed by GSA

What's on GSA Form 1349

Header: you and your present position

Name, office mailing symbol, first submission or update, present position title, series and grade, and present work location by service or staff office, division and branch, city and state, and region number.

Career objectives and availability

The position or positions that are your career objectives, and availability for developmental assignments and promotions in the present commuting area or outside it, with a location.

Section I: work experience

Employment dates, position title or type of work, with the highest grade if applicable, and organization, beginning with the job prior to the present one.

Section II: qualifications, skills and activities

Special skills and equipment you can use, publications, patents, memberships and honors, special activities such as boards and committees, and licenses and certificates currently in effect.

Section III: education

Highest year of high school completed or G.E.D., colleges with dates, semester or quarter credits, degree and major, and chief undergraduate and graduate courses with hours.

Sections IV and V: training and remarks

Course title, organization that conducted the training, dates, classroom hours and whether completed, then remarks or other information and the signed certification.

How to complete GSA Form 1349

  1. 1

    Check first submission or update

    For an update, the form says to complete only those items for which you have new or changed data.

  2. 2

    Describe your present position

    Enter your title, series, grade, service or staff office, division and branch, city and state, and region number.

  3. 3

    State your objectives and availability

    Identify the position or positions that are your career objectives, then check where you are available for developmental assignments and promotions.

  4. 4

    List your work experience

    The form says to begin with the job prior to the present one and to include significant detail assignments and military service.

  5. 5

    Add qualifications, education and training

    Complete Sections II to IV. If more space is required for any section, the form says to use full sheets of paper and indicate the section the data applies to.

  6. 6

    Sign the certification

    Sign and date to certify that the statements are true, complete and correct to the best of your knowledge and belief, and are made in good faith.

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Privacy and what the form says

Where it goes

The form prints no address. Its Privacy Act statement says the form becomes a part of your career folder.

Voluntary disclosure

The form says disclosure of the information is voluntary, but if all appropriate information is not provided, proper career counseling and planning will not be possible.

Routine uses

The form says the routine uses as defined in 5 USC 552(a)(7) and provided for in 552a(b)(3) are described in the Appendix following the GSA notice published in the Federal Register.

Edition and authority

The front reads GSA FORM 1349 (REV. 8-76) and the back GSA FORM 1349 BACK (REV. 8-76). GSA's page lists a current revision date of 08/1976 and no authority or regulation. The PDF prints no OMB number.

Related forms

Who fills out GSA Form 1349?

  • Employees submitting it the first time

    The top of the form has a box for First Submission of This Form, followed by your present position, grade and work location.

  • Employees updating it

    The Update box says to complete only those items for which you have new or changed data. If your last name changed since the last submission, the form asks for the previous last name.

  • Managers, supervisors and personnelists

    The Privacy Act statement says they use the information in career counseling and planning.

  • GSA personnel offices

    The form says copies of the Appendix describing its routine uses may be obtained from any GSA personnel office.

The Privacy Act statement and the check boxes at the top describe these uses.

Official sources and the blank

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Questions about Form GSA1349

Who issues GSA Form 1349?

The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 1349 (REV. 8-76). GSA hosts it in its forms library.

Is providing the information voluntary?

The form says disclosure is voluntary, but if all appropriate information is not provided, proper career counseling and planning will not be possible.

Who uses the information on GSA Form 1349?

The Privacy Act statement says managers, supervisors and personnelists use it in career counseling and planning, and that it is also used to monitor and document GSA career development programs.

How do I update an earlier statement?

Check Update and complete only those items for which you have new or changed data. If your last name changed since the last submission, give the previous last name.

Where does the work history start?

Section I says to begin with the job prior to the present one and to include significant detail assignments and military service.

What if a section needs more space?

The form says to use full sheets of paper and indicate the section to which the data applies.