Items 1 to 7: contract details
Contractor, program (stock, nonstock or schedules), contract number, supplier, period of contract from and to, commodity and class.
GSA1679
Contract Administration
GSA Form 1679, Contract Administration, is a General Services Administration form, Rev. 5/1976. GSA's page lists FSS P 2901.5 as its authority or regulation, and GSA hosts it in its forms library.
The one-page form identifies a contractor, supplier, contract number, period of contract, commodity and class, and whether the program is stock, nonstock or schedules. It has a table of delinquent orders and a DETAILS block, and it is signed by a quality assurance specialist. A box lets the specialist ask for a contracting officer reply in item 15, and the contracting officer signs item 16.
The PDF prints no instructions, Privacy Act notice or OMB number. You can fill it out free in your browser on this page and download the result without an account.

Contractor, program (stock, nonstock or schedules), contract number, supplier, period of contract from and to, commodity and class.
Whether the form is distributed by the quality assurance specialist or the regional office, the addressee, and the copies to list.
Two counts: line items on hand and line items delinquent.
A table with order number, national stock number, quantity and unit, the dates the order was received and due, and the dates submitted to laboratory and scheduled for shipment.
A DETAILS block, a box asking for a contracting officer reply in item 15, and the quality assurance specialist's signature, date, regional QCD telephone number and correspondence symbol.
The reply of the contracting officer, if requested in item 11, and the contracting officer's signature, date, telephone number and correspondence symbol.
Enter the contractor, contract number, supplier, period of contract, commodity and class, and check stock, nonstock or schedules in item 2.
Check BY QUALITY ASSURANCE SPECIALIST or REGIONAL OFFICE in item 8, enter the addressee and mark the copies to list.
Enter the number of line items on hand and the number delinquent in item 9.
For each order in item 10, enter the order number, national stock number, quantity and unit, and the dates the table asks for.
Write the details in item 11 and check the box if a contracting officer reply is wanted in item 15. The quality assurance specialist signs and dates item 12.
When a reply is requested, the contracting officer writes it in item 15 and signs and dates item 16.

You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The PDF gives no filing address. Item 8 names an addressee and a copies to list, and the form is distributed by the quality assurance specialist or the regional office.
GSA's page lists FSS P 2901.5 as the authority or regulation. The footer prints GENERAL SERVICES ADMINISTRATION and GSA FORM 1679 (REV. 5-76).
The PDF is a single page and prints no instructions, Privacy Act notice, OMB number or burden estimate.
Item 12 is the quality assurance specialist's signature, with a date, the regional QCD telephone number in item 13 and a correspondence symbol in item 14.
If a reply is requested in item 11, the contracting officer replies in item 15 and signs item 16 with a date, telephone number and correspondence symbol.
Item 8, DISTRIBUTION, has two boxes, BY QUALITY ASSURANCE SPECIALIST and REGIONAL OFFICE, with an addressee block.
The COPIES TO block lists FQ, FFC CUST. SERV., NAT. INV. MANAGER, FMQ, CONTRACTING OFFICER and OTHER. The form does not expand these codes.
The contractor and supplier are named in items 1 and 4. The form has no signature or reply block for either of them.
The form prints no instructions. These are the people its signature and distribution blocks name.
The agency’s own page for Form GSA1679.
The official blank form, to print or fill by hand.
No tool matches that search.
The form is printed as a General Services Administration form, Rev. 5/1976. GSA's page lists FSS P 2901.5 as its authority, and GSA hosts it in its forms library.
The quality assurance specialist signs item 12. If a reply is requested in item 11, the contracting officer replies in item 15 and signs item 16.
Item 10 asks for the order number, national stock number, quantity and unit, the dates the order was received and due, the date submitted to laboratory and the date scheduled for shipment.
The contractor is named in item 1, but the form has no signature or reply block for the contractor. Its signature blocks are for the quality assurance specialist and the contracting officer.
No. The PDF is a single page of numbered blocks and prints no instructions, Privacy Act notice or OMB number.