Agency block
Name of agency, date of request, liaison officer with signature, title and telephone number, designated alternate, code number and address.
GSA2053
Agency Consolidated Requirements for GSA Regulations and Other External Issuances
GSA Form 2053 is the Agency Consolidated Requirements for GSA Regulations and Other External Issuances. The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 2053 (REV. 6/2002), says it is prescribed by OAD P 1860.7A, and notes that the previous edition is not usable. GSA hosts it in its forms library.
An agency uses it to ask GSA to send a number of copies of GSA regulations and other external issuances. It names the agency, its liaison officer and designated alternate, the type of request, the mailing address of the agency's Headquarters Distribution Office, and the copies required of the Federal Management Regulation (FMR) and each subchapter of the Federal Property Management Regulations. The back describes the content of GSA's regulations.
You can fill it out free in your browser on this page and download the result without an account.

Name of agency, date of request, liaison officer with signature, title and telephone number, designated alternate, code number and address.
The GSA Printing and Forms Division (CAP) address and telephone number printed on the form.

New (total agency requirements), Revised (supersedes previous request), Change of mailing address, or Other (see remarks).
The complete mailing address, with 9-digit zip code, of the agency's Headquarters Distribution Office where GSA is to send all issuances requested.

Number of copies required and GSA mailing list code for the FMR, distributed in its entirety, and for Federal Property Management Regulations subchapters A to H.
Descriptions of the content of the FMR and FPMR subchapters, and a Remarks box.
Enter the agency name, date of request, liaison officer, telephone number, designated alternate, code number and address. The liaison officer signs with title.
Mark New, Revised, Change of mailing address, or Other. The form points Other to the remarks on the back.
The form says agencies indicate the complete mailing address of their Headquarters Distribution Office, including the 9-digit zip code.
Enter the number of copies and the GSA mailing list code for each regulation or subchapter. The form says GSA distribution includes the related bulletins and notices.
The form says to submit it in duplicate to the GSA Printing and Forms Division (CAP) at the address printed on the form.

You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
General Services Administration, Printing and Forms Division (CAP), 1800 F Street, NW, Washington DC 20405-0002.
GSA Tel. No. (202) 501-2693.
The form says to submit it in duplicate.
The footer reads GSA FORM 2053 (REV. 6/2002), Prescribed by OAD P 1860.7A, and says the previous edition is not usable. GSA's page lists no authority or regulation.
Enters its name, code number, address, the date of request and the copies it needs.
Signs with title as the official GSA is to contact regarding the request, with a telephone number.
A second agency contact named below the liaison officer.
The form is submitted to GSA's Printing and Forms Division (CAP), which the form asks to send the issuances to the agency.
The form is a request from a federal agency to GSA. Its blocks show these roles.
The agency’s own page for Form GSA2053.
The official blank form, to print or fill by hand.
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The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 2053 (REV. 6/2002), and says it is prescribed by OAD P 1860.7A. GSA hosts it in its forms library.
A federal agency. The form asks for the agency's name and code number and a liaison officer, the official GSA is to contact about the request, who signs it with title.
The form prints General Services Administration, Printing and Forms Division (CAP), 1800 F Street, NW, Washington DC 20405-0002, and says to submit it in duplicate.
The Federal Management Regulation (FMR), distributed in its entirety, and Federal Property Management Regulations subchapters A to H. The form says distribution includes the related bulletins and notices.
The form says agencies indicate the complete mailing address of their Headquarters Distribution Office where GSA is to send all issuances requested, with a 9-digit zip code.
New (total agency requirements), Revised (supersedes previous request), Change of mailing address, and Other, explained in the remarks.