GSA2099

EEO Counselor Credentials

Agency
GSA
Revision
Rev. 8/1996
Fillable fields
5
Pages
1
Official source
GSA form page
Checked
October 20, 2026
Fill GSA2099 online
Page 1 of form GSA2099

GSA Form 2099: EEO Counselor Credentials

GSA Form 2099, EEO Counselor Credentials, is a one-page GSA form. The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 2099 (REV. 8-96), Prescribed by ADM P 2300.1. GSA hosts it in its forms library; its page lists the current revision date as 08/1996 and no authority or regulation.

The form states that the named individual, in the capacity of EEO counselor, is authorized to conduct an informal review of circumstances related to issues of discrimination raised by a GSA employee or applicant. It says the inquiry shall be made in accordance with the Equal Employment Opportunity Commission regulations (29 CFR 1614.105).

The form has blocks for the counselor's name, a date, an expiration date and the authorizing official's signature. 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 2099: EEO Counselor Credentials, as printed by GSA

What's on GSA Form 2099

Name of counselor and date

The top line holds the name of the counselor and a date.

Authorization statement

The named individual, in the capacity of EEO counselor, is authorized to conduct an informal review of circumstances related to issues of discrimination raised by a GSA employee or applicant.

What the counselor is authorized to do

Gather information through interviews and through examination of pertinent records and instructional material, and review personnel records of the employee who has come for counseling and of others similarly situated or with knowledge of the matter.

Interviews and records

The form says the interviews are conducted without sworn testimony, and that the counselor has been advised of the responsibility to safeguard and properly use official personnel folders and other documents.

Expiration date and signature

The bottom line holds an expiration date and the authorizing official's signature.

The form is a short printed statement between two lines of entry blocks.

How to complete GSA Form 2099

  1. 1

    Enter the counselor's name

    Type the name of the counselor in the first block.

  2. 2

    Add the date

    Enter the date in the block beside the name.

  3. 3

    Read the printed statement

    The statement sets out the informal review, the regulation it follows (29 CFR 1614.105) and what the counselor is authorized to do.

  4. 4

    Enter the expiration date

    Fill in the Expiration Date block at the bottom of the form.

  5. 5

    Authorizing official signs

    The authorizing official signs in the signature block. The form prints no routing or mailing instructions.

Why fill Form GSA2099 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 authority

Where it goes

The form prints no address and no routing instructions.

Prescribing directive

The footer says the form is prescribed by ADM P 2300.1. GSA's page lists no authority or regulation.

Regulation cited

The form says the inquiry shall be made in accordance with the Equal Employment Opportunity Commission regulations (29 CFR 1614.105).

Edition

The footer reads REV. 8-96, and GSA's page lists the current revision date as 08/1996.

Related forms

Who fills out GSA Form 2099?

  • The authorizing official

    The form has one signature block, for the authorizing official, next to the expiration date.

  • The EEO counselor

    The person named in the Name of Counselor block. The form says this individual is authorized, in the capacity of EEO counselor, to conduct an informal review.

  • GSA employees and applicants

    The review covers issues of discrimination raised by a GSA employee or applicant. The form has no block for them to complete.

  • Officials, supervisors and other employees

    The form says the counselor may gather information through interviews with agency officials, supervisors and other employees.

The form prints no instructions. Its blocks and printed statement name these people.

Official sources and the blank

Do it all with indox

View all 94 tools

Questions about Form GSA2099

Who issues GSA Form 2099?

The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 2099 (REV. 8-96), Prescribed by ADM P 2300.1. GSA hosts it in its forms library.

What does GSA Form 2099 authorize?

It states that the named individual, in the capacity of EEO counselor, is authorized to conduct an informal review of circumstances related to issues of discrimination raised by a GSA employee or applicant.

Which regulation does the form cite?

The form says the inquiry shall be made in accordance with the Equal Employment Opportunity Commission regulations (29 CFR 1614.105).

Are the interviews under oath?

The form says the interviews are conducted without sworn testimony.

Who signs GSA Form 2099?

The form has one signature block, for the authorizing official, next to the expiration date.