Header blocks
Field office, building number, area and group code, prepared by (name), shop and date, repeated at the top of both pages.
GSA2105
Annual Man-Hour Preventive Maintenance Requirements
GSA Form 2105, Annual Man-Hour Preventive Maintenance Requirements, is a two-page GSA form. The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM NOV 70 2105. GSA hosts it in its forms library; its page lists the current revision date as 11/1970 and no authority or regulation.
Page 1, Section I, PM Man-Hour Requirements, is a table of items with a PM guide number, quantity, frequency, standard man-hours and total man-hours allowed, and a total at the bottom. Page 2, Section II, PM Monthly Schedule for FY, has a column for each month from July to June. Both pages repeat a header for field office, building number, area and group code, the preparer's name, shop and date.
The form prints no instructions. You can fill it out free in your browser on this page and download the result without an account.

Field office, building number, area and group code, prepared by (name), shop and date, repeated at the top of both pages.
Each row of the PM Man-Hour Requirements table starts with a PM guide number and an item.
Columns for the quantity and the frequency of each item.
Man-hours are split into Standard and Total Allowed columns, with a Total box at the foot of the table.

The PM Monthly Schedule for FY has a blank for the fiscal year and twelve columns, July through June.
Enter the field office, building number, area and group code, the preparer's name, shop and date.
On page 1, enter the PM guide number and the item for each row of Section I.
Fill in the quantity and frequency columns for each item.
Fill in the standard and total allowed man-hours for each row, then the total at the bottom.
On page 2, repeat the header, write the fiscal year after FY and fill in the month columns from July to June.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form prints no instructions, address or routing.
The form has no signature block. The header asks for the preparer's name and a date.
The footer reads GSA FORM NOV 70 2105, and GSA's page lists the current revision date as 11/1970 with no authority or regulation.
Each page has a Prepared By (Name) block and a Date block.
A Shop block sits beside the preparer's name on both pages.
The header has a Field Office block on both pages.
The header also asks for the building number and an area and group code.
The form prints no instructions. Its header blocks, repeated on both pages, identify these.
The agency’s own page for Form GSA2105.
The official blank form, to print or fill by hand.
No tool matches that search.
The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM NOV 70 2105. GSA hosts it in its forms library, and its page lists no authority or regulation.
PM man-hour requirements: a PM guide number, item, quantity, frequency, standard man-hours and total man-hours allowed for each row, with a total at the bottom.
A PM monthly schedule for a fiscal year, with one column for each month from July to June.
The form prints no signature block. Each page has a Prepared By (Name) block and a Date block.
No. The PDF prints only the two pages of header blocks and tables, with no instructions or routing.