Agency contact information
Requesting agency, date, agency contact, telephone number, e-mail address and BOAC/serial number.
GSA2553A
Vehicle Modification/Accessory Equipment Request
- Agency
- GSA
- Revision
- Rev. 3/2021
- Fillable fields
- 31
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 2553A: Vehicle Modification/Accessory Equipment Request
GSA Form 2553A is the Vehicle Modification/Accessory Equipment Request. The footer reads GENERAL SERVICES ADMINISTRATION and GSA 2553A 3/2021, and GSA hosts it in its forms library. The form says the request is in accordance with 41 CFR §101-39.304, Modification or Installation of Accessory Equipment. GSA's forms page lists the authority as FMR (41 CFR) 101-39.304.
A requesting agency fills in its contact information, the vehicle or vehicles, a description and justification, the payment method and estimated cost. An agency representative signs the Agency Contact Approval statements, and a section To Be Completed by GSA has lines for the Fleet Manager and the Zonal Fleet Manager or designee. The form says the request is submitted to the GSA Fleet Zonal Fleet Manager for review and approval.
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What's on GSA Form 2553A
Vehicle information
Tag number, year, make, model and mileage, plus boxes for multiple vehicles (attach a list) or a nationwide blanket request for all vehicles assigned.
Description and justification
An open area for the request. The form says requests applying to multiple vehicles must have all of the same requirements.
Payment and cost
Agency funded or GSA funded (Capitalization required if greater than $1,000), an Estimate Attached box, the estimated cost including installation, and the lift or tow weight for a lift gate or tow hitch.
Agency contact approval
Statements on funding, capitalization, safety, subrogation, vehicle rotation and vendor authorization, followed by the agency representative's name, title, signature and date.
To be completed by GSA
Name, title, signature and date for the Fleet Manager and for the Zonal Fleet Manager or designee.
How to complete GSA Form 2553A
- 1
Enter the agency contact
Fill in the requesting agency, date, contact name, telephone number, e-mail address and BOAC/serial number.
- 2
Identify the vehicle or vehicles
Enter one vehicle's tag number, year, make, model and mileage, or check the box to attach a list of vehicles or the nationwide blanket request box.
- 3
Describe and justify the request
The form says to submit separate forms (and vehicle lists, if applicable) for different requirements.
- 4
Choose payment and enter the cost
Check agency funded or GSA funded, enter the estimated cost including installation, and add the lift or tow weight for a lift gate or tow hitch. The form says work estimated over $2,500 must be accompanied by three estimates.
- 5
Sign the agency contact approval
The agency representative reads the printed statements, then enters a name and title, signs and dates.
- 6
Submit it to GSA Fleet
The form says it is submitted to the GSA Fleet Zonal Fleet Manager for review and approval. GSA completes the last section.
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Review, cost and what the form says
Where it goes
The form says the request is submitted to the GSA Fleet Zonal Fleet Manager for review and approval. It prints no street address.
Estimates
The form says modification/accessory equipment estimated to cost over $2,500 must be accompanied by three estimates.
Agency funded requests
The agency approves funding for acquisition, installation, maintenance, removal and any cost to restore the vehicle before turn in. If the equipment is left in place at turn in, the form says GSA will NOT reimburse the agency.
GSA funded requests
The form says requests costing over $1,000 (excluding wearable items) will be capitalized into the value of the vehicle and a monthly option rate will be assessed. The equipment is GSA property and stays on the vehicle at turn in.
Vendor authorization
Approval is NOT authorization for the vendor to perform the work. The form says the vendor MUST receive authorization from the GSA Maintenance Control Center (MCC) prior to starting any work.
Authority and edition
The form cites 41 CFR §101-39.304 and its footer reads GSA 2553A 3/2021. GSA's page lists FMR (41 CFR) 101-39.304 and a current revision date of 03/2021. No OMB number or privacy statement is printed.
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Who uses GSA Form 2553A?
The sections and signature lines name these roles.
Official sources and the blank
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Questions about Form GSA2553A
Who issues GSA Form 2553A?
The footer reads GENERAL SERVICES ADMINISTRATION and GSA 2553A 3/2021, and the form cites 41 CFR §101-39.304. GSA hosts it in its forms library.
Who reviews GSA Form 2553A?
The form says a request to modify a GSA Fleet vehicle or to permanently install accessory equipment is submitted to the GSA Fleet Zonal Fleet Manager for review and approval.
Can the vendor start work once the request is approved?
The form says approval is NOT authorization for the vendor to perform the work, and the vendor MUST receive authorization from the GSA Maintenance Control Center (MCC) prior to starting any work.
When does the form ask for three estimates?
The form says modification/accessory equipment estimated to cost over $2,500 must be accompanied by three estimates.
What happens with GSA funded equipment over $1,000?
The form says GSA funded requests costing over $1,000 (excluding wearable items) will be capitalized into the value of the vehicle and a monthly option rate will be assessed. The equipment is GSA property and remains on the vehicle at turn in.
Can one form cover several vehicles?
Yes, with a list attached or the nationwide blanket request box checked. The form says requests applying to multiple vehicles must have all of the same requirements, with separate forms for different requirements.
Does a modification keep the vehicle out of rotation?
The form says it does not automatically exempt the vehicle from rotation due to under or overutilization. On high cost installations, agencies may request and GSA Fleet may grant an extension of the replacement cycle.
What does the agency waive on GSA Form 2553A?
The approval statement says the agency waives any claim for subrogation or reimbursement against GSA for a claim filed under the Federal Employees' Compensation Act or the Federal Tort Claims Act for injuries or death from the installation of aftermarket equipment or vehicle modifications.