Items 1 to 3: the employee
Employee name (last, first, middle), date of birth, and place of birth (city and state).
GSA2910
Contract Employee Suitability Record
- Agency
- GSA
- Revision
- Rev. 4/1979
- Fillable fields
- 38
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 2910: Contract Employee Suitability Record
GSA Form 2910, Contract Employee Suitability Record, is a General Services Administration form. Its footer reads GSA FORM 2910 (REV. 4-79), and GSA hosts it in its forms library. GSA's page lists 04/1979 as the current revision date and gives no authority or regulation.
The one-page record covers one contract employee. Items 1 to 13 identify the employee, the contractor, the contract number, the building, building passes and the type of service, with a Suitable or Unsuitable determination in item 4. Section I dates each suitability step for cleaning and mechanical employees and guards, and Section II adds certifications for guards. The bottom line says to refer to contract details and use the reverse for comments. It prints no instructions, OMB number or privacy statement.
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What's on GSA Form 2910
Items 4 to 8: determination and contract
A Suitable or Unsuitable determination, the contractor, the contract number, the building name and the Social Security number.
Items 9 to 13: passes, service and citizenship
Building pass numbers and dates issued, each by quarter, the date cancelled, the type of service, and citizenship, U.S. or other with the Alien No.
Section I: items 14 to 19
Dates for two fingerprint cards (FD 258) and the Statement of Personal History (GSA Form 176) received from the contractor, forwarding to GSA Central Office, the suitability rating, entry on duty and termination.
Section II: items 20 to 25
For guards, dates for certifications of firearms qualification, gun permit, appointment as special policeman, education or experience, training, and SF 78, Certificate of Medical Examination.
How to complete GSA Form 2910
- 1
Enter the employee details
Fill in items 1 to 3 and item 8, then the citizenship in item 13, giving the Alien No. if other than U.S.
- 2
Record the contract
Enter the contractor, contract number and building name in items 5 to 7, and check the type of service in item 12.
- 3
Log building passes
Enter building pass numbers and the dates issued in the quarterly boxes of items 9 and 10, and any date cancelled in item 11.
- 4
Date each suitability step
In Section I, write the date beside each step as it happens. Item 17 says the suitability rating is received and entered in item 4.
- 5
Complete Section II for guards
For guards, date each certification received in items 20 to 25.
- 6
Add comments on the reverse
The bottom line says to refer to contract details and use the reverse for comments.
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Where it goes and what the form says
Where it goes
The PDF prints no filing address or routing. Item 16 records forwarding fingerprint cards and personal history to GSA Central Office.
Contract details
The form's title line says to refer to contract details, and to use the reverse for comments.
Edition and authority
The footer reads GSA FORM 2910 (REV. 4-79). GSA's page lists 04/1979 as the current revision date and leaves the authority or regulation blank.
Privacy
The record asks for a Social Security number and date and place of birth. The PDF prints no Privacy Act statement.
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Who is GSA Form 2910 for?
The form does not name the office that keeps it. Its items show who and what it tracks.
Official sources and the blank
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Questions about Form GSA2910
Who issues GSA Form 2910?
The footer names the General Services Administration. GSA hosts the form in its forms library, and its page lists no authority or regulation.
Who fills out GSA Form 2910?
The form does not say. Its items record documents received from the contractor and forwarded to GSA Central Office for one contract employee.
What documents does Section I list?
Two fingerprint cards (FD 258) and the Statement of Personal History (GSA Form 176) received from the contractor, plus dates for forwarding them to GSA Central Office, the suitability rating, entry on duty and termination.
What extra items apply to guards?
Section II dates certifications of firearms qualification, issuance of a gun permit, appointment as special policeman, education or experience, training, and SF 78, Certificate of Medical Examination, received from the contractor.
Where is the suitability determination recorded?
Item 4 has Suitable and Unsuitable boxes. Item 17 says the suitability rating is received and entered in item 4.