Blocks 1 to 5: agency, bill and property
Agency or bureau name and code, agency account number, bill number, property ID, CBR number, city, state code and month and year of billing.
GSA2972
Agency Request for Adjustment/OPAC Charge-Backs to FBF Rent Billings
- Agency
- GSA
- Revision
- Rev. 9/1999
- Fillable fields
- 48
- Pages
- 2
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 2972: Agency Request for Adjustment/OPAC Charge-Backs to FBF Rent Billings
GSA Form 2972, Agency Request for Adjustment/OPAC Charge-Backs to FBF Rent Billings, is a General Services Administration form, REV. 9-1999 on its footer. GSA hosts it in its forms library, and GSA's page lists PBS P 1430.1 as its authority or regulation.
The form says Section I is completed by the GSA customer agency whenever it requests an adjustment or OPAC chargeback for an agency's Federal Buildings Fund rent bill, with one form for each assignment in question. Section II is completed by the GSA regional office after research and verification, and Section III by the regional office or central office.
The front page holds the three sections and the back holds general and specific instructions, including a Fort Worth mailing address for requests sent with an SF 238. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 2972
Block 6: SF 238 and amount
Whether an SF-238, SIBAC Adjustment Voucher for Charge-Backs, is being submitted, yes or no, and the dollar amount of adjustment requested.
Blocks 7 and 8: correction and reason
A box for the correction requested, from agency or bureau code, rates, rent exemptions, square foot assignment and vacated space to other, and the reason with effective dates.
Block 9: customer agency contact
Typed name of the customer agency contact, telephone number, fax number and date.
Blocks 10 to 13: Section II action
Action taken with its effective date, no action with the reasons, or other action, then the certifying official's name, signature, date, title and telephone number.
Section III: rebilling
Language to be stated on rebilling, allow or rebill, a code of 1, 2, 7 or 8, quarter and fiscal year, the amount to be rebilled and the GSA approval.
How to complete GSA Form 2972
- 1
Identify the agency and the bill
Enter the occupying bureau, the 4-digit agency code, and for OPAC agencies the Treasury account number, also called the 8-digit station symbol or Agency Location Code (ALC).
- 2
Identify the property
Enter the property ID that identifies the property or facility being billed, the CBR number, city, state code and month and year of billing.
- 3
Answer block 6
The form says that if YES, the requesting agency will process an OPAC to take an immediate credit; if NO, the form goes to the regional office for an adjustment on the current or a later rent bill.
- 4
Explain the correction
Check the type of correction in block 7, explain the reason with effective dates in block 8, and complete every contact block in 9A to 9D.
- 5
Send it on
Forward the form to the appropriate GSA regional office when requesting only adjustments, or mail it to the Fort Worth address on the back when submitting an SF 238.
- 6
GSA records the outcome
The regional office checks the action taken in block 10, 11 or 12 and completes blocks 13A to 13D. The form says a copy is forwarded to the requesting agency.
The back of the form says to read the instructions before completing it.
Why fill Form GSA2972 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
Where it goes and what the form says
Adjustments only
The form says the customer agency forwards it to the appropriate GSA regional office when requesting only adjustments.
With an SF 238
When an SF 238, SIBAC Adjustment Voucher for Charge-Backs, is submitted, the form says to mail it to: General Services Administration, Office of Finance - Accounts Receivable Branch, 819 Taylor Street - 7BCAP, Fort Worth, TX 76102.
After GSA review
Section II is returned to GSA Finance, Fort Worth, TX; the requesting agency; or GSA central office. Questions on the adjustment go to the certifying official listed in block 13A.
Rebilling codes
The form says the Section III billing codes alert the agency whether the rebilling of the chargeback is for a prior year, current year or another type of billing adjustment.
Related forms
Who uses GSA Form 2972?
The form is passed between a federal customer agency and GSA offices. It is not filed by the public.
Official sources and the blank
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Questions about Form GSA2972
Who issues GSA Form 2972?
It is a General Services Administration form, REV. 9-1999 on its footer. GSA's page lists PBS P 1430.1 as its authority or regulation.
Who fills out Section I?
The form says Section I is completed by the GSA customer agency whenever it requests an adjustment or OPAC chargeback for an agency's Federal Buildings Fund rent bill.
Is one form enough for several assignments?
The instructions say a form should be completed for each assignment in question.
What does block 6B ask for?
The dollar amount the agency is charging back to GSA, per the specific instructions for Section I.
What happens after the regional office reviews it?
The regional office checks whether an adjustment was made, denied or some other action was taken, explains it, and completes blocks 13A to 13D. A copy is forwarded to the requesting agency.
Who can answer questions about the adjustment?
The form says to contact the certifying official listed in block 13A.