GSA3025

Receiving Report

Agency
GSA
Revision
Rev. 6/2005
Fillable fields
78
Pages
1
Official source
GSA form page
Checked
October 20, 2026
Fill GSA3025 online
Page 1 of form GSA3025

GSA Form 3025: Receiving Report

GSA Form 3025, Receiving Report, is a one-page General Services Administration form, GSA FORM 3025 (REV. 6/2005), hosted in GSA's forms library. The footer adds PREVIOUS EDITION NOT USABLE.

The report identifies a contract, describes the goods or services delivered, states the maximum amount approved for payment and carries a certification that the goods or services were received and accepted. An IMPORTANT box at the top says the form must be received in the payment office within 5 workdays of acceptance, that acceptance must take place within 7 calendar days of delivery or completion of work unless a different inspection/acceptance period is stated in the contract, and that invoices received must be time stamped to indicate the date of receipt. The form prints no OMB number or privacy statement.

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Top of page 1 of GSA Form 3025: Receiving Report, as printed by GSA

What's on GSA Form 3025

IMPORTANT box

Timing for the payment office and for acceptance, and the time stamp on invoices received.

Section 1: contract identification

1. Name of contractor, 2. Pegasys document number and 3. Contract/purchase order no.

Section 2: goods and services

4A. Item no., 4B. Description (for services, also give dates of service) and 4C. Quantity.

Items 5 to 8: amounts and remarks

5. Maximum payment amount, 6. Less deduction(s) for nonperformance, etc. (explain in item 8), 7. Maximum amount approved for payment (item 5 less item 6) and 8. Remarks.

Item 9: type of delivery

Mark "X" in the appropriate box: A. Full, B. Partial or C. Final Partial.

Items 10 and 11: certifications

The certification of receipt and acceptance, and an optional second certification of acceptance.

How to complete GSA Form 3025

  1. 1

    Identify the contract

    Enter the name of the contractor, the Pegasys document number and the contract or purchase order number in blocks 1 to 3.

  2. 2

    Describe the goods or services

    List each item number, description and quantity. For services, the form says to also give the dates of service.

  3. 3

    Work out the amount

    Enter the maximum payment amount, any deductions for nonperformance explained in item 8, and item 7 as item 5 less item 6.

  4. 4

    Mark the type of delivery

    Put an X in Full, Partial or Final Partial in item 9.

  5. 5

    Certify receipt and acceptance

    Enter the received and accepted dates in block 10, then name and title, correspondence symbol, telephone number, signature and date signed. The form says to explain in block 8 if acceptance is longer than stated in the contract.

  6. 6

    Get it to the payment office

    Add block 11 if a second certification is used. The form says it must be received in the payment office within 5 workdays of acceptance.

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What the form says

Where it goes

To the payment office. The form prints no address for it.

Timing printed on the form

Received in the payment office within 5 workdays of acceptance. Acceptance within 7 calendar days of delivery or completion of work unless the contract states a different inspection/acceptance period.

Invoices

The form says invoices received must be time stamped to indicate the date of receipt.

Edition and authority

The footer reads GSA FORM 3025 (REV. 6/2005) and PREVIOUS EDITION NOT USABLE. GSA's page gives a current revision date of 06/2005 and lists no authority or regulation.

Related forms

Who fills out GSA Form 3025?

  • The certifying official

    Block 10 certifies that the goods and/or services were received on one date and accepted on another, with name and title (type, print or stamp), correspondence symbol, telephone number, signature and date signed.

  • A second certifier, if used

    Block 11, Second Certification (Optional), certifies that the goods and/or services described have been accepted, with the same name, symbol, phone, signature and date blocks.

  • The payment office

    The IMPORTANT box says the form must be received in the payment office within 5 workdays of acceptance. No office address is printed.

  • The contractor named in block 1

    Section 1 names the contractor and the contract or purchase order. The form has no signature block for the contractor.

The form does not name a job title. Its certification blocks and the IMPORTANT box name these.

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Questions about Form GSA3025

Who issues GSA Form 3025?

The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 3025 (REV. 6/2005). GSA hosts it in its forms library.

How soon does the form go to the payment office?

The IMPORTANT box says the form must be received in the payment office within 5 workdays of acceptance.

What if acceptance takes longer than the contract states?

The form says acceptance must take place within 7 calendar days of delivery or completion of work unless a different period is stated in the contract, and to explain in block 8 if acceptance is longer than stated in the contract.

How is the amount approved for payment worked out?

Item 7, Maximum amount approved for payment, is item 5 less item 6. Item 6 covers deductions for nonperformance and is explained in item 8.

Is the second certification required?

Block 11 is printed as Second Certification (Optional).

Can an older edition of GSA Form 3025 be used?

The footer of the 6/2005 edition says PREVIOUS EDITION NOT USABLE.