Employee information
Name, old and new duty station (city, country if not in the United States, state and ZIP code), work telephone, and pickup and delivery dates.
GSA3080
Household Goods Carrier Evaluation Report
- Agency
- GSA
- Revision
- Rev. 6/2011
- Fillable fields
- 90
- Pages
- 2
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 3080: Household Goods Carrier Evaluation Report
GSA Form 3080, Household Goods Carrier Evaluation Report, is a General Services Administration form for domestic and international shipments. The footer reads GENERAL SERVICES ADMINISTRATION and GSA 3080 (REV. 6/2011), with the note PREVIOUS EDITION IS NOT USABLE. GSA hosts it in its forms library.
The instructions say the employee completes the form upon delivery of the shipment(s) to the new duty station and sends it to the agency's B/L Issuing Officer or Move Coordinator for their evaluation. That officer then sends it to GSA's Centralized Household Goods Traffic Management Program. The Privacy Act statement says the information will be used to monitor and control the carrier's performance and may be furnished to the carrier involved.
The form has an employee information block, two satisfaction scales from 1 to 5, estimated loss or damage amounts, signatures and remarks. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 3080
Shipment and carrier
HHG, UAB and POV B/L numbers, federal agency ID, the Standard Carrier Alpha Code (SCAC) and the carrier name on the B/L.
Employee's ratings
Seven items rated 1 to 5, from very unsatisfied to very satisfied: packing, damage to items, courtesy of workers, timeliness, communication, resolving problems and overall quality of service.
Loss or damage and signature
Estimated amounts of any loss or damage for household goods, air baggage and vehicle, then the employee's signature and date.
Move coordinator's ratings
Four items rated 1 to 5: courteous service when tracing shipments, keeping you informed of changes, flexibility with special needs, and overall quality of service, with the officer's signature, name and phone.
Remarks and privacy statement
The back has a remarks area for the employee or the move coordinator, and the Privacy Act statement.
How to complete GSA Form 3080
- 1
Wait for delivery
The instructions say the employee completes the form upon delivery of the shipment(s) to the new duty station.
- 2
Fill in the employee information
Enter the name, old and new duty stations, work phone, pickup and delivery dates, B/L numbers, federal agency ID, SCAC and carrier name.
- 3
Rate the carrier
Circle or check a response from 1, very unsatisfied, to 5, very satisfied, for each of the seven items. The form says to use Remarks on the back for any comments.
- 4
Note any loss or damage
Enter the estimated amounts for household goods, air baggage or vehicle, then sign and date.
- 5
Pass it to the move coordinator
Send the form to the agency's B/L Issuing Officer or Move Coordinator, who completes the second rating section and signs.
- 6
Send it to GSA
The officer sends it to the GSA address printed on the form, or by fax or email.
Why fill Form GSA3080 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
Mailing address
General Services Administration (QMCCB), Centralized Household Goods Traffic Management Program, 1500 East Bannister Road, Building 6, Kansas City, MO 64131.
Fax and email
Fax to (816) 823-3656 or E-mail [email protected], as printed in the instructions for the B/L Issuing Officer/Agency Move Coordinator.
Privacy Act statement
The form says the information is solicited under Title 38, United States Code, will be used to monitor and control the carrier's performance, and may be furnished to the carrier involved for their evaluation.
Edition
The footer reads GSA 3080 (REV. 6/2011) and PREVIOUS EDITION IS NOT USABLE. The form prints no OMB number.
Related forms
GSA2485
Cost Comparison for Shipping Household Goods
80 fields, 1 page
GSA2116
Employee Claim for Loss or Damage to Personal Property
53 fields, 1 page
SF1103
U. S. Government Bill of Lading
88 fields, 1 page
GSA87A
Official Change of Duty Station Authorization
293 fields, 2 pages
GSA2255
Service Agreement and Duplicate Reimbursement Disclosure Statement - Moving Expense Allowances (Within the United States and Return From Foreign Post)
32 fields, 1 page
Who fills out GSA Form 3080?
The instructions at the top of the form split the work between the relocating employee and the agency.
Official sources and the blank
Do it all with indox
No tool matches that search.
Questions about Form GSA3080
Who issues GSA Form 3080?
The footer reads GENERAL SERVICES ADMINISTRATION and GSA 3080 (REV. 6/2011). GSA hosts it in its forms library.
When is GSA Form 3080 filled out?
The instructions say the employee completes it upon delivery of the shipment(s) to the new duty station.
Where does the completed form go?
From the employee to the agency's B/L Issuing Officer or Move Coordinator, who sends it to General Services Administration (QMCCB), Centralized Household Goods Traffic Management Program, 1500 East Bannister Road, Building 6, Kansas City, MO 64131, or by fax to (816) 823-3656 or email to [email protected].
How is the carrier rated?
Each item is circled or checked on a scale of 1 to 5: very unsatisfied, somewhat unsatisfied, neither satisfied nor unsatisfied, somewhat satisfied, and very satisfied.
Does GSA Form 3080 ask about loss or damage?
Yes. It asks for the estimated amounts of any loss or damage for household goods, air baggage and vehicle. The Privacy Act statement says the information is used to monitor and control the carrier's performance.
Will the carrier see the answers?
The Privacy Act statement says the information may be furnished to the carrier involved for their evaluation.