GSA3091

Working Capital Fund Billing Input Transmittal/Batch Record

Agency
GSA
Revision
Rev. 6/1978
Fillable fields
17
Pages
1
Official source
GSA form page
Checked
October 20, 2026
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Page 1 of form GSA3091

GSA Form 3091: Working Capital Fund Billing Input Transmittal/Batch Record

GSA Form 3091, Working Capital Fund Billing Input Transmittal/Batch Record, is a General Services Administration form. The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 3091 (6-78), and GSA hosts it in its forms library with a current revision date of 06/1978.

The one-page form is split into two columns. The left column is headed COMPLETED BY FSS and records the transmittal: date, transmittal number, region and plant numbers, number of documents and the transmittal amount in dollars. The right column is headed COMPLETED BY OFFICE OF FINANCE and records receipt and entry: the accounting center, the billing control amount, chargeback adds and deletes, edit reentries, and a batch number made of a Julian date and a serial number. Each column has its own remarks area.

The form prints no instructions, OMB number, privacy statement or address. You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of GSA Form 3091: Working Capital Fund Billing Input Transmittal/Batch Record, as printed by GSA

What's on GSA Form 3091

Transmittal details (FSS)

Date transmitted, transmittal number, region number, plant number and number of documents.

Transmittal amount (FSS)

A dollar box for the transmittal amount, followed by a remarks area.

Receipt details (Office of Finance)

Date received, accounting center and entry date.

Dollar controls (Office of Finance)

Dollar boxes for the billing control amount, chargeback adds, chargeback deletes and edit reentries.

Batch number and remarks

A batch number made of a Julian date and a serial number, and a second remarks area.

How to complete GSA Form 3091

  1. 1

    FSS fills in the transmittal

    Enter the date transmitted, transmittal number, region number, plant number and number of documents.

  2. 2

    Enter the transmittal amount

    Write the dollar figure in the transmittal amount box and any remarks below it.

  3. 3

    Office of Finance records receipt

    Enter the date received, the accounting center and the entry date.

  4. 4

    Record the dollar controls

    Enter the billing control amount, chargeback adds, chargeback deletes and edit reentries in the dollar boxes.

  5. 5

    Assign the batch number

    Enter the Julian date and the serial number that make up the batch number, plus any remarks.

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Routing and what the form says

Where it goes

The form prints no address. Its column headings show one side completed by FSS and the other by the Office of Finance.

Instructions

The form prints no instructions, OMB number or privacy statement.

Edition

The footer reads GSA FORM 3091 (6-78). GSA's page lists a current revision date of 06/1978 and no authority or regulation.

Related forms

Who fills out GSA Form 3091?

  • FSS

    The left column is headed COMPLETED BY FSS. The form does not spell out FSS.

  • The Office of Finance

    The right column is headed COMPLETED BY OFFICE OF FINANCE.

  • The transmitting side

    FSS enters the date transmitted and the transmittal number, with the region and plant numbers.

  • The receiving side

    The Office of Finance enters the date received, the accounting center and the entry date.

The two column headings name the offices that complete the form. It prints no other instructions.

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Questions about Form GSA3091

Who issues GSA Form 3091?

The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 3091 (6-78). GSA hosts it in its forms library.

Who completes GSA Form 3091?

The left column is headed COMPLETED BY FSS and the right column COMPLETED BY OFFICE OF FINANCE. The form gives no other instructions.

What dollar amounts does it record?

The transmittal amount on the FSS side, and the billing control amount, chargeback adds, chargeback deletes and edit reentries on the Office of Finance side. The form prints only blank dollar boxes.

How is the batch number written?

The batch number box has two parts: a Julian date and a serial number.

Are there instructions for GSA Form 3091?

The PDF prints none. GSA's page lists the current revision date as 06/1978 and no authority or regulation.