For signature of and Addressee
Two header blocks naming who the correspondence is for signature of and who it is addressed to.
GSA3400
Correspondence Routing Slip
GSA Form 3400, Correspondence Routing Slip, is a General Services Administration form, REV. 1-83 in its footer, and GSA hosts it in its forms library. GSA's page lists no authority or regulation for it.
The slip's header names who the correspondence is for signature of, the addressee, a control number and a due date. Below it, a Route table has 18 numbered lines, each with a correspondence symbol, a date in, a date out and an initial.
The form prints no instructions, signature block, filing address or OMB number. You can fill it out free in your browser on this page and download the result without an account.

Two header blocks naming who the correspondence is for signature of and who it is addressed to.
Two header blocks on the right for a control number and a due date.
Lines 1 to 18, each starting with a correspondence symbol.
For each line, a date in, a date out and an initial.
Enter who the correspondence is for signature of and the addressee.
Enter the control number and the due date in the two blocks on the right.
Enter a correspondence symbol on each numbered line, starting at line 1, for up to 18 stops.
On each line, fill in the date in, the date out and the initial.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The PDF gives no filing address or instructions. The stops are the ones listed on its route lines.
The footer prints GSA FORM 3400 (REV. 1-83). GSA's page lists 01/1983 as the current revision date and leaves the authority or regulation blank.
The PDF prints no signature block, privacy notice, OMB number or burden estimate.
The For signature of block names who the correspondence goes to for signature.
The Addressee block names who the correspondence is addressed to.
Each numbered line of the Route table starts with a correspondence symbol, one line per stop, up to 18 lines.
Each route line has columns for the date in, the date out and an initial. The form has no other signature.
The form prints no instructions. These are the roles its blocks name.
The agency’s own page for Form GSA3400.
The official blank form, to print or fill by hand.
No tool matches that search.
The footer prints General Services Administration and GSA FORM 3400 (REV. 1-83). GSA hosts it in its forms library.
The Route table has 18 numbered lines, each with a correspondence symbol, a date in, a date out and an initial.
No. Each route line has an initial column. The For signature of block names who the correspondence goes to for signature.
No. The PDF prints only the blocks and route lines, with no instructions, filing address or OMB number.