Section I: General
Name of warrant candidate, title of contracting activity, organization code, title of position to be held as a contracting officer, job series and grade.
GSA3409
Personal Qualifications Statement for Appointment as Contracting Officer
- Agency
- GSA
- Revision
- Rev. 1/2024
- Fillable fields
- 155
- Pages
- 2
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 3409: Personal Qualifications Statement for Appointment as Contracting Officer
GSA Form 3409, Personal Qualifications Statement for Appointment as Contracting Officer, is a General Services Administration form, Rev. 1/2024, and GSA hosts it in its forms library. GSA's page lists APD 2800.12B - GSAM Change 172 as its authority or regulation.
The signature block is labeled GSA warrant candidate. The form asks for the candidate's name, contracting activity, organization code and the contracting officer position to be held, then education, training and credentials, all active acquisition and agency specific certifications, and experience in contracting for the past 10 years.
GSA Form 3410, Request for Review, Approval, and Appointment, says the warrant candidate's attached Personal Qualifications Statement is evaluated against the established GSA minimum qualifications for certification, education, training, and experience. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 3409
Section II: Education
Whether you have a college degree, the colleges or universities attended with city and state, credits completed in semester or quarter hours, type of degree, and chief undergraduate and graduate subjects.
Section III: Training and credentials
Special training in business administration, law, accounting or related fields and specialized courses in Government procurement, assistance instruments, and sales, with course title or credential, institution, hours and completion.
Section IV: Certifications
A list of all active acquisition and agency specific certifications.
Section V: Experience in contracting for past 10 years
Three blocks, the first for the exact GSA position title up to present time. Each asks for supervisory status, central office or region, dates, duties and responsibilities, and any contracting officer limitations.
Certification and signature
The candidate certifies that the information is true, complete, and correct to the best of their knowledge and belief, and is made in good faith, then signs and dates.
Five sections and a certification, on two pages.
How to complete GSA Form 3409
- 1
Complete Section I
Enter the candidate's name, contracting activity, organization code, and the title, job series and grade of the contracting officer position to be held.
- 2
List education
Check yes or no for a college degree, then list each college or university, credits completed by semester or quarter, type of degree and chief subjects.
- 3
List training, credentials and certifications
In Section III, list courses or credentials most recent first, as the form says. In Section IV, list all active acquisition and agency specific certifications.
- 4
Describe 10 years of contracting experience
Fill in an experience block for each position. The form says that if you need additional experience blocks, use and attach a blank sheet of paper.
- 5
Sign the certification
The GSA warrant candidate signs and dates the certification at the end of the back page.
Why fill Form GSA3409 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
Where it goes
The PDF gives no filing address. GSA Form 3410 refers to the candidate's Personal Qualifications Statement as attached to the request for review.
Authority and edition
GSA's page lists APD 2800.12B - GSAM Change 172 as the authority or regulation and 01/2024 as the current revision date. The footer prints GSA 3409 (REV. 1/2024).
What the form leaves out
The PDF prints no instructions beyond its section headings, and no privacy notice, OMB number or burden estimate.
Related forms
Who fills out GSA Form 3409?
The form names the warrant candidate as the person who signs it. GSA Form 3410 describes how it is used.
Official sources and the blank
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Questions about Form GSA3409
Who issues GSA Form 3409?
The footer prints General Services Administration and GSA 3409 (REV. 1/2024). GSA hosts it in its forms library, and GSA's page lists APD 2800.12B - GSAM Change 172 as its authority or regulation.
Who signs GSA Form 3409?
The signature line is labeled GSA warrant candidate, next to a certification that the information is true, complete, and correct and is made in good faith.
How far back does the experience section go?
Section V is titled Experience in Contracting for Past 10 Years. The first block is for the exact GSA position title, with dates running to present time.
What if three experience blocks are not enough?
The form says that if you need additional experience blocks, use and attach a blank sheet of paper.
How is GSA Form 3409 used?
GSA Form 3410 says the warrant candidate's attached Personal Qualifications Statement has been evaluated and meets the established GSA minimum qualifications for certification, education, training, and experience.