Items 1 and 2: need and warrant requested
The reasons there is a clear and convincing need to appoint a contracting officer, quantified where practicable with proposed warrant limits, and the warrant type and level requested.
GSA3410
Request for Review, Approval, and Appointment
- Agency
- GSA
- Revision
- Rev. 1/2024
- Fillable fields
- 51
- Pages
- 2
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 3410: Request for Review, Approval, and Appointment
GSA Form 3410, Request for Review, Approval, and Appointment, 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 form says it is required to request review, approval, and appointment as a GSA contracting officer, and that the Contracting Officer Warrant Board (COWB) must provide concurrence before the Head of Contracting Activity (HCA) can approve warrant authority and appoint the contracting officer.
Section I, Request for Review, sets out 12 findings and determinations made in accordance with FAR 1.603 and GSAM 501.603, followed by signatures of the supervisor, warrant board members and the COWB Chairperson. Section II, HCA Approval and Appointment, is signed by the HCA. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 3410
Items 3 to 5: current warrant and position
Whether the candidate has an active warrant and its number, a line completing The warrant candidate is, and the organizational position the candidate will occupy.
Items 6 and 7: qualifications and credentials
A finding that the attached Personal Qualifications Statement meets GSA minimum qualifications, and whether the candidate has the credentials the assigned organization requires.
Items 8 to 12: board findings
Review of at least 3 past contract or lease actions from the last 2 years, knowledge of the FAR and GSA rules, business acumen and ethics, interview and test boxes, and a finding that the candidate is well qualified.
Board signatures
Rows for the supervisor and warrant board members, then the COWB Chairperson's concur or disapproved line.
Section II: HCA approval and appointment
The HCA's approval and appointment of the contracting officer, with signature, typed name and title, contracting activity and date.
How to complete GSA Form 3410
- 1
State the need and the warrant
In item 1, give the reasons for the appointment. The form says to quantify where practicable and indicate proposed limits of the warrants. Enter the warrant type and level in item 2.
- 2
Describe the candidate's warrant and position
Check yes or no in item 3 and give any active warrant number, then complete items 4 and 5 on the candidate and the position.
- 3
Attach the qualifications statement and note credentials
Item 6 refers to the candidate's attached Personal Qualifications Statement. In item 7, the form says to list required credentials and the timeline for completion when the answer is No.
- 4
Record the board review
Items 8 to 12 cover the review of past actions, knowledge, judgment and ethics, and yes or no boxes for an interview and a written or oral test.
- 5
Collect signatures
The supervisor and each warrant board member sign and date, each board member marks Concur or Disapprove, and the COWB Chairperson signs the concur or disapproved line.
- 6
HCA approval
The HCA signs and dates Section II to approve and appoint the contracting officer.
Why fill Form GSA3410 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
Approval path and what the form says
Where it goes
The PDF gives no filing address. It says the COWB must provide concurrence before the HCA can approve warrant authority and appoint the contracting officer.
After approval
Section II says warrant certificate (Standard Form 1402) issuance is authorized and will be completed by the Administrative Warrant Issuing Agent in accordance with GSAM 501.601.
Rules the form cites
FAR 1.603, GSAM 501.603, GSAM 501.603-1(a) and GSAM 501.601. GSA's page lists APD 2800.12B - GSAM Change 172 as the authority or regulation.
What the form leaves out
The PDF prints no privacy notice, OMB number or burden estimate.
Related forms
Who completes GSA Form 3410?
These are the roles the form prints. The warrant candidate is the subject of the request and has no signature block on it.
Official sources and the blank
Do it all with indox
No tool matches that search.
Questions about Form GSA3410
Who issues GSA Form 3410?
The footer prints General Services Administration and GSA 3410 (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.
What is GSA Form 3410 for?
The form says it is required to request review, approval, and appointment as a GSA contracting officer.
Who has to concur before an appointment?
The form says the Contracting Officer Warrant Board (COWB) must provide concurrence before the Head of Contracting Activity (HCA) can approve warrant authority and appoint the contracting officer.
What past work does the board look at?
Item 8 says the COWB has considered the quality of a minimum of 3 past contract or lease actions completed within the last 2 years from the date of the request, as defined in GSAM 501.603-1(a).
What if the candidate lacks a required credential?
Item 7 has a No box, and the form says to list the required credential(s) and the timeline for completion.
What happens after the HCA signs?
Section II says warrant certificate (Standard Form 1402) issuance is authorized and will be completed by the Administrative Warrant Issuing Agent in accordance with GSAM 501.601.