Vacancy blocks
Vacancy number, position (title, series and grade) and location.
GSA3419
Candidate Ranking Worksheet
- Agency
- GSA
- Revision
- Rev. 8/1980
- Fillable fields
- 225
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 3419: Candidate Ranking Worksheet
GSA Form 3419, Candidate Ranking Worksheet, is a General Services Administration form, GSA FORM 3419 (8-80), hosted in GSA's forms library. It is a one-page grid for recording how applicants for a vacancy score on KSAOs.
The top names the vacancy number, the position (title, series and grade) and the location, beside a key of level of performance codes: 4 - Superior, 3 - Above Average, 2 - Average and 1 - Developmental. Below are rows for applicant names, each with KSAO columns numbered 1 to 7 and a Total column. The foot has PANEL MEMBER SIGNATURE with two signature and date pairs.
The form prints no instructions, OMB number or privacy statement, and applicants do not sign it. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 3419
Level of performance codes
A key printed at the top right: 4 - Superior, 3 - Above Average, 2 - Average, 1 - Developmental.
Applicant rows
An APPLICANT(S) NAME column with one row per applicant.
KSAO 1 to 7 and Total
Seven numbered KSAO columns and a Total column beside each applicant.
Panel member signatures
Two signature and date pairs under PANEL MEMBER SIGNATURE.
How to complete GSA Form 3419
- 1
Identify the vacancy
Enter the vacancy number, the position title, series and grade, and the location.
- 2
List the applicants
Write each applicant's name in its own row of the APPLICANT(S) NAME column.
- 3
Enter a code for each KSAO
In KSAO columns 1 to 7, enter a level of performance code from the key: 4, 3, 2 or 1.
- 4
Fill the Total column
Enter each applicant's total in the Total column at the end of the row.
- 5
Panel members sign and date
Each panel member signs and dates a signature block at the foot of the worksheet.
Why fill Form GSA3419 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
No routing printed
The form prints no mailing address, recipient or submission instructions.
Codes printed on the form
Only four level of performance codes are printed: 4 - Superior, 3 - Above Average, 2 - Average and 1 - Developmental.
What the form does not print
No OMB number, privacy statement, authority or deadline appears on the form, and GSA's page lists no authority or regulation.
Related forms
GSA3418
Crediting Plan for Candidate Evaluation
24 fields, 1 page
GSA3413
Supervisory Appraisal of Demonstrated Performance or Potential
77 fields, 1 page
GSA3412
Initial Screening Worksheet for Merit Promotion Action
119 fields, 1 page
GSA1029
Merit Promotion Referral
48 fields, 1 page
GSA3410
Request for Review, Approval, and Appointment
51 fields, 2 pages
Who fills out GSA Form 3419?
The form prints no instructions. Its blocks show these roles.
Official sources and the blank
Do it all with indox
No tool matches that search.
Questions about Form GSA3419
Who issues GSA Form 3419?
The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 3419 (8-80). GSA hosts it in its forms library.
What do the codes on GSA Form 3419 mean?
The form prints its level of performance codes as 4 - Superior, 3 - Above Average, 2 - Average and 1 - Developmental.
How many KSAOs fit on the worksheet?
The form has seven KSAO columns, numbered 1 to 7, followed by a Total column.
Who signs GSA Form 3419?
Panel members. The foot reads PANEL MEMBER SIGNATURE and has two signature lines, each with a date.
Do applicants fill out GSA Form 3419?
The form has no applicant section and no applicant signature line. Applicants are listed by name in the rows.