GSA Form 3466: Employee Grievance

GSA Form 3466, Employee Grievance, is a General Services Administration form. The footer reads GENERAL SERVICES ADMINISTRATION and GSA 3466 6/2026. GSA's page lists HRM 9771.1A as the authority, and GSA hosts the form in its forms library.

The instructions on the form say: Please complete all sections and upload to the Grievance Submission Portal. The form asks for the grievant's details, a representative if there is one, the personnel action being grieved, the specific policy or law the grievant says was violated, a concise statement of reasons and a list of known witnesses.

It is a one-page form with three sections and a signature block for the grievant. 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 3466: Employee Grievance, as printed by GSA

What's on GSA Form 3466

Employee and grievance information

Name of grievant, job title, department, supervisor, the date and time of the action or incident, and the date the supervisor became aware of the action.

Representative information

If applicable: the representative's name, relationship to the grievant, telephone number and email address.

Nature of the action and policy

The nature of the personnel action (the form's examples are Reduction-in-Grade, Suspension, or Removal) and the specific policy or law violated.

Reasons and witnesses

A concise statement of reasons, why the action was improper, and a list of known witnesses.

Signature

The grievant's signature and the date.

How to complete GSA Form 3466

1
Fill in the grievant details
Enter the name, job title, department, supervisor, the date and time of the action or incident, and the date the supervisor became aware of it.
2
Add a representative if there is one
The Representative Information section applies only when a representative is named.
3
Describe the action
Name the nature of the personnel action and the specific policy or law the grievance says was violated.
4
State the reasons and witnesses
Write a concise statement of why the action was improper and list any known witnesses.
5
Sign and date it
The grievant signs and dates the Signature section.
6
Upload it to the portal
The form says to complete all sections and upload to the Grievance Submission Portal.

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Submission and what the form says

Where it goes

The form says to upload it to the Grievance Submission Portal. It prints no mailing address or receiving office.

Completeness

The instructions say to complete all sections. The Representative Information section is marked if applicable.

Edition and authority

The footer reads GSA 3466 6/2026. GSA's page lists a current revision date of 06/2026 and HRM 9771.1A as the authority. The form prints no OMB number, privacy statement or time limit.

Who fills out GSA Form 3466?

The grievant
The employee filing the grievance gives a name, job title, department and supervisor, completes the statement of grievance, and signs and dates the form.
A representative, if applicable
The Representative Information section, marked if applicable, asks for the representative's name, relationship to the grievant (the form's example is Attorney), telephone number and email address.
The supervisor
The form names the grievant's supervisor and asks for the date the supervisor became aware of the action. There is no supervisor signature line.
Witnesses
The statement of grievance ends with a List of Known Witnesses.

The form names these people. Only the grievant signs it.

Official sources and the blank

Official GSA form page
The agency’s own page for Form GSA3466.
Blank PDF
The official blank form, to print or fill by hand.

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Questions about Form GSA3466

Who issues GSA Form 3466?

The footer reads GENERAL SERVICES ADMINISTRATION and GSA 3466 6/2026. GSA's page lists HRM 9771.1A as the authority, and GSA hosts the form in its forms library.

How is GSA Form 3466 submitted?

The form says: Please complete all sections and upload to the Grievance Submission Portal. It prints no mailing address.

What personnel actions does the form mention?

The Nature of Personnel Action field gives Reduction-in-Grade, Suspension, or Removal as examples.

Can a representative be named?

Yes. The Representative Information section, marked if applicable, asks for the representative's name, relationship to the grievant, telephone number and email address. The form's example relationship is Attorney.

Does the form give a deadline?

No. The form prints no time limit. It asks for the date and time of the action or incident and the date the supervisor became aware of the action.

GSA Form 3466: Employee Grievance