Supplier and contract details
Name of supplier and address, prime contractor and address, contract number, lot number, order number and NSN.
GSA3539
Quality Deficiency Notice
- Agency
- GSA
- Revision
- Rev. 11/1984
- Fillable fields
- 19
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 3539: Quality Deficiency Notice
GSA Form 3539, Quality Deficiency Notice, is a General Services Administration form, GSA FORM 3539 (11-84). GSA hosts it in its forms library; GSA's page lists no authority or regulation.
It is a one-page notice addressed to a supplier. It names the supplier and prime contractor, the contract, order and lot numbers and the NSN, and describes the nature of a deficiency in the supplier's quality control system. The form says immediate action is required to correct the deficiency and the condition that caused it, and asks for a written response of correction action taken or to be taken to your OAS within 5 workdays after receiving this notice.
The lower half records the evaluation of the correction action. If the action is not acceptable or not implemented, the form says the matter is being referred to the Administrative Contracting Officer. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 3539
Nature of the deficiency
Space after the printed sentence: A deficiency exists in your quality control system. The nature of the deficiency is.
Required action statement
Printed text on corrective action, the possible effect on the right to proceed with the contract, the return of nonconforming material, and the 5 workday written response.
OAS signature and receipt
OAS name and signature, address and date, then Receipt Acknowledged and a certified receipt number.
Evaluation of correction action
Two boxes: corrective action verified and found acceptable, or not acceptable and/or not implemented, with space to explain.
Referral, signature and second receipt
The referral statement to the ACO, the OAS signature and date, and a second Receipt Acknowledged block with a certified receipt number.
The form is one page with a notice section and an evaluation section.
How GSA Form 3539 is completed
- 1
Identify the supplier and contract
Enter the supplier and prime contractor with their addresses, and the contract number, lot number, order number and NSN.
- 2
Describe the deficiency
Write the nature of the deficiency in the supplier's quality control system in the space provided.
- 3
Sign the notice and record receipt
The OAS enters name, signature, address and date. The row below records receipt acknowledged and a certified receipt number.
- 4
Respond within 5 workdays
The form asks the supplier for a written response of correction action taken or to be taken to its OAS within 5 workdays after receiving the notice.
- 5
Evaluate the correction
Check whether the corrective action was verified and found acceptable, or was not acceptable and/or not implemented, and explain below.
- 6
Sign the evaluation
The OAS signs and dates the evaluation, and a second receipt acknowledged block with a certified receipt number follows.
The form prints no separate instructions. These steps follow its blocks from top to bottom.
Why fill Form GSA3539 on indox
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What the form says
Response time
The form asks for a written response of correction action taken or to be taken to your OAS within 5 workdays after receiving this notice.
Possible results stated on the form
Shipping nonconforming material and/or failure to take acceptable corrective action on time may result in termination of your right to proceed with this contract. Nonconforming material will be returned to you at your expense.
Referral
If the corrective action is not acceptable and/or not implemented, the form says the matter is being referred to the Administrative Contracting Officer and further correspondence goes to the ACO.
Edition and authority
The footer reads GSA FORM 3539 (11-84). GSA's page gives a current revision date of 11/1984 and lists no authority or regulation. The form prints no Privacy Act statement or burden estimate.
Related forms
Who uses GSA Form 3539?
The notice is issued and signed by the OAS and addressed to the supplier. The form does not spell out OAS.
Official sources and the blank
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Questions about Form GSA3539
Who sends GSA Form 3539?
The notice is signed by the OAS, with name, address and date, and is addressed to the supplier named at the top of the form.
How long does the supplier have to respond?
The form asks for a written response of correction action taken or to be taken to the OAS within 5 workdays after receiving the notice.
What happens if the corrective action is not acceptable?
The OAS checks the box for corrective action not acceptable and/or not implemented and explains below. The form says the matter is then referred to the Administrative Contracting Officer, and further correspondence goes to the ACO.
What does the form say about nonconforming material?
It says shipping nonconforming material and/or failure to take acceptable corrective action on time may result in termination of the right to proceed with the contract, and that nonconforming material will be returned at the supplier's expense.
What does OAS mean on this form?
The form does not spell it out. It names the OAS as the person who signs the notice and the evaluation and who receives the supplier's written response.