Header, items 1 and 2
The calendar year, the From block, the fax number the completed form goes to, the employee's name (first, MI, last) and the agency.
GSA3557
Tax Status Certification
- Agency
- GSA
- Revision
- Rev. 3/2013
- Fillable fields
- 36
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 3557: Relocation Income Tax Allowance Claim & Tax Status Certification
GSA Form 3557 prints the heading Relocation Income Tax Allowance Claim & Tax Status Certification for Calendar Year, with a blank for the year. GSA's forms page lists it as Tax Status Certification, with a current revision date of 03/2013. The footer reads GENERAL SERVICES ADMINISTRATION and GSA 3557 (REV. 3/2013), and GSA hosts it in its forms library.
The Privacy Act statement says the principal purpose is to determine the amount to reimburse an employee for Federal, State and Local taxes incurred in connection with the change of official station. The form says the employee completes items 3 to 10 and faxes the completed form, W-2(s) and Schedule SE to the fax number listed at the top. The bottom block is marked For Finance Use Only.
You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 3557
Items 3 to 6: contact details
Mailing address with ZIP code, office telephone number, office fax number and e-mail address.
Item 7: income
Wages, Tips and Other Compensation as shown on Form(s) W-2 and, if applicable, net earnings (or loss) from Schedule SE, in rows for the employee, the spouse and a total of all.
Items 8 and 9: filing status and residence
Filing status on Form 1040 (single, head of household, married filing jointly, married filing separately, or qualifying widow(er) with dependent child) and the location of residence as of 12/31: state, county, city or foreign country.
Item 10: certification
A statement that the claim is true and correct to the best of the signer's knowledge and that reimbursement has not been made, with employee and spouse signature and date boxes.
Finance block
Tax rate for year 1 and year 2, state and local tax rates, taxable amount, WTA, ACT number/title number, order number, fund/org code and vendor number/employee ID.
How to complete GSA Form 3557
- 1
Fill in the heading
The heading has a blank for the calendar year. Below it are the From and Fax to Number blocks, then the employee's name and agency in items 1 and 2.
- 2
Add contact details
Enter the mailing address with ZIP code, office telephone and fax numbers, and e-mail address in items 3 to 6.
- 3
Enter W-2 and Schedule SE amounts
Complete item 7. The form says to attach a copy of all W-2(s) and Schedule SE (if applicable), not to include 1099 income in the total and not to send 1099 copies.
- 4
Mark filing status and residence
Check one filing status in item 8 and enter the location of residence as of 12/31 in item 9. A note says to include a local tax brochure if you paid local income tax.
- 5
Sign item 10
The employee signs and dates item 10a. Item 10b is for the spouse's signature and date, if applicable.
- 6
Fax the package
The form says the employee faxes the completed form, W-2(s) and Schedule SE to the fax number listed at the top. The finance block below stays blank.
Why fill Form GSA3557 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
To the fax number entered in the Fax to Number block at the top. The form prints no fax number or address of its own.
Tax return timing
The form says it is not necessary to file your individual income tax return prior to filing for your RIT allowance.
Authority
The Privacy Act statement cites 5 USC 5701-5733, particularly sections 5724, 30 USC 905 and Executive Orders 9397 and 12466.
Privacy
The form says disclosure is voluntary. It says there is no personal liability if the information is not furnished, but the expenses cannot then be reimbursed and any withholding tax allowance previously paid will be collected.
Edition
The footer reads GSA 3557 (REV. 3/2013). The form prints no OMB number, and GSA's page lists no authority or regulation.
Related forms
GSA2255
Service Agreement and Duplicate Reimbursement Disclosure Statement - Moving Expense Allowances (Within the United States and Return From Foreign Post)
32 fields, 1 page
GSA2494
Claim for Reimbursement of Closing Costs for Sale of Old Residence
53 fields, 1 page
GSA2494A
Claim for Reimbursement of Closing Costs for Purchase of New Residence
233 fields, 4 pages
GSA2485
Cost Comparison for Shipping Household Goods
80 fields, 1 page
OF1012
Travel Voucher
315 fields, 2 pages
Who fills out GSA Form 3557?
The form names the employee's part and the finance block. These are the roles it shows.
Official sources and the blank
Do it all with indox
No tool matches that search.
Questions about Form GSA3557
Who issues GSA Form 3557?
The footer reads GENERAL SERVICES ADMINISTRATION and GSA 3557 (REV. 3/2013). GSA hosts it in its forms library.
Why does GSA list it as Tax Status Certification?
GSA's forms page lists GSA3557 as Tax Status Certification. The PDF on that page prints the full heading Relocation Income Tax Allowance Claim & Tax Status Certification for Calendar Year.
What is GSA Form 3557 used for?
The Privacy Act statement says the principal purpose is to determine the amount to reimburse an employee for Federal, State and Local taxes incurred in connection with the change of official station.
What goes with the form?
The form says to attach a copy of all W-2(s) and Schedule SE (if applicable), and to include a local tax brochure if you paid local income tax. It says not to send 1099 copies.
Is 1099 income included in item 7?
No. The form says do not include 1099 income in the total and do not send 1099 copies.
Does my tax return need to be filed first?
The form says it is not necessary to file your individual income tax return prior to filing for your RIT allowance.
Does a spouse sign GSA Form 3557?
Item 10b is for the spouse's signature and date, if applicable. A note under Married Filing Jointly says the spouse must also sign if he/she claimed income.