GSA Form 3586: Notice of Non-Federal Claims Receivable

GSA Form 3586, Notice of Non-Federal Claims Receivable, is a one-page GSA form. The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 3586 (8-87), and GSA hosts it in its forms library. GSA's page lists a current revision date of 08/1987 and no authority or regulation.

The form has 11 numbered blocks: a claim number and date, the names and addresses of the parties concerned, the type of claim, the appropriation used for the expense account, an act number, the dollar amount of the claim, and the office establishing the claim with a signature. Block 11 is completed by the office issuing the final opinion. The printed instructions say to prepare an original and one copy, forward the original to the Finance Division for the related fund with a copy of the initial Demand Letter, and retain one copy for the document file.

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Top of page 1 of GSA Form 3586: Notice of Non-Federal Claims Receivable, as printed by GSA

What's on GSA Form 3586

Blocks 1 and 2: claim number and date

The claim number and the date, at the top right of the form.

Blocks 3 and 4: parties concerned

The names of the parties concerned beside their addresses.

Blocks 5 to 8: the claim

The type of claim, with the examples vehicle damage, property damage and excess costs, the appropriation used for the expense account, the act number if available, and the dollar amount of the claim.

Blocks 9 and 10: establishing office

The office establishing the claim and a signature, title and telephone number.

Block 11: final opinion

The office issuing the final opinion, the exact amount due in dollars, remarks, and a signature, title and date.

How to complete GSA Form 3586

1
Number and date the notice
Enter the claim number in block 1 and the date in block 2.
2
List the parties
Enter the names of the parties concerned in block 3 and their addresses in block 4.
3
Describe the claim
Enter the type of claim, the appropriation used for the expense account, the act number if available, and the dollar amount in blocks 5 to 8.
4
Sign for the establishing office
Name the office establishing the claim in block 9, then sign and add a title and telephone number in block 10.
5
Send the original to Finance
The instructions say to prepare an original and one copy, forward the original to the Finance Division for the related fund with a copy of the initial Demand Letter, and retain one copy for the document file.
6
Final opinion in block 11
Block 11 is completed by the office issuing the final opinion, which enters the exact amount due, any remarks, a signature, title and date.

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Routing and what the form says

Where it goes

The instructions say to forward the original to the Finance Division for the related fund, with a copy of the initial Demand Letter. The form prints no address.

Copies

The form says to prepare an original and one copy and to retain one copy for the document file.

Edition

The footer reads GSA FORM 3586 (8-87). GSA's page lists a current revision date of 08/1987.

What the form does not print

The PDF prints no OMB number, privacy statement or authority, and GSA's page lists no authority or regulation.

Who fills out GSA Form 3586?

The office establishing the claim
Block 9 names the office establishing the claim, and block 10 holds that office's signature, title and telephone number.
The Finance Division
The instructions say the original goes to the Finance Division for the related fund, with a copy of the initial Demand Letter.
The office issuing the final opinion
Block 11 says it is to be completed by the office issuing the final opinion: its name, the exact amount due, remarks, signature, title and date.
The parties concerned
Blocks 3 and 4 list the names and addresses of the parties concerned. The form does not ask them to complete or sign anything.

The form's instructions and signature blocks show these roles. It is an internal GSA record, not a form the parties to the claim file.

Official sources and the blank

Official GSA form page
The agency’s own page for Form GSA3586.
Blank PDF
The official blank form, to print or fill by hand.

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Questions about Form GSA3586

Who issues GSA Form 3586?

The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 3586 (8-87). GSA hosts it in its forms library.

Where does the original go?

The form says to forward the original to the Finance Division for the related fund, with a copy of the initial Demand Letter, and to retain one copy for the document file.

What kinds of claims does it list?

Block 5, Type of Claim, gives vehicle damage, property damage and excess costs as examples.

Who completes block 11?

The form says block 11 is to be completed by the office issuing the final opinion. It records that office, the exact amount due, remarks, a signature, title and date.

Does GSA Form 3586 have an OMB number or privacy statement?

The PDF prints neither, and GSA's page lists no authority or regulation for it.

GSA Form 3586: Notice of Non-Federal Claims Receivable