GSA3638

Pest Control Work and Inspection Report

Agency
GSA
Revision
Rev. 08/1992
Fillable fields
191
Pages
1
Official source
GSA form page
Checked
October 20, 2026
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Page 1 of form GSA3638

GSA Form 3638: Pest Control Work and Inspection Report

GSA Form 3638, Pest Control Work and Inspection Report, is listed on GSA's forms page as form number GSA3638 with a current revision date of 08/1992. The PDF itself prints no form number, edition or issuing office, and GSA hosts it in its forms library.

The one-page report has a header for the building, field office and date, then a table in three sections: Section A for the type of pest, its location and who reported it, Section B for whether infestation is active or none and whether service was satisfactory or unsatisfactory, and Section C for pesticides, traps and other material used. It ends with remarks and signature blocks for the pest controller and the GSA inspector. It prints no OMB number and no privacy statement.

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 3638: Pest Control Work and Inspection Report, as printed by GSA

What's on GSA Form 3638

Header

The building, the field office and the date.

Section A: pest and location

Type of pest and location, with the person who reported it and their telephone number.

Section B: infestation and service

Infestation marked active or none, and service marked satisfactory or unsatisfactory.

Section C: material used

Pesticides, traps and other material used.

Remarks

Free space below the table for remarks.

Signatures and times

The pest controller's signature with time in, time out and date, and the GSA inspector's signature with time inspection completed and date.

How to complete GSA Form 3638

  1. 1

    Fill in the header

    Enter the building, the field office and the date.

  2. 2

    Log each reported pest

    In Section A, enter the type of pest, the location, and the person and telephone number it was reported by, one row each.

  3. 3

    Record the inspection

    In Section B, the GSA Inspector marks infestation active or none and service satisfactory or unsatisfactory.

  4. 4

    Record treatment material

    In Section C, the Contractor lists the pesticides, traps and other material used.

  5. 5

    Add remarks

    Use the remarks area for anything the table does not cover.

  6. 6

    Sign with times

    The pest controller signs with time in, time out and date; the GSA inspector signs with time inspection completed and date.

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Routing and what the form says

Who uses which section

Section A: Field Office, GSA Inspector and Contractor. Section B: GSA Inspector. Section C: Contractor.

Signatures

The pest controller and the GSA inspector each sign and record times and dates.

What the form does not print

No routing address, form number, edition date, OMB number or privacy statement. GSA's forms page lists a current revision date of 08/1992 and no authority or regulation.

Who fills out GSA Form 3638?

  • Field Office

    The form says the Field Office, GSA Inspector and Contractor should use Section A for reporting type of pest and location.

  • GSA Inspector

    The form says the GSA Inspector should use Section B for reporting presence or absence of pests and adequacy of service. The inspector signs and enters the time inspection completed and the date.

  • Contractor

    The form says the Contractor should use Section C for reporting material used for treatment.

  • Pest controller

    The pest controller's signature block records time in, time out and the date.

The instructions on the form split the sections among these roles.

Official sources and the blank

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Questions about Form GSA3638

Who completes Section B?

The form says the GSA Inspector should use Section B for reporting presence or absence of pests and adequacy of service.

What goes in Section C?

The form says the Contractor should use Section C for reporting material used for treatment. The column is headed Pesticides, Traps, and Other Material Used.

Who signs GSA Form 3638?

The pest controller, with time in, time out and date, and the GSA inspector, with time inspection completed and date.

Does the form say where it is sent?

No. It has a field office box in the header but prints no routing address.

What revision is this form?

The PDF prints no edition date. GSA's forms page lists a current revision date of 08/1992.