Information on requestor
Name, occupational series and grade level, office (include correspondence symbol), telephone number and email address.
GSA3660
Confirmation of Reasonable Accommodation Request (Religion)
- Agency
- GSA
- Revision
- Rev. 8/2024
- Fillable fields
- 11
- Pages
- 2
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 3660: Confirmation of Reasonable Accommodation Request (Religion)
GSA Form 3660, Confirmation of Reasonable Accommodation Request (Religion), is a GSA form with a Privacy Act statement on the reverse. The footer reads GENERAL SERVICES ADMINISTRATION and GSA 3660 8/2024, and GSA hosts it in its forms library. GSA's page lists HRM 2300.1 as the authority or regulation.
The front collects information on the requestor: name, occupational series and grade level, office with correspondence symbol, telephone number and email address. Four questions follow: the GSA requirement, policy or practice that conflicts with the requestor's sincerely held religious observance, practice or belief; the nature of that belief, practice or observance; the accommodation or modification requested; and any alternative accommodations that would also eliminate the conflict. The requestor signs and dates it. The Privacy Act statement says requesting a reasonable accommodation is a voluntary process.
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What's on GSA Form 3660
Question 1: the conflicting requirement
The GSA requirement, policy, or practice that conflicts with the requestor's sincerely held religious observance, practice, or belief.
Question 2: the belief or practice
The nature of the sincerely held religious beliefs or religious practice or observance that conflict with the requirement named in question 1.
Questions 3 and 4: the accommodation
The accommodation or modification requested, then any alternative accommodations that also would eliminate the conflict.
Signature and date
The signature of the requestor and the date, at the bottom of the front page.
Privacy Act statement
On the reverse: statutory authority, purpose and use, routine use, and the consequence for not supplying the requested information.
How to complete GSA Form 3660
- 1
Fill in the requestor block
Enter the name, occupational series and grade level, office with correspondence symbol, telephone number and email address.
- 2
Name the conflict in question 1
Identify the GSA requirement, policy, or practice that conflicts with the sincerely held religious observance, practice, or belief.
- 3
Describe the belief or practice in question 2
Describe the nature of the sincerely held religious beliefs or religious practice or observance that conflict with the requirement identified in question 1.
- 4
State the request in questions 3 and 4
Write the accommodation or modification requested, then list any alternative accommodations that would also eliminate the conflict.
- 5
Sign and date
Sign on the signature of requestor line and enter the date.
- 6
Read the reverse
The Privacy Act statement on the back explains who can see the information and what may happen if it is not provided.
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Routing, authority and privacy
Where it goes
The PDF prints no address or office to send it to. GSA's page lists HRM 2300.1 as the authority or regulation.
Voluntary process
The Privacy Act statement says requesting a reasonable accommodation is a voluntary process.
Statutory authority
The statement cites 29 U.S.C. § 791, 42 U.S.C. § 12101, 42 U.S.C. § 2000e-16, 29 U.S.C. § 2601, 40 U.S.C. § 3173, and E.O. 13164, E.O. 13548, E.O. 14042 and E.O. 14043.
Purpose and use
The information is used to facilitate the reasonable accommodation process for individuals with disabilities or religious beliefs provided in support of a request for accommodation or exemption from a requirement or penalty.
If information is missing
The statement says that if an employee or applicant does not provide the necessary information, including medical or religious information, a decision-maker may deny the request.
Related forms
Who uses GSA Form 3660?
The form and its Privacy Act statement name these people.
Official sources and the blank
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Questions about Form GSA3660
Who issues GSA Form 3660?
The footer reads GENERAL SERVICES ADMINISTRATION and GSA 3660 8/2024. GSA hosts it in its forms library, and GSA's page lists HRM 2300.1 as the authority or regulation.
Is requesting an accommodation voluntary?
The Privacy Act statement on the back says requesting a reasonable accommodation is a voluntary process.
What does GSA Form 3660 ask?
Four questions: the GSA requirement, policy, or practice that conflicts with the religious observance, practice, or belief; the nature of that belief or practice; the accommodation or modification requested; and any alternative accommodations.
Who can see the information on the form?
The statement says access is limited to individuals with a need to know, including those in the routine uses section of the System of Records Notice GSA-HRO-1, and that GSA works with external partners in some limited cases.
What happens if information is left out?
The statement says that if an employee or applicant does not provide the necessary information, including medical or religious information, a decision-maker may deny the reasonable accommodation request.
Where does the completed form go?
The PDF prints no address or office. It ends with the requestor's signature and date, followed by the Privacy Act statement.