GSA3692

Student Loan Repayment Service Agreement

Agency
GSA
Revision
Rev. 3/2026
Fillable fields
14
Pages
2
Official source
GSA form page
Checked
October 20, 2026
Fill GSA3692 online
Page 1 of form GSA3692

GSA Form 3692: Student Loan Repayment Service Agreement

GSA Form 3692, Student Loan Repayment Service Agreement, is a General Services Administration form, Rev. 3/2026. GSA's page lists its authority as 5 U.S.C. § 5379. The form says GSA agrees to pay the lender the amount listed on the form, net of all employment taxes and income tax withholding, in return for a period of service.

The first part asks for demographic information: the GSA employee's name and employee ID, job title, series and grade, appointment type and date, organization, the gross amount of the student loan repayment (SLR) in U.S. dollars, and the start and end dates of the agency service commitment. The second part is the service agreement text, including when a breach of contract and a repayment obligation occur, followed by the signature of the candidate or employee. A Privacy Act Statement is printed on the back.

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Top of page 1 of GSA Form 3692: Student Loan Repayment Service Agreement, as printed by GSA

What's on GSA Form 3692

Items 1 to 5: employee and position

GSA employee name (last, first, middle initial), GSA employee ID number, official job title, job series and GS grade.

Items 6 to 9: appointment and organization

Appointment type, effective date of appointment (MM/DD/YYYY), organization name and organization correspondence symbol.

Item 10: gross SLR amount

The gross amount of the student loan repayment (SLR), in U.S. dollars.

Items 11 and 12: service commitment dates

The agency service commitment start date and end date. The form describes the end date as 3 calendar years following the start date in Question 11.

Service agreement and signature

The terms of payment, breach of contract and repayment, then four things the employee agrees to, followed by the signature of the candidate or employee and the date.

Privacy Act Statement

Printed on the back. It cites 5 U.S.C. § 3301 and 5 U.S.C. § 5379 and names the system of records OPM/GOVT-1, published at 77 FR 73694 (December 11, 2012).

How to complete GSA Form 3692

  1. 1

    Enter the employee and position details

    Fill in items 1 to 9: name, employee ID, job title, series, grade, appointment type, effective date of appointment, organization name and correspondence symbol.

  2. 2

    Enter the gross SLR amount

    Item 10 takes the gross amount of the student loan repayment in U.S. dollars.

  3. 3

    Set the commitment dates

    Item 11 is the start date, such as the date of appointment or transfer. Item 12 is the end date, which the form describes as 3 calendar years after the start date. Both use MM/DD/YYYY.

  4. 4

    Read the breach of contract terms

    The form says a breach occurs on voluntary separation by resignation, retirement or agency transfer during the service period, or on involuntary separation for misconduct, unacceptable performance or a negative suitability determination under 5 CFR Part 731.

  5. 5

    Review the four commitments

    The employee agrees to remain a GSA employee during the service period, assume liability for tax due on the repayment, assume liability for reimbursement under the agreement, and acknowledge that GSA may use administrative offset from ongoing pay.

  6. 6

    Sign and date it

    The candidate or employee signs and dates the form. The form says repayments may not begin before the employee enters on duty and signs this agreement.

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What the form says about payment and repayment

Where it goes

The PDF prints no filing address. The Privacy Act Statement says the information is used by the GSA Office of the Chief Financial Officer and stored in OPM's eOPF under SORN OPM/GOVT-1.

Tax treatment

The form says the gross amount will be reported by GSA to tax authorities as taxable income, subject to any conditions applicable under 26 U.S.C. § 127.

Not loan forgiveness

The form says the agreement does not exempt an employee from financial liability for any loan he or she originated, and that this authority is not for loan forgiveness.

Agreements with another agency

The form says GSA is not obligated to pay an SLR based on a pre-existing SLR service agreement with another agency made before transfer to GSA.

No promise of employment

The form says the agreement does not constitute a right, promise, or entitlement for continued employment or non-competitive conversion to the competitive service.

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Who uses GSA Form 3692?

  • GSA candidates and employees

    The signature line reads Signature of Candidate or Employee. Item 11 says the commitment can start on the date of appointment, transfer, or the employee's signature if already an employee.

  • GSA as the paying agency

    The form says GSA agrees to pay the lender the amount listed on the form and reports the gross amount to tax authorities as taxable income.

  • The lender

    Repayments go to the lender. The form says no repayment amount may exceed the total balance due on the loans at the time of any repayment.

  • GSA Office of the Chief Financial Officer

    The Privacy Act Statement says the information will only be used by the GSA Office of the Chief Financial Officer and stored in OPM's Electronic Personnel Folder (eOPF).

The form is a service agreement between GSA and the person receiving a student loan repayment.

Official sources and the blank

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Questions about Form GSA3692

Who receives the student loan repayment?

The form says GSA agrees to pay the lender the amount listed on the form, net of all employment taxes and income tax withholding. No repayment may exceed the total balance due on the loans at the time of the repayment.

How long is the service commitment?

Item 12 describes the end date as 3 calendar years following the start date entered in item 11.

What happens if the employee leaves early?

The form says voluntary separation by resignation, retirement or agency transfer during the service period is a breach of contract, and the employee reimburses the agency for the gross amount paid to the lender. It says GSA may collect through administrative offset from ongoing pay.

Is the repayment taxable?

The form says the gross amount will be reported by GSA to tax authorities as taxable income, subject to any conditions applicable under 26 U.S.C. § 127, and the employee assumes liability for any tax due.

Is this loan forgiveness?

No. The form says the agreement does not exempt an employee from financial liability for any loan he or she originated, and that this authority is not for loan forgiveness.

Does an agreement with a previous agency carry over?

The form says GSA is not obligated to pay an SLR based on a pre-existing SLR service agreement with another agency made before the transfer to GSA.

Who sees the information on the form?

The Privacy Act Statement says only the GSA Office of the Chief Financial Officer uses it, that it is not releasable to the public under 5 U.S.C. § 552(b)(6), and that it is stored in OPM's eOPF.