Blocks 1 to 5: identification
Page count, requisition/procurement request number, ACT number, date prepared, and job/project number.
GSA49
Requisition/Procurement Request for Equipment, Supplies or Services
GSA Form 49, Requisition/Procurement Request for Equipment, Supplies or Services, is a General Services Administration form, Rev. 7/1991, with its instructions on the back. GSA hosts it in its forms library.
The instructions say GSA Form 49 is the basic procurement request form when requisitioning supplies not available from Customer Supply Centers, equipment, services (including architect-engineer and other related services) and construction, and that it is also used to requisition forms and publications from the GSA National Forms and Publication Center. They point to the GSA Handbook, Preparing Procurement Request and Receiving Reports, APD P 2800.14.
The form lists offices, accounting data and line items, then carries signatures from a fund certifying official, the requisitioner and an approving official. It is an internal agency form, not one the public files. You can fill it out free in your browser on this page and download the result without an account.

Page count, requisition/procurement request number, ACT number, date prepared, and job/project number.
The stockroom or contracting office it goes to, the requisitioning office, a person to call for information, and the receiving office.
Accounting classification codes, the ship to address with ZIP Code and telephone number, and an existing contract number when one applies.
Item number, form or stock number, description of articles or services, quantity, unit of issue, unit price, amount, and the total amount including continuation.
Fund certifying official, requisitioner, a list of attachments, and the approving official, each signature with a date.
Shipped by freight, parcel post, express or mail, filled by, packed by, checked by, bill of lading number and date shipped.
The instructions say GSA Form 49 is not used as a printing requisition or to order motor vehicles. They name GSA Form 50, Requisition for Reproduction Services, and GSA Form 1781, Motor Vehicle Requisition, for those.
The ACT number in block 3 or a request number in block 2 can identify it. Block 2 numbers run consecutively by fiscal year, with office symbol, fiscal year and a number, e.g. V-88-1.
Fill blocks 6 to 11. The instructions say to fill block 12 only for the exercise of an option, a contract modification, or an order against an existing contract.
Use one number per line item. With a stock number, enter only the noun name; otherwise describe the supplies or services clearly and fully. For more space, the form says to use GSA Form 49A.
List attachments in block 22. The fund certifying official signs block 20, the originator signs block 21, and the approving official signs block 23.
The instructions say to prepare an original and two copies unless the contracting office specifies otherwise, send the original and one copy to it, and keep one copy in the program office.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
For procurement requests, the original and one copy go to the appropriate contracting office and the program office keeps one copy. The number of copies of other requisitions is as prescribed by the office receiving the form.
The instructions say every procurement request submitted to a contracting office is assigned a number, and that a number is optional for requisitions for forms, publications and telephone service.
The instructions point to the GSA Handbook, Preparing Procurement Request and Receiving Reports, APD P 2800.14.
The PDF prints no fee, OMB number, burden estimate or privacy statement. GSA's page lists 07/1991 as the current revision date and no authority or regulation.
Block 7 identifies the requisitioning office. Block 21 holds the name, title and office symbol of the originator, who signs it. The program office keeps one copy.
Block 20 is for the official authorized to certify the availability of funds and the correctness of the financial data, who signs in block B.
Block 23 is for the official approving the request, as required by office policy, for example a supervisor, branch chief or director, who signs in block B.
Block 6 names the stockroom or contracting office the request goes to. For procurement requests, the original and one copy go to the appropriate contracting office.
The instructions say Center personnel complete blocks 24 to 29, and that these blocks do not apply to a procurement request.
The instructions on the back name these offices and officials.
The agency’s own page for Form GSA49.
The official blank form, to print or fill by hand.
No tool matches that search.
It is a General Services Administration form, printed GSA FORM 49 (REV. 7-91). GSA hosts it in its forms library.
The instructions say it is the basic procurement request form for supplies not available from Customer Supply Centers, equipment, services and construction, and that it is also used to requisition forms and publications from the GSA National Forms and Publication Center.
The instructions say it is not used as a printing requisition or to order motor vehicles. They name GSA Form 50 for printing services and GSA Form 1781 for motor vehicles.
The form says to use GSA Form 49A, the continuation sheet, if additional space is required. The instructions also say multiple accounting classifications can go in blocks 13 to 18 or on GSA Form 49A.
An original and two copies, unless the contracting office specifies otherwise. The original and one copy go to the contracting office and one copy stays with the program office.
The fund certifying official in block 20, the originator of the request in block 21, and the approving official required by office policy in block 23.
The instructions say personnel from the GSA National Forms and Publications Center complete them, and that they do not apply to a procurement request.