GSA5029

FLSA Exemption Determination Checklist - Learned Professional Exemption

Agency
GSA
Revision
Rev. 11/2017
Fillable fields
6
Pages
2
Official source
GSA form page
Checked
October 20, 2026
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Page 1 of form GSA5029

GSA Form 5029: FLSA Exemption Determination Checklist, Learned Professional Exemption

GSA Form 5029, FLSA Exemption Determination Checklist, Learned Professional Exemption, is a two-sided General Services Administration (GSA) form printed as GSA 5029 11/2017. GSA hosts it in its forms library. The form prints no OMB number, and GSA's page lists no authority or regulation.

The checklist works through whether the employees in a position meet the definition of an FLSA-exempt learned professional. Its questions have YES and NO columns, and the go-to boxes send a NO answer straight to the final question. It cites 5 CFR 551.203, 5 CFR 551.208 and 5 CFR 551.104.

The form says the employee should be marked as exempt only if every question is answered YES, and that a NO to any question means the employee does not meet the definition for the learned professional exemption. 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 5029: FLSA Exemption Determination Checklist, Learned Professional Exemption, as printed by GSA

What's on GSA Form 5029

Question 1: salary threshold

Whether the annual rate of basic pay is equal to or greater than $23,660 for learned professionals other than professional legal, physician or teacher positions. The form says it includes locality payments and special rate supplements, but not premium payments, differentials or allowances.

Question 2: routing

A YES to question 1 goes on to question 3. A NO goes to question 6.

Question 3a: advanced knowledge

Whether the knowledge the work requires is customarily acquired by a prolonged course of specialized intellectual instruction, in a field with a recognized professional status, as distinguished from the mechanical arts or skilled trades.

Questions 3b and 3c: judgment and primary duty

Whether the work is predominantly intellectual and requires the consistent exercise of discretion and judgment, and whether it takes more than 50% of work time or meets the three conditions the form lists for a smaller share.

Questions 4 and 5: profession-specific criteria

If 3a, b and c are all YES, question 5 asks whether the profession-specific criteria have been satisfied for the professions the form lists, citing 5 CFR 551.208.

Question 6: the result

An EXEMPT box and a NON-EXEMPT box under the heading Learned Professional Exemption.

How to complete GSA Form 5029

  1. 1

    Start with the salary threshold

    Answer question 1 using the rate of basic pay as the form defines it, before any deductions. The form cites 5 CFR 551.203.

  2. 2

    Follow the go-to boxes

    Questions 2 and 4 send a YES to the next question and a NO to question 6. A NO on 3a, 3b or 3c also goes to question 6.

  3. 3

    Answer all three parts of question 3

    The form joins 3a, 3b and 3c with AND. For primary duty, it cites 5 CFR 551.104.

  4. 4

    Check the profession-specific criteria

    Question 5 applies to the professions it lists, with 5 CFR 551.208 as the reference.

  5. 5

    Mark the result in question 6

    The form says to mark the employee as exempt only if every question was answered YES, and as non-exempt if any answer was NO.

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What the form says

Where it goes

The form gives no filing address, signature line or routing instructions.

Pay included in question 1

Rate of basic pay includes locality payments under 5 CFR part 531, Subpart F, and special rate supplements under 5 CFR part 530, Subpart C, before any deductions.

Edition

Both sides print GSA 5029 11/2017, and GSA's page lists 11/2017 as the current revision date.

Related forms

Who uses GSA Form 5029?

  • The person deciding FLSA status

    The checklist speaks to whoever answers its questions and marks the employee EXEMPT or NON-EXEMPT in question 6. The form does not give that person's title.

  • Positions in a field of science or learning

    Question 3 covers work requiring advanced knowledge customarily acquired through a prolonged course of specialized intellectual instruction, such as law, medicine, theology, accounting, engineering, architecture, teaching and pharmacy.

  • Professions with their own criteria

    Question 5 lists employees practicing law or medicine, accountants, engineers, architects, teachers, registered or certified medical technologists, registered nurses, dental hygienists, physician assistants and paralegals.

  • Legal, physician and teacher positions

    The form says the salary based threshold does not apply to a professional legal position, a physician position or a teacher position, as those terms are defined in 5 CFR 551.208 (c), (d), and (h).

The form does not name the office that completes it. Its questions are about a position and the employees in it.

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Questions about Form GSA5029

Who issues GSA Form 5029?

It is a General Services Administration form, printed as GSA 5029 11/2017. GSA hosts it in its forms library.

What salary does GSA Form 5029 check?

Question 1 asks whether the annual rate of basic pay is equal to or greater than $23,660 for learned professionals other than professional legal positions, physician positions or teacher positions. The form cites 5 CFR 551.203.

Does the salary threshold apply to lawyers, physicians and teachers?

The form says the salary based threshold does not apply to a professional legal position, a physician position or a teacher position, as those terms are defined in 5 CFR 551.208 (c), (d), and (h).

What does primary duty mean on this checklist?

Question 3c says the employee spends more than 50% of work time on the work described, or that a duty taking less time may be credited if it meets the three conditions the form lists. It cites 5 CFR 551.104.

What if one answer is NO?

The form says that if any answer is NO, the employee does not meet the definition for the learned professional exemption and is marked as non-exempt.

Does GSA Form 5029 have a signature line?

No. The form prints no signature line, no OMB control number and no filing address.