GSA Form 687: Register of Remittances Received

GSA Form 687, Register of Remittances Received, is a one-page General Services Administration (GSA) form, Rev. 5/1992. The footer names the General Services Administration, and GSA's page lists OFA P 1200.1 as its authority or regulation. GSA hosts it in its forms library.

The form is a dated, numbered register of remittances received by check or money order. The header holds the date, the register number, the certificate of deposit number and date, and appropriation data. The table has 14 lines for the name of the remitter, the check or money order number and date, the amount, appropriation data and remarks, followed by a total.

The bottom row names the preparer, the office symbol and telephone number, and carries the signature and date of the person who received it. The form prints no instructions, filing address or privacy notice. 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 687: Register of Remittances Received, as printed by GSA

What's on GSA Form 687

Date and register number

The top right corner holds the date and the register number.

Certificate of deposit and appropriation data

The header asks for the certificate of deposit number, the certificate of deposit date and appropriation data. A note reads: complete coding: Fund/Organization Code at a minimum.

Remittance lines

Fourteen lines, each with the name of the remitter, the check or money order number and date, and the amount.

Appropriate data and remarks

Each line also has a column the form labels Appropriate Data, marked with the coding note, and a Remarks column.

Total and receipt row

A Total line under the amount column, then the preparer, office symbol, telephone number, Received By signature and date.

The form is a single landscape page.

How to complete GSA Form 687

1
Date and number the register
Enter the date and the register number at the top of the form.
2
Add the deposit details
Enter the certificate of deposit number and date and the appropriation data. The form's note asks for complete coding: Fund/Organization Code at a minimum.
3
List each remittance
On each line, enter the remitter's name, the check or money order number and date, the amount, the appropriation data and any remarks.
4
Total the amounts
Add up the amount column and enter the sum on the Total line.
5
Identify the preparer
Fill in the preparer's name, office symbol and telephone number in the bottom row.
6
Sign on receipt
The person who receives the register signs the Received By block and dates it.

The form prints no instructions. These steps follow the order of its blocks.

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Routing and records

Where it goes

The PDF gives no filing address or routing instructions. Its only routing block is Received By, with a signature and date.

Authority listed

GSA's page lists OFA P 1200.1 as the authority or regulation and shows a current revision date of 05/1992.

Privacy and burden

The form prints no Privacy Act statement, no OMB control number and no time estimate.

Who fills out GSA Form 687?

The preparer
The person who prepares the register enters their name in the Preparer block at the bottom of the form.
The preparer's office
The Office Symbol and Telephone Number blocks sit beside the preparer's name and identify the office that prepared the register.
The person who receives it
The Received By block takes a signature, with a date beside it, from the person who receives the register.
Remitters listed on it
Each remitter is listed by name with the check or money order number, its date and the amount. The form has no signature or entry block for the remitter.

The form prints no instructions. These are the people its blocks name.

Official sources and the blank

Official GSA form page
The agency’s own page for Form GSA687.
Blank PDF
The official blank form, to print or fill by hand.

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Questions about Form GSA687

Who issues GSA Form 687?

The footer reads General Services Administration and GSA FORM 687 (REV. 5-92). GSA's page lists OFA P 1200.1 as the authority or regulation, and GSA hosts the form in its forms library.

What does GSA Form 687 record?

Remittances received by check or money order. For each one it lists the name of the remitter, the check or money order number and date, the amount, appropriation data and remarks, with a total at the bottom.

What coding does the form ask for?

A note next to the appropriation data says complete coding: Fund/Organization Code at a minimum. The form does not explain the codes further.

Who signs GSA Form 687?

The form has one signature block, Received By, with a date. The preparer block takes a name, office symbol and telephone number, not a signature.

How many remittances fit on one form?

The table has 14 lines, followed by a Total line.

Where does GSA Form 687 go?

The PDF prints no address or routing instructions.

GSA Form 687: Register of Remittances Received