Facility and applicant
Facility name, address, city and state, then the applicant's name, agency, room number or workstation, phone number and email address.
GSA75
Powered Micromobility Device Parking Permit
- Agency
- GSA
- Revision
- Rev. 7/2024
- Fillable fields
- 28
- Pages
- 2
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 75: Powered Micromobility Device Parking Permit
GSA Form 75, Powered Micromobility Device Parking Permit, is a two-page General Services Administration (GSA) form, Rev. 7/2024. The footer names the General Services Administration, and GSA hosts it in its forms library.
The Privacy Act statement says the principal purpose of the information is to control and manage the parking of powered micromobility devices within a GSA-Controlled Federally owned building or parking structure. Section A is completed by the parking permit applicant: the facility, the applicant's name, agency and contact details, the type of device, and its make, model, color and serial number. Section B is completed by the GSA Facility Manager, with a permit number, dates and the approving official's signature.
The back of the form lists 16 GSA Parking Permit Guidelines for Powered Micromobility Devices, covering designated rooms, battery charging, access routes, parking stickers and inspection. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 75
Type of device
Check one: E-Bicycle, E-Scooter, E-Skateboard, E-Unicycle, E-Hoverboard or Other.
Device details
Make, model, color and serial number of the device.
Acknowledgment and signature
The applicant acknowledges reading and understanding the guidelines on the back, and that violating them will be cause for suspension or revocation of the permit, then signs and dates.
Section B: GSA approval
Permit number, date, expiration date, and the name, signature and date of the GSA approving official.
Guidelines and Privacy Act statement
The back page lists 16 parking permit guidelines and the Privacy Act statement.
How to complete GSA Form 75
- 1
Name the facility
Enter the facility name, address, city and state in Section A.
- 2
Enter your details
Fill in your name, agency, room number or workstation, phone number and email address.
- 3
Describe the device
Check one device type and enter its make, model, color and serial number. Guideline 1 calls for a separate application for each type of device.
- 4
Read the guidelines
The back page lists the 16 GSA Parking Permit Guidelines for Powered Micromobility Devices that the acknowledgment refers to.
- 5
Sign and date Section A
Sign and date under the acknowledgment that you have read and understand the guidelines.
- 6
GSA completes Section B
The GSA Facility Manager enters the permit number, date and expiration date, and the GSA approving official signs and dates.
Why fill Form GSA75 on indox
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
- Fill the form right in your browser, no software to install
- Free to fill and free to download, with no account
- The official blank straight from the GSA, not a copy someone retyped
- Works on a phone, tablet or computer
What the form says about the permit
Where it goes
The PDF gives no filing address. Section B is completed by the GSA Facility Manager and signed by the GSA approving official.
Where devices are parked
The guidelines say permit holders park only in designated rooms, not in non-designated areas such as offices or workstations, and not overnight if not working.
Batteries
Guideline 5 says lithium-ion or lithium metal batteries for PMDs are not to be charged anywhere within the building or parking structure, and Guideline 10 asks for a daily check of the battery compartment or casing for visible damage.
Parking sticker
Guideline 12 says permit holders attach the parking sticker securely to their PMD, and that the sticker be valid, visible and legible.
Safety listing
Guideline 14 says permit holders acknowledge, to the best of their ability, that their PMD is listed and labeled in accordance with UL 2272 or UL 2849, as applicable.
Privacy
The Privacy Act statement says disclosure of information is mandatory, and that if any requested information is not provided, the request for parking will be disapproved.
Related forms
Who fills out GSA Form 75?
The form splits the work between the applicant and GSA.
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Questions about Form GSA75
Who issues GSA Form 75?
The footer reads General Services Administration and GSA 75 7/2024. GSA hosts the form in its forms library.
Who approves the parking permit?
Section B is completed by the GSA Facility Manager, with a permit number, date and expiration date, and signed by the GSA approving official.
Which devices does the form list?
E-Bicycle, E-Scooter, E-Skateboard, E-Unicycle, E-Hoverboard and Other. Guideline 1 says a separate application is completed for each type of device.
What does the form say about charging batteries?
Guideline 5 says lithium-ion or lithium metal batteries for PMDs are not to be charged in offices, at workstations or anywhere else within the building or parking structure, and that unauthorized charging will be subject to removal.
Where can a device be parked under the permit?
The guidelines say only in designated rooms, reached by the approved access route, and never in non-designated areas such as offices or workstations. A PMD parked in an unauthorized area is subject to removal.
What does the form say about liability?
Guideline 16 says permit holders acknowledge that the U.S. Government and GSA are absolved of any liability resulting from theft or damages to the PMD, or for injury or death sustained as a result of parking it in the building.
Is the information on GSA Form 75 required?
The Privacy Act statement says disclosure of information is mandatory, and that leaving out requested information results in disapproval of the parking request.