OF122C

Transfer Order - Computers For Learning Program

Agency
GSA
Revision
Rev. 9/2022
Fillable fields
128
Pages
1
Official source
GSA form page
Checked
October 20, 2026
Fill OF122C online
Page 1 of form OF122C

Optional Form 122C (OF 122C): Transfer Order, Computers For Learning Program

Optional Form 122C (OF 122C), Transfer Order, Computers For Learning Program, is a one-page order for property that a holding agency transfers to an educational organization. The form names no issuing or prescribing agency, and GSA hosts it in its forms library. Its footer prints OPTIONAL FORM 122C 9/2022.

The form records the order number and date, the holding agency point of contact and custodian, the ordering educational organization, where the property is and where it ships, and a table of the property ordered with acquisition costs. The educational organization signs block 9, which has a statement acknowledging receipt of the listed items transferred in accordance with Executive Order 12999, and the holding agency signs block 11. The form prints no other instructions.

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Top of page 1 of Optional Form 122C (OF 122C): Transfer Order, Computers For Learning Program, as printed by GSA

What's on OF 122C

Blocks 1 and 2: order number and date

The order number and the date of the transfer order.

Blocks 3 to 5: the parties

The holding agency point of contact, the ordering educational organization (full name and address) and the holding agency custodian (name and address).

Blocks 6 to 8: shipping

Ship To (consignee and destination), the location of the property and shipping instructions.

Block 9: educational organization approval

Signature, date and title, with a checkbox statement acknowledging receipt of the listed items transferred by the holding agency in accordance with Executive Order 12999.

Block 10: property ordered

Columns for (a) item control number (ICN), (b) item number, (c) description, (d) unit, (e) quantity and acquisition cost by (f) unit and (g) total, with a Total of Property Ordered.

Block 11: holding agency approval

Signature, title and date for the holding agency.

How to fill in OF 122C

  1. 1

    Number and date the order

    Enter the order number in block 1 and the date in block 2.

  2. 2

    Name the parties

    Fill in the holding agency point of contact, the ordering educational organization's full name and address and the holding agency custodian's name and address.

  3. 3

    Give the shipping details

    Enter the consignee and destination, the location of the property and any shipping instructions in blocks 6 to 8.

  4. 4

    List the property

    For each line in block 10, enter the ICN, item number, a description that the column says should include the item name, Federal Supply Class and Condition Code, the unit, quantity and acquisition cost.

  5. 5

    Sign for the educational organization

    The signer completes block 9 with a signature, date and title, next to the receipt acknowledgment.

  6. 6

    Holding agency approval

    The holding agency signs block 11 and adds a title and date.

The form gives no written instructions. These steps follow its numbered blocks.

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Where it goes and what the form says

Where it goes

Block 3 addresses the order to the holding agency point of contact. The PDF prints no mailing address or filing instructions.

Authority cited

The acknowledgment in block 9 cites Executive Order 12999. GSA's page lists no authority or regulation for the form.

Edition

The footer prints OPTIONAL FORM 122C 9/2022, which matches the current revision date of 09/2022 on GSA's page.

Who uses OF 122C?

  • The ordering educational organization

    Block 4 takes its full name and address. In block 9 a signer gives a signature, date and title, next to a statement acknowledging receipt of the listed items.

  • The holding agency point of contact

    Block 3 addresses the order To: Holding Agency Point of Contact.

  • The holding agency custodian

    Block 5 takes the custodian's name and address, and block 7 the location of the property.

  • The holding agency approver

    Block 11, Holding Agency Approval, takes a signature, title and date.

The form prints blocks for these parties. It gives no other instructions.

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Questions about Form OF122C

Who issues OF 122C?

The form names no issuing or prescribing agency. Its footer prints OPTIONAL FORM 122C 9/2022, and GSA hosts it in its forms library.

Who signs OF 122C?

The ordering educational organization signs block 9 with a date and title, and the holding agency signs block 11, Holding Agency Approval, with a title and date.

What does block 9 acknowledge?

The statement reads: I acknowledge receipt of the listed items below transferred to my educational organization by the holding agency in accordance with Executive Order 12999.

What goes in the description column?

The column heading says to include the item name, Federal Supply Class, and Condition Code.

Is there a continuation sheet for OF 122C?

GSA's forms library also lists OF 122C-A, Transfer Order, Computers For Learning Program (Continuation Sheet). Its property table is numbered 10, Property Ordered, like block 10 of OF 122C.