GSA Form 50 "Requisition for Reproduction Services"

What Is GSA Form 50?

This is a legal form that was released by the U.S. General Services Administration on September 1, 1991 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 1991;
  • The latest available edition released by the U.S. General Services Administration;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;

Download a fillable version of GSA Form 50 by clicking the link below or browse more documents and templates provided by the U.S. General Services Administration.

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Download GSA Form 50 "Requisition for Reproduction Services"

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1. REQ. NO. (ACT NO. GSA ONLY)
THIS SECTION FOR PLANT USE ONLY
REQUISITION
SHOP JOB NO.
FOR
REPRODUCTION SERVICES
CHARGE(S) FOR SERVICES
2. BLANKET REQ. (Period covered)
FROM
TO
(See Instructions on Back of Part 6)
IN PLANT 01
OUT PROC 12
TOTAL COST
$
$
$
3a. ORDERING OFFICE (Complete mailing address, include ZIP Code)
4. DATE OF ORDER
5. DATE REQUIRED AT DESTINATION
6. APPROPRIATION AND ALLOTMENT CHARGEABLE
3b. PERSON TO CONTACT (Name and Telephone number)
7. BILLING ADDRESS CODE (BOAC)
8. CUSTOMER CONV. CODE (GSA Only)
9. TYPE OF SERVICE (Check all that apply)
10. DESCRIPTION OF SERVICES AND/OR MATERIAL TO BE REPRODUCED
(i.e., Form No. and title, name of pamphlet or brochure, etc.)
PRINTING/BINDING
ELECTRONIC REPRODUCTION
ADDRESS/MAILING
GRAPHIC ARTS (Atlanta Only)
DISTRIBUTION
OTHER (Specify)
ELECTRONIC PREP./DESIGN
11. SPECIFICATIONS
a. QUANTITY
b. NO. OF PAGES
c. PAPER AND INK
REQUIRED
SUBMITTED
COVER
TEXT
TYPE AND COLOR
WEIGHT
INK COLOR
TYPE AND COLOR
WEIGHT
INK COLOR
d. PRINT
e. COMPLETED SIZE
f. MARGINS
g. FOLD
h. ASSEMBLE
TO:
OTHER
ONE SIDE
OTHER (Specify)
8-1/2 X 11"
17" X 22"
FRONT
BACK
AS FOLIOED
PER ART
OTHER (Specify)
TOP
LEFT
TOP
LEFT
HEAD TO HEAD
8-1/2 X 14"
AS PAGED
"
"
PER
HEAD TO FOOT
11" X 17"
X
PER DUMMY
12. BINDERY
13. PACKAGING
a. TYPE
b. STAPLE(S)
c. PAD
d. PUNCHING
SHRINK WRAP
NUMBER
SADDLE STITCH
PLASTIC COMB
TOP
TOP
RIGHT SIDE
BAND
OF
SIDE WIRE
HOT TAPE
LEFT SIDE
BOTTOM
LEFT SIDE
TIE
SHEETS
PER PAD
PERFECT
OTHER (Specify)
NO. OF STAPLES
NO. OF HOLES
DIAMETER
C TO C
PACKAGE IN SETS OF
LOOSELEAF
14. SPECIAL INSTRUCTIONS (If additional space is necessary, attach separate sheets and key answers to Item No(s).)
15. DISTRIBUTION
E. MAIL OR DISTRIBUTE FROM:
a. NO. OF
b. NAME OF PERSON TO WHOM
c. BUILDING d. ROOM NO.
COPIES
WORK IS TO BE DELIVERED
HANDLIST ATTACHED
LABELS ATTACHED
PRINTOUT ATTACHED
OTHER (Specify)
DISK ATTACHED
MAIL LIST NUMBER/CODE
16. CERTIFICATION
a.
THIS
WORK
IS
AUTHORIZED
BY
b. GPO WAS CONTACTED AND THEY ADVISED THAT
c. THE USE OF MORE THAN ONE COLOR IS IN
REGULATIONS AND IS NECESSARY TO THE
THE
WORK
WAS
NOT
COMMERCIALLY
ACCORDANCE WITH DEPARTMENT REGULATIONS.
CONDUCT OF OFFICIAL BUSINESS AND THE
PROCURABLE AT A LOWER COST OR WITHIN THE
THE ILLUSTRATIONS USED IN THIS PUBLICATION
SPECIFICATIONS
ARE
THE
MINIMUM
TIME FRAME REQUIRED.
ARE FUNCTIONAL AND RELATED ENTIRELY TO
NECESSARY
TO
MEET
AGENCY
OFFICIAL BUSINESS.
REQUIREMENTS
APPROVING OFFICER
DATE
SIGNATURE
DATE
APPROVAL
(Signature and Date)
GENERAL SERVICES ADMINISTRATION
GSA
50
FORM
(REV. 9-91)
1. REQ. NO. (ACT NO. GSA ONLY)
THIS SECTION FOR PLANT USE ONLY
REQUISITION
SHOP JOB NO.
FOR
REPRODUCTION SERVICES
CHARGE(S) FOR SERVICES
2. BLANKET REQ. (Period covered)
FROM
TO
(See Instructions on Back of Part 6)
IN PLANT 01
OUT PROC 12
TOTAL COST
$
$
$
3a. ORDERING OFFICE (Complete mailing address, include ZIP Code)
4. DATE OF ORDER
5. DATE REQUIRED AT DESTINATION
6. APPROPRIATION AND ALLOTMENT CHARGEABLE
3b. PERSON TO CONTACT (Name and Telephone number)
7. BILLING ADDRESS CODE (BOAC)
8. CUSTOMER CONV. CODE (GSA Only)
9. TYPE OF SERVICE (Check all that apply)
10. DESCRIPTION OF SERVICES AND/OR MATERIAL TO BE REPRODUCED
(i.e., Form No. and title, name of pamphlet or brochure, etc.)
PRINTING/BINDING
ELECTRONIC REPRODUCTION
ADDRESS/MAILING
GRAPHIC ARTS (Atlanta Only)
DISTRIBUTION
OTHER (Specify)
ELECTRONIC PREP./DESIGN
11. SPECIFICATIONS
a. QUANTITY
b. NO. OF PAGES
c. PAPER AND INK
REQUIRED
SUBMITTED
COVER
TEXT
TYPE AND COLOR
WEIGHT
INK COLOR
TYPE AND COLOR
WEIGHT
INK COLOR
d. PRINT
e. COMPLETED SIZE
f. MARGINS
g. FOLD
h. ASSEMBLE
TO:
OTHER
ONE SIDE
OTHER (Specify)
8-1/2 X 11"
17" X 22"
FRONT
BACK
AS FOLIOED
PER ART
OTHER (Specify)
TOP
LEFT
TOP
LEFT
HEAD TO HEAD
8-1/2 X 14"
AS PAGED
"
"
PER
HEAD TO FOOT
11" X 17"
X
PER DUMMY
12. BINDERY
13. PACKAGING
a. TYPE
b. STAPLE(S)
c. PAD
d. PUNCHING
SHRINK WRAP
NUMBER
SADDLE STITCH
PLASTIC COMB
TOP
TOP
RIGHT SIDE
BAND
OF
SIDE WIRE
HOT TAPE
LEFT SIDE
BOTTOM
LEFT SIDE
TIE
SHEETS
PER PAD
PERFECT
OTHER (Specify)
NO. OF STAPLES
NO. OF HOLES
DIAMETER
C TO C
PACKAGE IN SETS OF
LOOSELEAF
14. SPECIAL INSTRUCTIONS (If additional space is necessary, attach separate sheets and key answers to Item No(s).)
15. DISTRIBUTION
E. MAIL OR DISTRIBUTE FROM:
a. NO. OF
b. NAME OF PERSON TO WHOM
c. BUILDING d. ROOM NO.
COPIES
WORK IS TO BE DELIVERED
HANDLIST ATTACHED
LABELS ATTACHED
PRINTOUT ATTACHED
OTHER (Specify)
DISK ATTACHED
MAIL LIST NUMBER/CODE
16. CERTIFICATION
a.
THIS
WORK
IS
AUTHORIZED
BY
b. GPO WAS CONTACTED AND THEY ADVISED THAT
c. THE USE OF MORE THAN ONE COLOR IS IN
REGULATIONS AND IS NECESSARY TO THE
THE
WORK
WAS
NOT
COMMERCIALLY
ACCORDANCE WITH DEPARTMENT REGULATIONS.
CONDUCT OF OFFICIAL BUSINESS AND THE
PROCURABLE AT A LOWER COST OR WITHIN THE
THE ILLUSTRATIONS USED IN THIS PUBLICATION
SPECIFICATIONS
ARE
THE
MINIMUM
TIME FRAME REQUIRED.
ARE FUNCTIONAL AND RELATED ENTIRELY TO
NECESSARY
TO
MEET
AGENCY
OFFICIAL BUSINESS.
REQUIREMENTS
APPROVING OFFICER
DATE
SIGNATURE
DATE
APPROVAL
(Signature and Date)
GENERAL SERVICES ADMINISTRATION
GSA
50
FORM
(REV. 9-91)
INSTRUCTIONS FOR COMPLETING GSA FORM 50, REQUISITION FOR REPRODUCTION SERVICES
Item
Action
1., 2.,
Self-explanatory.
3a. & 4.
3b.
Enter the name of the individual who has complete knowledge of all particulars concerning the requisition. In the case of errors,
omissions, or questions, this item permits direct contact with responsible person.
5.
Do not use "ASAP". Enter the date work must be at destination. This date permits more flexibility in assigning priorities to urgent requests.
6.
The complete appropriation, allotment, and object classification must be shown. Also include in this item the estimated cost of the
requested work.
7.
The Billing Office Address Code (BOAC) must be shown. This accounting data must be complete and verified for correctness by the
requisitioning office.
8. & 9.
Self-explanatory.
10.
Enter a brief but adequate description of the material. This description will aid in locating requisitions when the shop job number is not
known.
11a., 11b.
Self-explanatory.
& 11c.
11d.
Print one side
- Self-explanatory.
Print Head to Head
- The top of the form is in the same position on the front and back sides.
Print Head to Foot
- The top of the form on one side corresponds to the bottom of the form on the other side.
11e.
Self-explanatory.
11f.
Show in inches, margins on front and back. (i.e., 1/2" top and 1/2" left) If margins are per artworks or sample, check as appropriate.
11g.
Show in inches, the exact size material to be folded to. (i.e., 8-1/2" x 5-1/2")
11h.
As folioed (assembled)
- Each page is numbered individually.
As paged
- Assembled by page number on document.
Per dummy
- Sample is attached to show assembly.
12a.
Saddle Stitch
- Fastening a booklet through the spine with wire.
Side Wire
- Fastening a booklet with wire running through the gathered sheets of paper that are in
consecutive order on binding edge.
Per dummy
- Fastening in a booklet where gathered sheets of paper that are in
consecutive order are stacked, trimmed, and glued (for example, paperback books.)
Looseleaf
- Marginal allowance for hole punching.
Plastic Comb
- A solid-back comb rolled to make a cylinder of any thickness and inserted through slots
punched along the binding side.
Hot Tape
- Tape binding used on electronic publishing equipment.
12b. & 12c.
Self-explanatory.
12d.
Indicate the position and number of holes needed. Show in inches, the diameter and distance center to center.
13.
Self-explanatory.
14.
Plan the arrangement of special instructions in order to avoid confusion or misinterpretation. When special instructions are length, use
appropriate headings to separate specific information.
15.
Self-explanatory.
16a.
Signature of approving official to authorize funds.
16b. & 16c.
GSA Printing Officer or Regional Printing Officer; or Regional Printing and Distribution Branch Chief; or other agency authorized official.
GSA
50 BACK
FORM
(REV. 9-91)
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