
Tance in exiting the building in the event of an emergency or evacuation. I acknowledge that I may but am not required to explain why I am requesting such assistance or divulge any medical condition. I understand that information provided in connection with my request will be confidential and used for the purpose of to determining how best to assist me in the event of an emergency/evacuation. Employee's Signature: Date: Approved by: Date: Immediate Supervisor Supervisor's Signature: Date:.
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How to fill out the GSA 3698 online
The GSA 3698 form is designed for employees requesting evacuation assistance in emergencies. This guide will assist you in accurately completing the form online to ensure your safety and facilitate the process.
Follow the steps to successfully complete the GSA 3698 form.
- Press the ‘Get Form’ button to access the document and open it in the online editor.
- Begin by entering your full name in the 'Employee Name' field to clearly identify yourself.
- Provide your email address in the 'E-mail Address' section to ensure communication for any follow-up.
- Fill in the 'Date Requested' field with the current date to document when you are making this request.
- Specify your division in the 'Division' field to help the administration understand your department structure.
- Input your telephone number in the 'Telephone Number' field for direct contact if necessary.
- Identify your department in the 'Department' section to clarify your workplace area.
- Include your room number in the 'Room Number' field to assist in providing timely aide during an evacuation.
- In the provided statement, acknowledge your request for assistance. Note that you are not obligated to disclose any medical conditions.
- Affix your signature in the 'Employee's Signature' area to validate your request.
- Enter the date next to your signature to indicate when you signed the form.
- If applicable, have your immediate supervisor approve your request by providing their signature and the date of approval.
- Ensure all sections are completed accurately before forwarding the form to the Security Division.
- Once all information is filled out, you can save your changes, download a copy of the form, print it for physical records, or share it as required.
Complete your GSA 3698 form online today to ensure your evacuation assistance needs are met.
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