Instructions For Completion Of Dd Form 1155

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253.213 Small purchase and other simplified purchase procedures (SF's 18, 30, 44, 1165, ...
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253.213-70  Instructions for completion of DD Form 1155.
(a) These instructions are mandatory if—
(1) Contract administration has been assigned outside the purchasing office; or
(2) The contractor is located in the continental United States or Canada.
(b) The entity codes (address codes) referenced in this subsection are codes published in—
(1) DoD Activity Address Directory (DODAAD), DoD 4000.25-6-M.
-
(2) Military Assistance Program Address Directory System (MAPAD), DoD 4000.25-8
M.
(3) Commercial and Government Entity (CAGE) Codes Handbook H4/H8.
(c) For orders requiring payment in Canadian currency—
(1) State the contract price in terms of Canadian dollars, followed by the initials CN; e.g.,
$1,647.23CN.
(2) Indicate on the face of the order—
(i) The U.S./Canadian conversion rate in effect at the time of the award; and
(ii) The U.S. dollar equivalent of the Canadian dollar amount.
(d) When the DD Form 1155 includes FMS requirements, clearly mark FMS requirement on its face.
Specify within the order each FMS case identifier code by line or subline item number.
(e) Instructions for DD Form 1155 entries. (Instructions apply to purchase orders, delivery orders, and
calls, except Block 2, which applies only to delivery orders and calls, and Block 12, which applies only to
purchase orders.)
BLOCK
1 CONTRACT/PURCH ORDER/AGREEMENT NO.--Enter the Procurement Instrument Identification
(PII) number and, when applicable, the supplementary identification number for contracts, purchase orders,
and agreements as prescribed in Subpart 204.70.
2 DELIVERY ORDER/CALL NO.--Enter the PII number for delivery orders/calls, when applicable, as
prescribed in Subpart 204.70.
3 DATE OF ORDER/CALL--Enter the four position numeric year, three position alpha month, and two
position numeric day.
4 REQUISITION/PURCH REQUEST NO.--Enter the number authorizing the purchase. When the
number differs by line item, list it in the schedule and annotate this block, “see schedule.”
5 PRIORITY--Enter the appropriate Program Identification Code as identified in Schedule I to the
Defense Priorities and Allocations System Regulation.
6 ISSUED BY--Enter the name and address of the issuing office. In the code block, enter the DoDAAD
code for the issuing office. Directly below the address, enter: Buyer/Symbol: followed by the buyer's name
and routing symbol. Directly below the buyer/symbol, enter: Phone: followed by the buyer's phone number
and extension.
7 ADMINISTERED BY--Enter the name and address of the contract administration activity. On purchase
03/12/13

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