Dd Form 350 - Individual Contracting Action Report
Download a blank fillable Dd Form 350 - Individual Contracting Action Report in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Dd Form 350 - Individual Contracting Action Report with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4INDIVIDUAL CONTRACTING ACTION REPORT
DD-AT&L(M)1014
Report Control Symbol
A1
Type of Report ____ (0) Original; (1) Canceling; or (2) Correcting
A2
Report Number __________
A3
Contracting Office
A3A
Reporting Agency FIPS 95 Code __________
A3B
Contracting Office Code __________
A4
Name of Contracting Office ________________________________________________
B1
Contract Identification Information
B1A
Contract Number _______________________________
B1B
Origin of Contract ____ (A) DoD; (B) NASA; or (C) Other Non-DoD Agency
B1C
Bundled Contract ____ (Y) Yes; or (N) No
B1D
Bundled Contract Exception ____ (A) Mission Critical; (B) OMB Circular A-76; or
(C) Other
B1E
Performance-Based Service Contract ____ (Y) Yes; or (N) No
B2
Modification, Order, or Other ID Number
B2A
Order, or Other ID Number______________________________________
B2B
Modification Number __________
B3
Action Date (yyyymmdd) ________________________
B4
Completion Date (yyyymmdd) ____________________
B5
Contractor Identification Information
B5A
Contractor Identification Number (DUNS) ___________
B5B
Government Agency ____ (Y) Yes; or (N) No
B5D
Contractor Name and Division Name
Contractor ______________________________________________________________
Division ________________________________________________________________
B5E
Contractor Address
Street or PO Box _________________________________________
City or Town ____________________________________________
State or Country ________________ Zip Code ________________
B5F
Taxpayer Identification Number ______________
B5G
Parent Taxpayer Identification Number ______________
B5H
Parent Name ____________________________________________________________
B6
Principal Place of Performance
B6A
City or Place Code ______________
B6B
State or Country Code ___________
B6C
City or Place and State or Country Name ______________________________________
B7
Type Obligation ____ (1) Obligation; (2) Deobligation; or (3) No Dollars Obligated or
Deobligated
B8
Obligated or Deobligated Dollars (Enter Whole Dollars Only) __________________
B9
Foreign Military Sale ____ (Y) Yes; or (N) No
B10
Multiyear Contract ____ (Y) Yes; or (N) No
B11
Total Estimated Contract Value (Enter Whole Dollars Only) __________________
B12
Principal Product or Service
B12A Federal Supply Class or Service Code _________
B12B DoD Claimant Program Code ________
B12C MDAP, MAIS, or Other Program Code __________
Adobe Professional 7.0
DD FORM 350, OCT 2003
1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business