Dd form 1144 is a military form that is used to request supplies or equipment. The form must be filled out completely, and it can be submitted to the appropriate person or office. The supply or equipment that is requested on the dd form 1144 will then be provided to the individual or unit that submitted the request. Anyone who needs to fill out a dd form 1144 should familiarize themselves with all of the information that is required on the form. There are specific instructions for how to complete dd form 1144, and these instructions should be followed closely in order to ensure that the request is processed correctly.
| Question | Answer |
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| Form Name | Dd Form 1144 |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | dd1144, 1144 support, dd 1144, 1144 forms |
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SUPPORT AGREEMENT |
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1. |
AGREEMENT NUMBER |
2. SUPERSEDED AGREEMENT NO. |
3. EFFECTIVE DATE (YYYYMMDD) |
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4. EXPIRATION DATE |
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(Provided by Supplier) |
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(If this replaces another agreement) |
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(May be "Indefinite") |
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5. |
SUPPLYING ACTIVITY |
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6. RECEIVING ACTIVITY |
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a. NAME AND ADDRESS |
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a. NAME AND ADDRESS |
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b. MAJOR COMMAND |
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b. MAJOR COMMAND |
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7. |
SUPPORT PROVIDED BY SUPPLIER |
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a. SUPPORT (Specify what, when, where, and how much) |
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b. BASIS FOR REIMBURSEMENT |
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c. ESTIMATED REIMBURSEMENT |
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ADDITIONAL SUPPORT REQUIREMENTS ATTACHED: |
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YES |
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NO |
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8. |
SUPPLYING COMPONENT |
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9. RECEIVING COMPONENT |
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a. COMPTROLLER SIGNATURE |
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b. DATE SIGNED |
a. COMPTROLLER SIGNATURE |
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b. DATE SIGNED |
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c. APPROVING AUTHORITY |
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c. APPROVING AUTHORITY |
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(1) TYPED NAME |
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(1) TYPED NAME |
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(2) ORGANIZATION |
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(3) TELEPHONE NUMBER |
(2) ORGANIZATION |
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(3) TELEPHONE NUMBER |
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(4) SIGNATURE |
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(5) DATE SIGNED |
(4) SIGNATURE |
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(5) DATE SIGNED |
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10. TERMINATION (Complete only when agreement is terminated prior to scheduled expiration date.) |
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a. APPROVING AUTHORITY SIGNATURE |
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b. DATE SIGNED |
C. APPROVING AUTHORITY SIGNATURE |
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d. DATE SIGNED |
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DD FORM 1144, NOV 2001 |
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PREVIOUS EDITION MAY BE USED. |
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Page 1 of 3 Pages |
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Adobe Professional 7.0
11.GENERAL PROVISIONS (Complete blank spaces and add additional general provisions as appropriate: e.g., exceptions to printed provisions, additional parties to this agreement, billing and reimbursement instructions.)
a.The receiving components will provide the supplying component projections of requested support. (Significant changes in the receiving component's support requirements should be submitted to the supplying component in a manner that will permit timely modification of resource requirements.)
b.It is the responsibility of the supplying component to bring any required or requested change in support to the attention of
prior to changing or cancelling support.
c. The component providing reimbursable support in this agreement will submit statements of costs to:
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d.All rates expressing the unit cost of services provided in this agreement are based on current rates which may be subject to change for uncontrollable reasons, such as legislation, DoD directives, and commercial utility rate increases. The receiver will be notified immediately of such rate changes that must be passed through to the support receivers.
e.This agreement may be cancelled at any time by mutual consent of the parties concerned. This agreement may also be cancelled by either party upon giving at least 180 days written notice to the other party.
f.In case of mobilization or other emergency, this agreement will remain in force only within supplier's capabilities.
ADDITIONAL GENERAL PROVISIONS ATTACHED:
YES
NO
12.SPECIFIC PROVISIONS (As appropriate: e.g., location and size of occupied facilities, unique supplier and receiver responsibilities, conditions, requirements, quality standards, and criteria for measurement/reimbursement of unique requirements.)
ADDITIONAL SPECIFIC PROVISIONS ATTACHED:
YES
NO
DD FORM 1144, NOV 2001 |
Page 2 of 3 Pages |
13.ADDITIONAL PROVISIONS (Use this space to continue general and/or specific provisions, as needed.)
DD FORM 1144, NOV 2001 |
Page 3 of 3 Pages |