DD Form 1155 at a glance
What it is: DD Form 1155 (DEC 2001) is the ORDER FOR SUPPLIES OR SERVICES.
Who signs: If the box marked supplier must sign Acceptance is checked, under ACCEPTANCE enter the name of contractor, the signature, the typed name and title and the date signed (YYYYMMMDD), and return the number of copies. Box 27b is the SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE and Box 27c is the DATE (YYYYMMMDD).
A filled-in DD Form 1155 example: a delivery order for sample paper
How to fill out DD Form 1155, box by box
Boxes 1 to 5, the order
Enter the contract/purch order/agreement no. in Box 1, the delivery order/call no. in Box 2 and the date of order/call (YYYYMMMDD) in Box 3.
Enter the requisition/purch request no. in Box 4 and the priority in Box 5.
Boxes 6 to 9, the issuer, the administrator and the contractor
Box 6 is ISSUED BY, with a code. Box 7 is ADMINISTERED BY (If other than 6), with a code.
In Box 8, DELIVERY FOB, mark DESTINATION or OTHER (See Schedule if other).
Enter the contractor name and address in Box 9, with its code and facility.
Boxes 10 to 13, delivery, the business and invoices
Enter the deliver to FOB point by (Date) in Box 10 as YYYYMMMDD.
In Box 11, put an X if the business is SMALL, SMALL DISADVANTAGED or WOMEN-OWNED.
Enter the discount terms in Box 12.
Box 13 is MAIL INVOICES TO THE ADDRESS IN BLOCK.
Boxes 14 and 15, ship to and payment
Box 14 is SHIP TO, with a code. Box 15 is PAYMENT WILL BE MADE BY, with a code.
Mark all packages and papers with identification numbers in blocks 1 and 2.
Box 16, the type of order and the contractor's acceptance
In Box 16, TYPE OF ORDER, DELIVERY/ CALL: This delivery order/call is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract.
In Box 16, PURCHASE: Reference your furnish the following on terms specified herein.
ACCEPTANCE. The contractor hereby accepts the offer represented by the numbered purchase order as it may previously have been or is now modified, subject to all of the terms and conditions set forth, and agrees to perform the same.
Boxes 17 to 26, the schedule of supplies or services
Enter the accounting and appropriation data/local use in Box 17.
Enter the item no. in Box 18 and the schedule of supplies/services in Box 19.
Enter the quantity ordered/ accepted in Box 20. *If quantity accepted by the Government is same as quantity ordered, indicate by X. If different, enter actual quantity accepted in Box 20 and encircle.
Enter the unit in Box 21, the unit price in Box 22 and the amount in Box 23.
Box 24 is UNITED STATES OF AMERICA, BY the CONTRACTING/ORDERING OFFICER.
Enter the total in Box 25 and the differences in Box 26.
Box 27, inspection and acceptance by the Government
Box 27a: QUANTITY IN COLUMN 20 HAS BEEN INSPECTED, RECEIVED or ACCEPTED, AND CONFORMS TO THE CONTRACT EXCEPT AS NOTED.
Box 27b is the SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE and Box 27c is the DATE (YYYYMMMDD).
Enter the printed name and title of the authorized Government representative in Box 27d, the mailing address in Box 27e, the telephone number in Box 27f and the e-mail address in Box 27g.
Boxes 28 to 42, ship no., payment and containers
Box 28 is SHIP. NO., marked PARTIAL or FINAL.
Enter the D.O. voucher no. in Box 29 and the initials in Box 30.
Box 31 is PAYMENT, marked COMPLETE, PARTIAL or FINAL.
Enter the paid by in Box 32, the amount verified correct for in Box 33, the check number in Box 34 and the bill of lading no. in Box 35.
Box 36: I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT. Enter the date (YYYYMMMDD) in a. and the signature and title of the certifying officer in b.
Enter RECEIVED AT in Box 37, RECEIVED BY (Print) in Box 38, the date received (YYYYMMMDD) in Box 39, the total containers in Box 40, the S/R account number in Box 41 and the S/R voucher no. in Box 42.
More rules for DD Form 1155
The previous edition is obsolete.
Common questions about DD Form 1155
What is a DD Form 1155 used for?
DD Form 1155 (DEC 2001) is the ORDER FOR SUPPLIES OR SERVICES. This is prescribed by DFARS 253.213.
Sources
[1] DD Form 1155 (DEC 2001), Order for Supplies or Services, Washington Headquarters Services (the Official source link on this page).