Dd Form 2784 PDF Details

The DD Form 2784, known as the Letter of Intent (LOI) for Household Goods or Unaccompanied Baggage, plays a pivotal role in the domain of personal property services within the Department of Defense (DoD) logistics. This form acts as a bridge between DoD approved carriers and the Personal Property Shipping Offices (PPSO), signifying the carrier's commitment to provide transportation services in specified areas. With stringent guidelines, the form demands accurate representation from carriers regarding their operational capabilities, regulatory compliances, and partnerships with designated agents to ensure high standards of service delivery. Each section of this comprehensive document outlines specific requirements, including carrier identification, scope of operating authority, and detailed agent agreements, underscoring the carriers' due diligence and accountability. This layered approach not only facilitates a smoother transition of service for DoD personnel but also safeguards against potential misrepresentation, backed by the legal ramifications outlined in Section 1001, Title 18, of the United States Code. Thus, the DD 2784 form serves as a critical tool in maintaining the integrity and efficiency of personal property services offered to DoD personnel, reflecting the underlying principles of responsibility and transparency in military logistics operations.

QuestionAnswer
Form NameDd Form 2784
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesDTR, PPSO, LOI, loi blank form

Form Preview Example

LETTER OF INTENT (LOI)

HOUSEHOLD GOODS OR UNACCOMPANIED BAGGAGE

(Prescribed by DTR 4500.9-R)

SECTION I (For PPSO use only)

1. TITLE

2. SIGNATURE

3. ACCEPTANCE DATE

4. EFFECTIVE (Cycle)

 

 

(YYYYMMDD)

 

 

 

 

 

SECTION II (For Carrier use only)

You are requested to accept this LOI as evidence of our intent to provide personal property services from your area(s) of responsibility. We are a DoD approved carrier and copies of Federal and/or state certificates and/or permits are on file with HQ SDDC. I certify that the following statements are true and complete. Any misrepresentation and/or falsification may be subject to prosecution under Section 1001, Title 18, United States Code. I further certify I have written agreements with agents indicated on this LOI for the purpose of handling noted codes of service. I certify that facilities of these agents have been inspected by an authorized representative of my company and such facilities meet the standards of the tender of service.

5. CARRIER APPROVING OFFICIAL

a. TYPED NAME (Last, First, Middle

b. TITLE

c. SIGNATURE

 

d. DATE (YYYYMMDD)

Initial)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: LOI will remain on file continuously until replaced by another LOI or returned by PPSO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. CARRIER NAME

 

 

 

 

 

 

 

7. SCAC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8. ADDRESS (Street or P.O. Box Number, City, State, ZIP Code)

9. TELEPHONE NUMBER

10. FAX NUMBER

 

 

 

 

 

 

(Include Area Code)

(Include Area Code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. EMAIL ADDRESS

 

 

 

12. OTHER CONTACT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. TO (Personal Property Shipping Office/BLOC)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14. TYPE OF LOI (X one)

 

 

 

15. NEW OR REPLACEMENT LOI (X one)

 

DOMESTIC INTRASTATE

 

INTERNATIONAL HHG

 

NEW LOI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOMESTIC INTERSTATE

 

INTERNATIONAL UB

 

REPLACES LOI ACCEPTED (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16. THIS LOI IS APPLICABLE TO OPERATING AREA(S): (List)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17. SCOPE OF OPERATING AUTHORITY (As indicated on certificates/permits on file with HQ SDDC) (X as applicable)

 

 

 

 

 

 

 

C = CONUS

 

 

 

 

CAE = CONUS + AK WITH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXCEPTION (Specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CA = CONUS + AK

 

 

 

 

CAHE = CONUS + AK & HI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WITH EXCEPTION (Specify)

 

 

 

 

 

 

 

 

CAH = CONUS + AK & HI

 

 

 

 

I = INTRASTATE (Specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CE = CONUS WITH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXCEPTION (Specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DD FORM 2784, NOV 2008

PREVIOUS EDITION MAY BE USED.

Adobe Professional 8.0

CARRIER SCAC

18. LIST OF DESIGNATED AGENTS

A.

B.

C.

D.

E.

F.

C S

BOOKING AGENT

AGENT NAME

MAILING ADDRESS

PHYSICAL ADDRESS

TELEPHONE/FAX NUMBER/

 

 

 

(Include ZIP Code)

 

EMAIL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19. REMARKS (This section may be used by carrier and/or PPSO)

DD FORM 2784 (BACK), NOV 2008