DD 691 Department of Defense Application for Priority Rating fo

DEPARTMENT OF DEFENSE
APPLICATION FOR PRIORITY RATING FOR PRODUCTION
OR CONSTRUCTION EQUIPMENT

OMB No. 0704-0055
OMB approval expires
NOV 30, 2022

(Read Instructions on Page 4 before completing form.)
The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0055) at [email protected]. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of
information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION. SEE PAGE

4 FOR INSTRUCTIONS ON WHERE TO FILE YOUR COMPLETED FORM.

2. CASE NUMBER

1. TO (Name of Military Department or other DoD Component)

4. APPLICATION DATE (YYYYMMDD)

3. APPLICANT DATA
a. NAME (Last, First, Middle Initial)

5. ADDRESS WHERE PRODUCTION EQUIPMENT WILL
BE INSTALLED

b. ADDRESS:
STREET
CITY

STATE

c. REFERENCE NUMBER (If applicable)

ZIP CODE

a. CITY

d. TELEPHONE NUMBER (Include area code)

b. STATE

c. ZIP CODE

6. PRODUCTION OR CONSTRUCTION EQUIPMENT FOR WHICH RATING AUTHORITY IS REQUESTED
NAME AND DESCRIPTION OF EQUIPMENT.
ENTER STANDARD INDUSTRIAL CLASSIFICATION
(SIC) CODE IF AVAILABLE.
(Include make, model, and capacity.
Use Summary Purchase Order Description.)
a.

QUANTITY
(Number
of units)

PURCHASE
PRICE PER
UNIT

REQUIRED
DELIVERY
DATES
(YYYYMMDD)

b.

c.

c.

NUMBER OF
HOURS PER
WEEK TO BE IN
OPERATION ON
RATED
CONTRACTS
AND ORDERS
e.

MARK THE PRIORITY RATING OF
THE RATED ORDERS ON WHICH
YOU WILL USE THE REQUESTED
EQUIPMENT ITEMS (X one)
(DX=Highest National Priority)
(DO=Highest Defense Priority)
f.
(1) DX
(2) DO

FOR GOVERNMENT
USE ONLY
QUANTITY
(Number of units)
e.

(1)

(2)

(3)

(4)

7. IS THE WORK YOU NEED THIS EQUIPMENT FOR NOW BEING SUBCONTRACTED? (X one)

a. YES

b. NO

8. IF NOT SUBCONTRACTED, HAVE YOU TRIED TO PLACE SUBCONTRACTS FOR THIS WORK? (X one)

a. YES

b. NO

9. IF THE WORK IS NOT SUITED FOR SUBCONTRACTING, PLEASE EXPLAIN

DD FORM 691, MAY 2005

PREVIOUS EDITION MAY BE USED.

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10. LIST NUMBERS OF THE RATED CONTRACT(S) ON WHICH YOU WILL USE THIS EQUIPMENT

11. IF THE REQUEST IS FOR METAL WORKING MACHINERY, COMPLETE THE FOLLOWING
a. NAME OF SERVICE GROUP WHICH PLACED OR SPONSORED PRIME OR SUBCONTRACT FOR WHICH THE METAL WORKING MACHINE WILL BE USED, AND
CLAIMANT AGENCY CODE NUMBER

b. NAME OF THE PRIME CONTRACTOR (If other than applicant)

c. NUMBER OF PRIME CONTRACT PURSUANT TO WHICH THE METAL
WORKING MACHINE WILL BE USED (If different from Item 10 above)

12. PRODUCTION OR CONSTRUCTION EQUIPMENT ON WHICH RATING IS REQUESTED (X one)
a. TO INCREASE CURRENT PLANT CAPACITY OR EXPAND PRESENT
PLANT FACILITIES

d. TO EQUIP OR CONSTRUCT NEW PLANT FACILITIES

b. TO CONVERT EXISTING PLANT FACILITY TO DEFENSE
PRODUCTION

e. THE EQUIPMENT WILL BE LEASED, NOT PURCHASED

c. TO REPLACE OR REBUILD DAMAGED OR OBSOLETE PLANT
EQUIPMENT OR FACILITIES

f. OTHER, INCLUDING STAND-BY (Specify in Remarks)

13. HAVE YOU TRIED TO OBTAIN NEW OR USED EQUIPMENT ON UNRATED ORDERS?
(X one)
c. COMPANY CONTACTED
(1) COMPANY NAME

d. COMPANY CONTACTED
(1) COMPANY NAME

(2) ADDRESS:
STREET

(2) ADDRESS:
STREET

CITY

STATE

ZIP CODE

(3) RESULT

b. NO

CITY

STATE

ZIP CODE

(3) RESULT

14. IS THIS YOUR FIRST APPLICATION FOR AUTHORITY TO USE A RATING TO ACQUIRE
THE EQUIPMENT LISTED AND DESCRIBED? (X one)
DATE REQUESTED
(YYYYMMDD)
c.

a. YES (If Yes, complete 13.c - 13.d.)

NAME OF PERSON CONTACTED
(Last, First, Middle Initial)
d.

CASE NUMBER
e.

15. ARE YOU NOW USING EQUIPMENT SIMILAR TO THAT FOR WHICH YOU ARE APPLYING,
TO FULLEST PRACTICAL USE? (X one)

a. YES
b. NO (If No, complete 14.c - 14.f.)
f. ACTION TAKEN (X one)
(1) DENIED

(2) OTHER (Specify in Remarks)

a. YES
b. NO (If No, explain in Remarks)

16. REMARKS

DD FORM 691, MAY 2005

PREVIOUS EDITION MAY BE USED.

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17. CERTIFICATION
THE UNDERSIGNED COMPANY AND THE OFFICIAL EXECUTING THIS CERTIFICATION ON ITS BEHALF, HEREBY CERTIFY THAT THE
INFORMATION CONTAINED IN THIS APPLICATION OR REPORT IS CORRECT AND COMPLETE TO THE BEST OF THEIR KNOWLEDGE AND
BELIEF. (Section 1001 of Title 18, U.S. Code, makes it a criminal offense to make a willfully false statement or representation to any
department or agency of the United States as to any matter within its jurisdiction.)
a. NAME OF COMPANY

c. TITLE

b. PRINTED OR TYPED NAME OF AUTHORIZED OFFICIAL
(Last, First, Middle Initial)

d. SIGNATURE OF AUTHORIZED OFFICIAL

e. DATE SIGNED
(YYYYMMDD)

18. RECOMMENDATION OF LOCAL CONTRACTING AUTHORITY
THE EQUIPMENT DESCRIBED IN ITEM 6.a. IS RECOMMENDED FOR APPROVAL IN THE QUANTITIES I HAVE ENTERED IN ITEM 6.g.
WHERE THE WORD "DENIED" IS ENTERED IN ITEM 6.g., DENIAL OF THE TOTAL NUMBER OF UNITS REQUESTED IS RECOMMENDED.
APPROVAL IN WHOLE OR IN PART WHERE INDICATED OR COMPLETE DENIAL IS RECOMMENDED FOR THE FOLLOWING:
a.

b.

c.

d.

e. SIGNATURE OF AUTHORIZED OFFICIAL

19. (X one)

AUTHORIZED

f. TITLE

g. DATE SIGNED
(YYYYMMDD)

DENIED

AUTHORITY TO USE THE PRIORITY RATING TO OBTAIN THE REQUESTED ITEMS IS GRANTED UNDER THE DEFENSE PRIORITIES AND
ALLOCATIONS SYSTEM (DPAS) REGULATION (15 CFR 700). TO OBTAIN A COPY OF THE DPAS, CONTACT THE NEAREST DEFENSE
CONTRACT MANAGEMENT AREA OPERATION OFFICE, DEPARTMENT OF DEFENSE (DOD) PROCUREMENT OFFICER, OR THE OFFICE OF
INDUSTRIAL RESOURCE ADMINISTRATION, ROOM 3B878, U.S. DEPARTMENT OF COMMERCE, WASHINGTON, DC 20230; REF. DPAS.
a. SIGNATURE OF PRIORITIES ALLOCATIONS OFFICER

DD FORM 691, MAY 2005

b. DATE SIGNED
(YYYYMMDD)

PREVIOUS EDITION MAY BE USED.

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GENERAL INSTRUCTIONS FOR COMPLETING DD FORM 691

1. Who Should File DD Form 691.

4. How to Use the Priority Rating on Approved
Requests.

Persons working on priority rated contracts and
orders who need production or construction equipment to produce items covered by such orders.
This includes prime contractors who have received
rated orders directly from a Government procuring
agency or subcontractors working on rated orders
that have been extended to them by their
customers. Rated orders will bear the priority rating.
2. Where to Obtain Copies of the Form.
Copies of DD Form 691 may be obtained on
request from local Defense Contract Management
Agency (DCMA) offices or procurement officers of
the military departments or other DoD components.
3. Where to File and Number of Copies.
File an original and three (3) copies of DD Form
691 with the nearest DCMA office or procurement
officer of the military department or other DoD
component having jurisdiction over the orders you
are working on. If you have a number of orders
belonging to more than one military department, file
your application with the nearest DCMA office or
procurement officer of the military department or
other DoD component that has the majority interest
in rated orders on hand and in process on which
you will use the requested equipment.

You will receive a certified copy of your
application either approving in whole or in part or
denying authority to use the rating to obtain the
items requested. The extent of approval will be
specified by the number of units entered in Item
6.g. for specified items in Item 6.a. You may use
the rating only for the number of units of an item
shown in Item 6.g. If the word "Denied" has been
entered in Item 6.g. for an item specified in Item
6.a., you may not use the rating to obtain any of
the item.
If the equipment supplier refuses to accept the
rated order or for any reason cannot achieve timely
delivery of the equipment, you should promptly
seek the assistance of the nearest Defense
Contract Management Area Operation Office or
DoD Procurement Officer with cognizance over the
orders you are working on.
5. Where to Find the Standard Industrial Classification
(SIC) Codes.
Standard Industrial Classification (SIC) Codes
can be found in the SIC Codes manual published
annually by the Office of Management and Budget
(OMB).

DEFINITIONS

PRODUCTION EQUIPMENT: Any item of capital equipment used in producing materials or furnishing services
that has a unit acquisition cost of $2,500 or more, and anticipated service life in excess of one year, and the
potential for maintaining its integrity as a capital item.
CONSTRUCTION EQUIPMENT: Any item of capital equipment used in the erection, addition, extension, or
alteration of any building, structure, or project that has a unit acquisition cost of $2,500 or more, and
anticipated service life in excess of one year, and the potential for maintaining its integrity as a capital item.
DD FORM 691, MAY 2005

PREVIOUS EDITION MAY BE USED.

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