Form DD0691 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:
XXXXXXXX

(Read Instructions on Page 4 before completing form.)

PLEASE DO NOT RETURN YOUR FORM TO THE ORGANIZATION IN THE PARAGRAPH BELOW. SEE PAGE 4 FOR INSTRUCTIONS ON
WHERE TO FILE YOUR COMPLETED FORM.

The public reporting burden for this collection of information, 0704-0055, 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 the burden estimate or burden reduction suggestions to the
Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. 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.

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

2. CASE NUMBER

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)
b.

PURCHASE
PRICE PER
UNIT

c.

REQUIRED
DELIVERY
DATES
(YYYYMMDD)
d.

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)
g.

(1)

NEEDS DD 67
(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, 20160613 DRAFT

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

NEEDS DD 67
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)

b. NO

c. COMPANY CONTACTED
(1) COMPANY NAME

d. COMPANY CONTACTED
(1) COMPANY NAME

(2) ADDRESS:
STREET

(2) ADDRESS:
STREET

CITY

STATE

ZIP CODE

(3) RESULT

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

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

c. TITLE

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.

NEEDS DD 67
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
STRATEGIC INDUSTRIES AND ECONOMIC SECURITY, ROOM 3876, U.S. DEPARTMENT OF COMMERCE, WASHINGTON, DC 20230; REF.
DPAS.
b. DATE SIGNED
(YYYYMMDD)

a. SIGNATURE OF PRIORITIES ALLOCATIONS OFFICER

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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.

NEEDS DD 67

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, 20160613 DRAFT

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