DA Form 4072 "Record of Negotiations (Nonappropriated Funds)"

What Is DA Form 4072?

This is a military form that was released by the U.S. Department of the Army (DA) on December 1, 2004. The form, often mistakenly referred to as the DD Form 4072, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

Form Details:

  • A 1-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;

Download an up-to-date fillable DA Form 4072 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

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Download DA Form 4072 "Record of Negotiations (Nonappropriated Funds)"

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RECORD OF NEGOTIATIONS (Nonappropriated Funds)
For use of this form, see AR 215-4; the proponent agency is ACSIM.
1. CONTRACT OR OTHER IDENTIFYING NUMBER
2. DESCRIPTION OF SUPPLIES OR SERVICES (Include total value of contract.)
3. THIS REPORT IS A SUMMARY OF NEGOTIATIONS AND SHALL INCLUDE AS A MINIMUM THE FOLLOWING DATA:
a. NUMBER OF SOURCES SOLICITED
(If only one source solicited, state justificatin in Item 6 below.)
b. NUMBER OF OFFERS RECEIVED
(List name of each source contacted, quotations received and delivery dates in Item 4 below.)
c. AWARD MADE TO LOWEST OFFEROR
YES
NO
(If "No", explain in Item 4 below.)
4. NARRATIVE SUMMARY OF NEGOTIATIONS (Use reverse, if necessary.)
5. PRICE REASONABLENESS BASED ON (Check one or more and, if "adequate competition" is not checked, include verification details in "Remarks"
paragraph below.)
a. Adequate Competition
b. Comparison with Previous Purchase of Same or Similar Item
c. Catalog/Published Price List/Advertisement
d. Value Analysis by Buyer
e. Buyer's Personal Knowledge of Item
f. Remarks
6. REASON FOR SOLICITING ONLY ONE SOURCE
7. I HAVE DETERMINED THAT
(Name of Proposed Contractor)
IS RESPONSIBLE TO SUCCESSFULLY COMPLETE THE PROPOSED CONTRACT BECAUSE
(Cite reasons.)
8. TYPED NAME OF BUYER
9. SIGNATURE
10. DATE
11. TYPED NAME OF CONTRACTING OFFICER
12. SIGNATURE
13. DATE
PREVIOUS EDITIONS ARE OBSOLETE.
DA FORM 4072, DEC 2004
APD LC v1.01ES
M
TAB
TAB
TAB
RECORD OF NEGOTIATIONS (Nonappropriated Funds)
For use of this form, see AR 215-4; the proponent agency is ACSIM.
1. CONTRACT OR OTHER IDENTIFYING NUMBER
2. DESCRIPTION OF SUPPLIES OR SERVICES (Include total value of contract.)
3. THIS REPORT IS A SUMMARY OF NEGOTIATIONS AND SHALL INCLUDE AS A MINIMUM THE FOLLOWING DATA:
a. NUMBER OF SOURCES SOLICITED
(If only one source solicited, state justificatin in Item 6 below.)
b. NUMBER OF OFFERS RECEIVED
(List name of each source contacted, quotations received and delivery dates in Item 4 below.)
c. AWARD MADE TO LOWEST OFFEROR
YES
NO
(If "No", explain in Item 4 below.)
4. NARRATIVE SUMMARY OF NEGOTIATIONS (Use reverse, if necessary.)
5. PRICE REASONABLENESS BASED ON (Check one or more and, if "adequate competition" is not checked, include verification details in "Remarks"
paragraph below.)
a. Adequate Competition
b. Comparison with Previous Purchase of Same or Similar Item
c. Catalog/Published Price List/Advertisement
d. Value Analysis by Buyer
e. Buyer's Personal Knowledge of Item
f. Remarks
6. REASON FOR SOLICITING ONLY ONE SOURCE
7. I HAVE DETERMINED THAT
(Name of Proposed Contractor)
IS RESPONSIBLE TO SUCCESSFULLY COMPLETE THE PROPOSED CONTRACT BECAUSE
(Cite reasons.)
8. TYPED NAME OF BUYER
9. SIGNATURE
10. DATE
11. TYPED NAME OF CONTRACTING OFFICER
12. SIGNATURE
13. DATE
PREVIOUS EDITIONS ARE OBSOLETE.
DA FORM 4072, DEC 2004
APD LC v1.01ES