DD Form 1714 Product Verification Record

DD Form 1714 - also known as the "Product Verification Record" - is a United States Military form issued by the Department of Defense.

The form - often incorrectly referred to as the DA form 1714 - was last revised on June 1, 1969. Download an up-to-date fillable PDF version of the DD 1714 below or request a copy through the chain of command.

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1. CONTRACT NUMBER
PRODUCT VERIFICATION RECORD
2. LOT NUMBER
3. DATE OF VERIFICATION
4. PRIME CONTRACTOR (Name, City and State)
5. LOT SIZE
6. VERIFICATION OF
7. PLANT LOCATION (City and State)
CONTRACTOR
QCR
8. DRAWN FROM
9. DEFECTS BASED ON
OTHER (Specify)
ORIGINAL LOT
RESUBMITTED
DHU
% DEFECTIVE
10. ITEM DESCRIPTION
11. TYPE OF VERIFICATION
12. RESULT OF VERIFICATION
COMPARABLE
NON-COMPARABLE
13. SPECIFICATION NUMBER AND DATE
14. NUMBER OF LOTS
15. DISPOSITION
VERIFIED TO DATE
ACCEPTED
REJECTED
SAMPLING PLANS
16.
17.
18.
19.
21.
22.
23.
24.
20.
CONTR.
VERIFICATION
ACCEP-
REJEC-
QCR
SAMPLE
EXAMINATION
INSP.
AQL
CLASS OF
TANCE
TION
ACTION
A.
B.
A.
B.
LEVEL
DEFECT
NUMBER
NUMBER
NUMBER
SAMPLE
NO. OF
SAMPLE
NO. OF
SIZE
DEF.
SIZE
DEF.
25.
RESULTS (Continued on reverse side)
A.
B.
C.
TALLY
MAJOR:
MINOR:
EXAMINATION
DEFECTS
26. TYPED NAME AND SIGNATURE OF
27. TYPED NAME OF SENIOR QCR OR SQCR
27A. SIGNATURE
ASST. QCR (When applicable)
AND OFFICE SYMBOL
DD Form 1714, JUN 69
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1. CONTRACT NUMBER
PRODUCT VERIFICATION RECORD
2. LOT NUMBER
3. DATE OF VERIFICATION
4. PRIME CONTRACTOR (Name, City and State)
5. LOT SIZE
6. VERIFICATION OF
7. PLANT LOCATION (City and State)
CONTRACTOR
QCR
8. DRAWN FROM
9. DEFECTS BASED ON
OTHER (Specify)
ORIGINAL LOT
RESUBMITTED
DHU
% DEFECTIVE
10. ITEM DESCRIPTION
11. TYPE OF VERIFICATION
12. RESULT OF VERIFICATION
COMPARABLE
NON-COMPARABLE
13. SPECIFICATION NUMBER AND DATE
14. NUMBER OF LOTS
15. DISPOSITION
VERIFIED TO DATE
ACCEPTED
REJECTED
SAMPLING PLANS
16.
17.
18.
19.
21.
22.
23.
24.
20.
CONTR.
VERIFICATION
ACCEP-
REJEC-
QCR
SAMPLE
EXAMINATION
INSP.
AQL
CLASS OF
TANCE
TION
ACTION
A.
B.
A.
B.
LEVEL
DEFECT
NUMBER
NUMBER
NUMBER
SAMPLE
NO. OF
SAMPLE
NO. OF
SIZE
DEF.
SIZE
DEF.
25.
RESULTS (Continued on reverse side)
A.
B.
C.
TALLY
MAJOR:
MINOR:
EXAMINATION
DEFECTS
26. TYPED NAME AND SIGNATURE OF
27. TYPED NAME OF SENIOR QCR OR SQCR
27A. SIGNATURE
ASST. QCR (When applicable)
AND OFFICE SYMBOL
DD Form 1714, JUN 69
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Adobe Professional 7.0
RESULTS (Continued)
25.
A.
B.
C.
TALLY
MAJOR:
MINOR:
EXAMINATION
DEFECTS
28. REMARKS
DD Form 1714 Reverse, JUN 69
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