Part 853 - Forms

AUTHORITY:  40 U.S.C. 121(c); 41 U.S.C. 1702; and 48 CFR 1.301-1.304.

853.000  Scope of part.

This part prescribes VA forms for use in the acquisition of goods and services. It only identifies forms that are used between VA and its contractors or the general public.  It does not identify forms for uses internal to VA or between VA and another Federal agency.

Subpart 853.1 - General 

853.107  Obtaining forms.

VA forms may be obtained online at https://www.va.gov/vaforms/ or upon request from any VA contracting office.

Subpart 853.2 - Prescription of Forms 

[Deviation per Class Deviation–VAAR 813.307, Forms and VAAR 853.213, Simplified acquisition procedures (SF’s 18, 30, 44, 1165, 1449, and OF’s 336, 347, and 348, dated March 31, 2017, as amended March 31, 2018 and July 27, 2018, increases the dollar threshold to the Simplified Acquisition Threshold for VA Form 10-2421, Prosthetics Authorization for Items or Services.  This deviation expires March 31, 2019, unless otherwise rescinded.]

853.201  Federal acquisition system.

853.201-1  Contracting authority and responsibilities (SF 1402).

Standard Form (SF) 1402, Certificate of Appointment, is used in accordance with FAR 1.603-3, Appointment, to appoint VA contracting officers under VA’s Contracting Officer Certification Program (see 801.690-6).

853.213  Simplified acquisition procedures(SF’s 18, 30, 44, 1165, 1449, and OF’s 336, 347, and 348).

The following forms are prescribed as stated in this section for use in simplified acquisition procedures, orders under existing contracts or agreements, orders from required sources of supplies and services, and orders for other supplies or services:

(a) VA Forms 90-2138, Order for Supplies or Services, or 90-2138-ADP, Purchase Order for Supplies or Service, shall be used as indicated in 813.307.  They may be used in lieu of OF 347, Order of Supplies and Services, or Standard Form 1449, Solicitation/Contract/Order for Commercial Items.

(b) The following forms are for use for obtaining indicated medical and dental services within the limitations prescribed in 813.307:

(1) VA Form 10-7078, Authorization and Invoice for Medical and Hospital Services.

(2) VA Form 10-7079, Request for Outpatient Medical Services.

(3) VA Form 10-2570d, Dental Record Authorization and Invoice for Outpatient Service.

(c) VA Form 10-2511, Authority and Invoice for Travel by Ambulance or Other Hired Vehicle, will be used as prescribed in 813.307.

(d) VA Form 10-2421, Prosthetics Authorization and Items and Services, will be used as prescribed in 813.307.

853.215  Contracting by negotiation.

853.215-70  VA Form 10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA.

VA Form 10-1170, Application for Furnishing Nursing Home Care to Beneficiaries of VA, will be used for establishing contract nursing home care for VA beneficiaries.

853.236  Construction and architect-engineer contracts.

853.236-70  VA Form 6298, Architect-Engineer Fee Proposal.

See 836.7001(a).

853.236-71  VA Form 2138, Order for Supplies or Services (Including Task Orders for Construction or A-E Services).

See 836.7001(b).

853.236-72  VA Form 10101, Contractor Production Report.

See 836.7001(c).

853.271  Loan Guaranty, Education and Vocational Rehabilitation and Counseling Programs.

853.271-1  Loan Guaranty Program (VA Forms 26-6724 and 26-1839).

(a) VA Form 26-6724, Invitation, Bid, and/or Acceptance or Authorization, will be used in obtaining services specified in Subpart 871.1.

(b) VA Form 26-1839, Compliance Inspection Report, will be used for inspection of repairs for properties under the Loan Guaranty Program as specified in 846.472.

853.271-2  Education Programs.

To obtain education or rehabilitation services, contracting officers may use an individual written contract or VA Form 28-1905, Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status.

Subpart 853.3 - Illustration of Forms 

853.300  Scope of subpart.

VA Forms will not be illustrated in this VAAR.  Persons wishing to obtain copies of VA forms prescribed in the VAAR may do so in accordance with 853.107.  VA forms may also be available on the Web at http://www.va.gov/vaforms/.