GSA Form 1584: Contract Summary

GSA Form 1584, Contract Summary, is a General Services Administration form, Rev. 7/1976 (printed REV. 7-76), and GSA hosts it in its forms library. GSA's page lists no authority or regulation.

The one-page form summarizes a contract in numbered blocks: basic or amendment, contract and solicitation numbers, the contractor and its identification number, delivery terms, maximum and minimum orders, discount terms, time for shipment, delivery and inspection, inspection point, priority rating, estimated value, program, the contractor's representative and the contracting officer. Block 17 lists purchase orders, and block 18 is marked For PTR Coding Use Only. It prints no instructions, signature line, OMB number or privacy statement, and it does not say which office prepares it. GSA also hosts GSA Form 1584-A, Contract Summary - Continuation, which repeats the block 17 columns.

You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of GSA Form 1584: Contract Summary, as printed by GSA

What's on GSA Form 1584

Blocks 1 to 4: summary and numbers

Basic or amendment number, contract number, solicitation number, a From and To block, and page of pages at the top.

Blocks 5 to 9: contractor and terms

Contractor, an orders-to-others box, contractor identification number, delivery terms boxes a and b, maximum order, minimum order and discount terms.

Blocks 10 and 11: shipment and inspection

Shipment and delivery required in days ARD, inspection days, inspection by region at destination or source, and a source inspection address.

Blocks 12 to 16: value and contacts

Priority rating, estimated value of contract, program (stock or source), the contractor's representative and the contracting officer.

Block 17: purchase orders

Stock number (item number), purchase order description, price, unit of purchase, units of issue per package, per intermediate container and per shipping container, and weight per shipping container.

Block 18: PTR coding

Numbered boxes 19 to 74 for source contract number, COMM. CLASS/IND. GP., source and award location, minority code, procurement method, negotiation, Buy American, differential, certified preference eligible, business size, labor surplus area, competition, reserved and FOB.

How to complete GSA Form 1584

1
Mark the summary type
In block 1, check a. Basic or b. Amendment No., then enter the contract and solicitation numbers in blocks 2 and 3 and the page count at the top.
2
Identify the contractor
Enter the contractor in block 5a and the identification number in block c. Check box b if orders are issued to other than the contractor named.
3
Enter terms and order limits
Complete delivery terms, maximum order, minimum order and discount terms in blocks 6 to 9.
4
Set shipment and inspection
Enter days ARD for shipment and delivery, inspection days, the inspection region, destination or source, and any source inspection address in blocks 10 and 11.
5
Add value and contacts
Fill in the priority rating, estimated value, program, and the names and telephone numbers of the contractor's representative and the contracting officer in blocks 12 to 16.
6
List the purchase orders
Enter each line in block 17, columns (a) to (h). Block 18 is marked for PTR coding use only.

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Routing and what the form says

Where it goes

The form prints no address, routing or signature line.

Authority and edition

GSA's page lists no authority or regulation and a current revision date of 07/1976. The footer reads GSA FORM 1584 (REV. 7-76).

More purchase order lines

GSA Form 1584-A, Contract Summary - Continuation, has the same block 17 columns, with page, of pages and contract number at the top.

Who fills out GSA Form 1584?

The contracting officer
Block 16 is for the contracting officer's name and telephone number.
The contractor
Block 5a names the contractor and block c holds the contractor identification number. Box b is checked if orders are issued to other than the contractor named, with a pointer to block 17.
The contractor's representative
Block 15 is for the name and telephone number of the contractor's representative.
PTR coding
Block 18 is marked For PTR Coding Use Only, with numbered code boxes. The form does not say who completes it.

The form does not name the office that prepares it, and it has no signature line. Its blocks name these parties.

Official sources and the blank

Official GSA form page
The agency’s own page for Form GSA1584.
Blank PDF
The official blank form, to print or fill by hand.

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Questions about Form GSA1584

Who issues GSA Form 1584?

The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 1584 (REV. 7-76). GSA hosts it in its forms library. Its page lists no authority or regulation.

Who signs GSA Form 1584?

The form has no signature line. It has blocks for the names and telephone numbers of the contractor's representative and the contracting officer.

What goes in block 17?

Purchase order lines: stock number (item number), description, price, unit of purchase, units of issue per package, per intermediate container and per shipping container, and weight per shipping container.

What if more purchase order lines are needed?

GSA Form 1584-A, Contract Summary - Continuation, repeats the block 17 columns and has boxes for the page number and contract number.

What is block 18?

It is marked For PTR Coding Use Only and holds numbered boxes from 19 to 74. The form does not explain the codes.

Are there instructions for GSA Form 1584?

The PDF prints none, and it prints no OMB number or privacy statement.

GSA Form 1584: Contract Summary