2.04.14 Attachment (13) - Contract Discrepancy Report DD2772.pdf
DoD Form Feb 4, 2014 PDF 43 KB Posted
- Attached to
- Bridge DPM Contract Schedule I & II
- Solicitation number
- N0060426Q4024
About this file
This is a blank DD Form 2772, Contract Discrepancy Report template prescribed by Federal Acquisition Regulation (FAR) 4.4 and the Department of Defense form 5220.22-V2. The form serves as the official mechanism for documenting, reporting, and resolving contract performance discrepancies between government quality assurance evaluators (QAE) and contractors.
The form is structured in three primary phases: initial discrepancy reporting, contractor response, and government evaluation and closeout. The QAE initiates the process by completing sections 1-7, which require the contract number, report number, contractor and manager information, preparation dates, a detailed description of the discrepancy or problem with reference to the Performance Work Statement (PWS), and the contracting officer's signature. The contractor then responds in sections 8-10 by identifying the cause, proposing corrective actions, and describing preventive measures, citing applicable quality control procedures. The government concludes the process in sections 11-13 by evaluating the contractor's response (acceptance, partial acceptance, or rejection), specifying government actions such as reduced payment or cure notices, and obtaining closeout signatures from the contractor, QAE, and Administrative Contracting Officer (ACO) with corresponding dates. This template is the September 1998 edition, with previous versions rendered obsolete.
View the file
Other versions and copies of DD Form 2772
Show all 20
Who attaches DD Form 2772
Other files
Show all 20
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Prescribed by: 5220.22-V2; FAR 4.4;
PREVIOUS EDITION IS OBSOLETE.
DD FORM 2772, SEP 1998
CONTRACT DISCREPANCY REPORT
1. CONTRACT NUMBER 2. REPORT NUMBER FOR THIS DISCREPANCY
3. TO (Contractor and Manager's Name) 4. FROM (Name of QAE)
5. DATES (YYYYMMDD)
a. PREPARED b. RETURNED BY CONTRACTOR c. ACTION COMPLETE
6. DISCREPANCY OR PROBLEM (Describe in detail. Include reference to PWS Directive; attach continuation sheet if necessary.)
7. SIGNATURE OF CONTRACTING OFFICER
8a. TO (Contracting Officer) b. FROM (Contractor)
9. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE. (Cite applicable Q.C. program procedures or new Q.C. procedures. Attach continuation sheet(s) if necessary.)
10. SIGNATURE OF CONTRACTOR REPRESENTATIVE b. DATE (YYYYMMDD)
11. GOVERNMENT EVALUATION (Acceptance, partial acceptance, reflection. Attach continuation sheet(s) if necessary)
12. GOVERNMENT ACTIONS (Reduced payment, cure notice, show cause, other)
13. CLOSE OUT
NAME
(1)
TITLE
(2)
SIGNATURE
(3)
DATE (YYYYMMDD)
(4)
a. CONTRACTOR
NOTIFIED
b. QAE
c. ACO
DRAFT
SAMPLE
PREVIOUS EDITION IS OBSOLETE.
DD FORM 2772, SEP 1998
NEEDS DD67
Page of Prescribed by: 5220.22-V2; FAR 4.4;
DRAFT
INSTRUCTIONS
NEEDS DD67
PREVIOUS EDITION IS OBSOLETE.
DD FORM XXXX, 20YYMMDD DRAFT
Page of
CONTRACT DISCREPANCY REPORT
5. DATES (YYYYMMDD)
13. CLOSE OUT
NAME (1)
TITLE (2)
SIGNATURE (3)
DATE (YYYYMMDD)
(4)
a. CONTRACTOR NOTIFIED
b. QAE
c. ACO 9.0.0.2.20120627.2.874785 DD Form 2772, "CONTRACT DISCREPANCY REPORT"
| Click this button to save this form.: |
| Click this button to print this form.: |
| Click this Reset button to erase data from all fields.: |
| CurrentPage: |
| PageCount: |
| one: |
| two: |
| three: |
| four: |
| 5. DATES (YYYYMMDD) - a. PREPARED: |
| 5. DATES (YYYYMMDD) - b. RETURNED BY CONTRACTOR: |
| 5. DATES (YYYYMMDD) - c. ACTION COMPLETE: |
| TextField2: |
| SignatureField1: |
| 8a. TO (Contracting Officer) - enter recipient information: |
| 8b. FROM (Contractor) - enter sender information: |
| 9. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE. (Cite applicable Q.C. program procedures or new Q.C. procedures. Attach continuation sheet(s) if necessary.): |
| SignatureField2: |
| 10b. DATE (YYYYMMDD): |
| eleven: |
| twelve: |
| 13. CLOSE OUT - a. CONTRACTOR NOTIFIED - (1) NAME: |
| 13. CLOSE OUT - a. CONTRACTOR NOTIFIED - (2) TITLE: |
| 13. CLOSE OUT - a. CONTRACTOR NOTIFIED - (3) SIGNATURE: |
| 13. CLOSE OUT - a. CONTRACTOR NOTIFIED - (4) DATE (YYYYMMDD): |
| 13. CLOSE OUT - b. QAE - (1) NAME: |
| 13. CLOSE OUT - b. QAE - (2) TITLE: |
| 13. CLOSE OUT - b. QAE - (3) SIGNATURE: |
| 13. CLOSE OUT - b. QAE - (4) DATE (YYYYMMDD): |
| 13. CLOSE OUT - c. ACO - (1) NAME: |
| 13. CLOSE OUT - c. ACO - (2) TITLE: |
| 13. CLOSE OUT - c. ACO - (3) SIGNATURE: |
| 13. CLOSE OUT - c. ACO - (4) DATE (YYYYMMDD): |
File details come from the government source that posted it. Updated .