36C26018Q0208-008.docx
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- 36C26018Q0208
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36C26018Q0208 P01 Contract Discrepancy Report.docx
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CONTRACT DISCREPANCY REPORT
Instructions: Service Line POC/COR fills in blocks 1, 3, 4, 5 (prepared), and 6. Contractor fills in blocks 9 and 10.
| 1. CONTRACT NUMBER |
| 2. REPORT NUMBER FOR THIS DISCREPANCY |
| 3. TO: (Contractor and Managers Name) |
| 4. FROM: |
| 5. |
| DATES |
| PREPARED |
| RETURNED BY CONTRACTOR |
| ACTION COMPLETE |
6. DISCREPANCY OR PROBLEM: (Describe in detail: include applicable SOW/Contract references: attach continuation sheet if necessary.)
7. SIGNATURE OF CONTRACTING OFFICER
| 8. TO: (Contracting Officer) |
| FROM: (Contractor) |
9. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE: ATTACH CONTINUATION SHEET IF NECESSARY. (Cite applicable Q.C. program procedures or new Q.C. procedures.)
10. SIGNATURE OF CONTRACTOR REPRESENTATIVE
DATE
11. GOVERNMENT EVALUATION (Acceptance, partial acceptance, rejection; attach continuation sheet if necessary.)
12. GOVERNMENT ACTIONS (Reduced payment, cure notice, show cause, other.)
CLOSE OUT
| NAME-TITLE |
| SIGNATURE |
| DATE |
| CONTRACTOR |
| NOTIFIED |
| POC/COR |
| CO |
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