Attachment 36-FTC-ADM-67 CDR.pdf

This is Form FTC-ADM-67, a Contract Discrepancy Report template used to document and track contract performance issues. The form is designed to facilitate communication between the government (specifically the Contracting Officer's Technical Representative - COTR) and contractors regarding contract discrepancies or problems.

The form includes sections for documenting key information such as contract number, report number, contractor details, and important dates (when prepared, contractor notification, contractor response, and action completion). It provides space for describing the discrepancy with reference to Statement of Work requirements, contractor response regarding cause and corrective actions, government evaluation of the response, and any resulting government actions such as payment deductions or cure notices. The form concludes with a close-out section requiring signatures from the contractor, COTR, and Contracting Officer, with copies distributed to the contractor, COTR, and procurement office.