CONTRACT DISCREPANCY REPORT.docx

CONTRACT DISCREPANCY REPORT

1. Contract Number

2. To: (Contractor and Representative's Name) 3. From: (Name of Contracting Officer's Representative (COR))

DATES______________________________________________________________________________________

4. Prepared 5. Oral Notification 6. Returned by Contractor 7. Action Complete

8. Discrepancy or Problem (describe in detail)

9. Signature of COR

10. To: (Contracting Officer) From: (Contractor)

11. Contractor response as to cause(s), corrective action(s), and action(s) to prevent reoccurrence: Attach continuation sheet if necessary.

12. Signature of Contractor Representative Date

13. Government Evaluation (Acceptable, partially acceptable, or rejected). If necessary, explain further contractor actions required.

14. Government Actions (see below or cure notice, show cause notice, etc.)

15. Verification of Remedy

Name-Title Signature Date________________

Contractor Representative

COR

Contracting Officer