Buy American Act Waiver Request
BUY AMERICAN ACT WAIVER REQUEST
CONTRACTOR INFORMATION
| Field | Entry |
|---|---|
| Contractor Name | [________________________________] |
| CAGE Code | [________] |
| UEI (Unique Entity ID) | [________________________________________] |
| NAICS Code(s) | [________________________________] |
| Point of Contact | [________________________________] |
| Phone | [________________] |
| [________________] |
CONTRACT REFERENCE
| Field | Entry |
|---|---|
| Solicitation/RFQ Number | [________________________________] |
| Contract/Order Number | [________________________________] |
| Contract Line Item Number (CLIN) | [________________________________] |
| Contracting Officer | [________________________________] |
| Contracting Office | [________________________________] |
| Procuring Activity | [________________________________] |
ITEM DESCRIPTION
| Field | Entry |
|---|---|
| National Stock Number (NSN) | [________________________________] |
| Commercial Part Number | [________________________________] |
| Trade Name/Brand | [________________________________] |
| Item Description | [________________________________] |
| Quantity Required | [________] |
| Unit of Measure | [________] |
| Unit Value | $[________________] |
| Total Line Item Value | $[________________] |
| Technical Specifications | [________________________________] |
WAIVER BASIS SELECTION
Select the applicable waiver basis(es):
☐ Nonavailability — The domestic end product is not available in sufficient commercial quantities or adequate quality (FAR 25.104 listed products or equivalent situation).
☐ Unreasonable Cost — The price of the domestic end product exceeds the foreign end product price by more than 25% of the foreign end product price.
☐ Public Interest Exception — A significant public interest would be served by granting the waiver (agency-specific determination required).
☐ Small Purchase Threshold — The acquisition is below the Simplified Acquisition Threshold (SAT) and therefore exempt from BAA.
☐ Resale Exception — The item will be resold in the form in which it was furnished.
☐ Commercial Information Technology Exception — The item qualifies under the commercial IT products exemption per FAR 25.103(d).
☐ Trade Agreements Act (TAA) Eligible Country — The foreign end product originates from a country designated as TAA-eligible.
NONAVAILABILITY WAIVER DOCUMENTATION
A. Domestic Supplier Market Research
Describe the market research conducted to identify available domestic suppliers:
[________________________________________________________________________________________________________________________________________________________________________________________________________________________________]
B. Requests for Quotations (RFQs) Issued
| Supplier Name | Date Issued | Date Responded | Response | Notes |
|---|---|---|---|---|
| [________________] | [__/__/____] | [__/__/____] | ☐ Yes ☐ No | [________________] |
| [________________] | [__/__/____] | [__/__/____] | ☐ Yes ☐ No | [________________] |
| [________________] | [__/__/____] | [__/__/____] | ☐ Yes ☐ No | [________________] |
C. Evidence of Unavailability
Describe the responses received and reasons for unavailability:
[________________________________________________________________________________________________________________________________________________________________________________________________________________________________]
D. Technical Requirements Not Met Domestically
Explain why domestic suppliers cannot meet the technical or quality specifications:
[________________________________________________________________________________________________________________________________________________________________________________________________________________________________]
E. FAR 10 Market Research Documentation
Attach or reference:
- ☐ Market research report dated [__/__/____]
- ☐ Supplier contact logs
- ☐ Responses from domestic manufacturers
- ☐ Technical capability assessments
UNREASONABLE COST WAIVER DOCUMENTATION
A. Domestic End Product Price Quotation
| Item | Description | Quantity | Unit Price | Total | Source |
|---|---|---|---|---|---|
| [____] | [________________] | [____] | $[________] | $[________] | [________________] |
Domestic Supplier: [________________________________]
Quote Date: [__/__/____]
Quote Valid Until: [__/__/____]
B. Foreign End Product Price Quotation
| Item | Description | Quantity | Unit Price | Total | Source |
|---|---|---|---|---|---|
| [____] | [________________] | [____] | $[________] | $[________] | [________________] |
Foreign Supplier: [________________________________]
Country of Origin: [________________]
Quote Date: [__/__/____]
C. Cost Differential Analysis
| Cost Element | Domestic | Foreign | Variance | % Variance |
|---|---|---|---|---|
| Unit Price | $[________] | $[________] | $[________] | [____]% |
| Freight/Logistics | $[________] | $[________] | $[________] | [____]% |
| Tariffs/Duties | $[________] | $[________] | $[________] | [____]% |
| Insurance | $[________] | $[________] | $[________] | [____]% |
| Total Landed Cost | $[________] | $[________] | $[________] | [____]% |
D. Detailed Cost Justification
Explain the reasons for the cost differential:
[________________________________________________________________________________________________________________________________________________________________________________________________________________________________]
E. Supporting Cost Analysis Documents
Attach or reference:
- ☐ Domestic supplier quotation(s)
- ☐ Foreign supplier quotation(s)
- ☐ Freight quotations
- ☐ Tariff/duty analysis
- ☐ Cost accounting backup
MADE IN AMERICA PREFERENCES (EXECUTIVE ORDER 14005)
Describe compliance with Made in America preferences and any enhanced domestic content considerations:
[________________________________________________________________________________________________________________________________________________________________________________________________________________________________]
PUBLIC INTEREST FACTORS
Explain the significant public interest that would be served by granting this waiver:
[________________________________________________________________________________________________________________________________________________________________________________________________________________________________]
PROPOSED FOREIGN END PRODUCT SOURCE
| Field | Entry |
|---|---|
| Country of Origin | [________________] |
| Component Origin(s) | [________________________________] |
| Percentage Foreign Content | [____]% |
| Substantial Transformation Analysis | [________________________________] |
| Justification for Foreign Selection | [________________________________] |
FLOW-DOWN AND SUBCONTRACTOR IMPLICATIONS
A. Subcontractor Usage
Will this waiver affect subcontractor performance?
☐ Yes ☐ No
If yes, describe subcontractor involvement and BAA flow-down requirements:
[________________________________________________________________________________________________________________________________________________________________________________________________________________________________]
B. Supply Chain Considerations
Describe any supply chain modifications or dependencies resulting from this waiver:
[________________________________________________________________________________________________________________________________________________________________________________________________________________________________]
BUY AMERICAN ACT COMPLIANCE PROGRAM
A. Contractor's BAA Compliance Procedures
Describe the contractor's internal procedures to ensure BAA compliance on this and other contracts:
[________________________________________________________________________________________________________________________________________________________________________________________________________________________________]
B. Recordkeeping and Auditing
Confirm contractor will maintain records demonstrating compliance with BAA requirements and permit government audit:
☐ Yes ☐ No
C. Future Mitigation Plans
Identify steps to return to domestic sourcing for future acquisitions:
[________________________________________________________________________________________________________________________________________________________________________________________________________________________________]
RECOMMENDATION AND REQUEST
Based on the foregoing documentation and analysis, I recommend approval of this Buy American Act waiver request because:
[________________________________________________________________________________________________________________________________________________________________________________________________________________________________]
I respectfully request that the Contracting Officer grant a waiver from the Buy American Act requirements for the above-described procurement, effective [__/__/____].
SENIOR OFFICER CERTIFICATION
I certify that the information provided in this waiver request is true, accurate, and complete to the best of my knowledge. I understand that false certifications may result in civil or criminal penalties.
I further certify that:
- The contractor has conducted a thorough and good faith market research effort as described herein;
- The facts and analysis presented support the waiver basis selected;
- The contractor is aware of and will comply with all Buy American Act requirements except as waived;
- All documentation attached hereto is authentic and complete.
| Field | Entry |
|---|---|
| Printed Name | [________________________________] |
| Title | [________________________________] |
| Organization | [________________________________] |
| Signature | [________________________________] |
| Date | [__/__/____] |
ATTACHMENTS
Attach supporting documentation in the following order:
☐ Attachment A: Market Research Report (FAR Part 10 documentation)
☐ Attachment B: Supplier RFQs and Responses
☐ Attachment C: Price Quotations (Domestic and Foreign)
☐ Attachment D: Cost Analysis and Differential Calculations
☐ Attachment E: Technical Specifications and Capability Assessments
☐ Attachment F: Tariff and Duty Analysis
☐ Attachment G: Supply Chain Documentation
☐ Attachment H: Contractor BAA Compliance Program Description
☐ Attachment I: Other [________________________________]
SOURCES AND REFERENCES
- Federal Acquisition Regulation (FAR) Subpart 25.1 — Buy American statute and requirements
- FAR 25.103 — Exceptions to Buy American requirements
- FAR 25.104 — Buy American statute—nonavailability determinations
- FAR 10.001-10.002 — Market research requirements
- 41 U.S.C. §§ 8301-8305 — Buy American Act
- Executive Order 14005 — Ensuring the Future Is Made in All of America (2021)
- OMB Memorandum M-22-11 — Strengthening Made in America Policies throughout the Federal Government
- DoD Buy American Act Guidance — Supplement for Defense Acquisition Regulation Supplement (DFARS) 225.1
- SBA Size Determination Regulations — 13 CFR Part 121 (if SBA size eligibility applies)
About This Template
Government contracting is its own body of law, with federal acquisition regulations and state procurement rules that override standard commercial contract practices. Bid protests, proposals, and compliance submissions have tight deadlines measured in days, not months. The paperwork has to be exact, because a misfiled bid or a missed page limit can disqualify a contractor from a multi-million dollar opportunity.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Last updated: April 2026