Buy American Act Waiver Request

All states Government Contracts Updated April 24, 2026 Free Word and PDF

BUY AMERICAN ACT WAIVER REQUEST

CONTRACTOR INFORMATION

Field Entry
Contractor Name [________________________________]
CAGE Code [________]
UEI (Unique Entity ID) [________________________________________]
NAICS Code(s) [________________________________]
Point of Contact [________________________________]
Phone [________________]
Email [________________]

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:

  1. The contractor has conducted a thorough and good faith market research effort as described herein;
  2. The facts and analysis presented support the waiver basis selected;
  3. The contractor is aware of and will comply with all Buy American Act requirements except as waived;
  4. 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)

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About this template

Last updated
April 24, 2026
Jurisdiction
All states
Category
Government Contracts

Legal authority

  • 41 U.S.C. §§ 8301-8305 (Buy American Act)
  • FAR Subpart 25.1 (Buy American)
  • FAR 25.103 (Exceptions)
  • Executive Order 14005 (Made in America)

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.

Not legal advice

This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Checked against the law it cites

The statutes this template relies on are listed under Legal authority.

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