Contract Disputes Act Claim
CONTRACT DISPUTES ACT CLAIM
CONTRACTOR CLAIM PURSUANT TO THE CONTRACT DISPUTES ACT
41 U.S.C. § 7101 et seq.
CLAIM SUBMITTED BY:
Contractor Name: [________________________________]
Address: [________________________________]
City, State, ZIP: [________________________________]
DUNS/UEI Number: [________________________________]
CAGE Code: [________________________________]
Telephone: [________________________________]
Email: [________________________________]
Contract Administrator: [________________________________]
CLAIM SUBMITTED TO:
Contracting Officer: [________________________________]
Agency: [________________________________]
Address: [________________________________]
City, State, ZIP: [________________________________]
Email: [________________________________]
CONTRACT INFORMATION
Contract Number: [________________________________]
Task/Delivery Order Number (if applicable): [________________________________]
Contract Type: ☐ Firm Fixed-Price ☐ Cost-Plus-Fixed-Fee ☐ Time and Materials ☐ Other: [________________________________]
Contract Award Date: [__/__/____]
Contract Period of Performance: [__/__/____] through [__/__/____]
Contract Value: $[________________________________]
Contract Description: [________________________________]
I. INTRODUCTION AND SUMMARY
Date of Claim Submission: [__/__/____]
Total Amount Claimed: $[________________________________]
This claim is submitted pursuant to the Contract Disputes Act of 1978, as amended (41 U.S.C. § 7101 et seq.), the Disputes clause incorporated in the above-referenced contract (FAR 52.233-1), and FAR 33.206.
☐ This claim is for $100,000 or less (certification not required)
☐ This claim exceeds $100,000 (certification required - see Section X)
II. SUMMARY OF CLAIM
Claim Elements:
| Item | Description | Amount |
|---|---|---|
| 1 | [________________________________] | $[________________________________] |
| 2 | [________________________________] | $[________________________________] |
| 3 | [________________________________] | $[________________________________] |
| 4 | [________________________________] | $[________________________________] |
| 5 | [________________________________] | $[________________________________] |
| Direct Costs Subtotal | $[________________________________] | |
| Indirect Costs (G&A) @ [____]% | $[________________________________] | |
| Profit @ [____]% | $[________________________________] | |
| TOTAL CLAIM | $[________________________________] |
III. STATEMENT OF FACTS
A. Background
[________________________________]
[________________________________]
[________________________________]
[________________________________]
[________________________________]
B. Contract Requirements
[________________________________]
[________________________________]
[________________________________]
[________________________________]
[________________________________]
C. Events Giving Rise to the Claim
[________________________________]
[________________________________]
[________________________________]
[________________________________]
[________________________________]
D. Government Actions/Inactions
[________________________________]
[________________________________]
[________________________________]
[________________________________]
[________________________________]
E. Impact on Contractor Performance
[________________________________]
[________________________________]
[________________________________]
[________________________________]
[________________________________]
F. Prior Correspondence and Communications
[________________________________]
[________________________________]
[________________________________]
[________________________________]
IV. BASIS FOR ENTITLEMENT
This claim arises under the following contract clause(s) and/or legal theories:
A. Contract Clause(s) Providing Entitlement
☐ FAR 52.243-1/2/3/4 - Changes Clause
☐ FAR 52.242-14 - Suspension of Work
☐ FAR 52.242-15 - Stop-Work Order
☐ FAR 52.242-17 - Government Delay of Work
☐ FAR 52.236-2 - Differing Site Conditions
☐ FAR 52.243-7 - Notification of Changes
☐ FAR 52.249-14 - Excusable Delays
☐ FAR 52.245-1 - Government Property
☐ Other: [________________________________]
B. Legal Theory
☐ Express Contract
☐ Implied Contract
☐ Constructive Change
☐ Cardinal Change
☐ Breach of Contract
☐ Superior Knowledge
☐ Defective Specifications
☐ Impossibility/Impracticability
☐ Other: [________________________________]
C. Detailed Entitlement Argument
[________________________________]
[________________________________]
[________________________________]
[________________________________]
[________________________________]
[________________________________]
[________________________________]
[________________________________]
V. QUANTUM (DAMAGES CALCULATION)
A. Summary of Costs
1. Direct Labor Costs
| Labor Category | Hours | Rate | Total |
|---|---|---|---|
| [________________________________] | [____] | $[____] | $[________________________________] |
| [________________________________] | [____] | $[____] | $[________________________________] |
| [________________________________] | [____] | $[____] | $[________________________________] |
| Direct Labor Subtotal | $[________________________________] |
2. Direct Material Costs
| Description | Quantity | Unit Cost | Total |
|---|---|---|---|
| [________________________________] | [____] | $[____] | $[________________________________] |
| [________________________________] | [____] | $[____] | $[________________________________] |
| [________________________________] | [____] | $[____] | $[________________________________] |
| Direct Materials Subtotal | $[________________________________] |
3. Subcontractor Costs
| Subcontractor Name | Description | Total |
|---|---|---|
| [________________________________] | [________________________________] | $[________________________________] |
| [________________________________] | [________________________________] | $[________________________________] |
| Subcontractor Subtotal | $[________________________________] |
4. Other Direct Costs
| Description | Total |
|---|---|
| [________________________________] | $[________________________________] |
| [________________________________] | $[________________________________] |
| [________________________________] | $[________________________________] |
| Other Direct Costs Subtotal | $[________________________________] |
5. Indirect Costs
| Description | Base | Rate | Total |
|---|---|---|---|
| Fringe Benefits | $[________________________________] | [____]% | $[________________________________] |
| Overhead | $[________________________________] | [____]% | $[________________________________] |
| G&A | $[________________________________] | [____]% | $[________________________________] |
| Indirect Costs Subtotal | $[________________________________] |
6. Profit
Profit @ [____]% of $[________________________________] = $[________________________________]
7. TOTAL CLAIMED AMOUNT: $[________________________________]
B. Cost Methodology
[________________________________]
[________________________________]
[________________________________]
C. Supporting Documentation
The following supporting documentation is attached:
☐ Time records and labor distribution reports
☐ Payroll records
☐ Material invoices and receipts
☐ Subcontractor invoices
☐ Equipment rental records
☐ Travel expense reports
☐ Indirect rate calculations
☐ Correspondence and meeting notes
☐ Schedule analysis
☐ Photographs
☐ Technical reports
☐ Other: [________________________________]
VI. TIME EXTENSION REQUEST (IF APPLICABLE)
☐ This claim includes a request for time extension
☐ No time extension is requested
If time extension is requested:
Current Contract Completion Date: [__/__/____]
Number of Days Extension Requested: [____] calendar days
Requested Revised Completion Date: [__/__/____]
Basis for Time Extension:
[________________________________]
[________________________________]
[________________________________]
VII. REQUEST FOR CONTRACTING OFFICER'S FINAL DECISION
Pursuant to 41 U.S.C. § 7103 and FAR 33.211, the Contractor hereby requests that the Contracting Officer issue a final decision on this claim.
☐ This claim is $100,000 or less. The Contractor requests a decision within 60 days.
☐ This claim exceeds $100,000. The Contractor requests that the Contracting Officer either:
(a) Issue a decision within 60 days; or
(b) Notify the Contractor within 60 days of the time within which a decision will be issued.
VIII. NOTIFICATION OF APPEAL RIGHTS
The Contractor understands that if the Contracting Officer's decision is unfavorable, the Contractor may appeal to:
☐ The cognizant Board of Contract Appeals within 90 days of receipt of the Contracting Officer's final decision; or
☐ The United States Court of Federal Claims within 12 months of receipt of the Contracting Officer's final decision.
The Contractor further understands that failure of the Contracting Officer to issue a decision within the required time period shall be deemed a denial of the claim, which may be appealed as provided above.
IX. INTEREST
Pursuant to 41 U.S.C. § 7109, the Contractor is entitled to interest on amounts found due and unpaid. Interest shall accrue from the date the Contracting Officer receives this claim until the date of payment, at the rate established by the Secretary of the Treasury.
X. CERTIFICATION (REQUIRED FOR CLAIMS OVER $100,000)
CONTRACTOR CERTIFICATION
I, [________________________________], certify that:
-
This claim is made in good faith;
-
The supporting data are accurate and complete to the best of my knowledge and belief;
-
The amount requested accurately reflects the contract adjustment for which the Contractor believes the Government is liable; and
-
I am duly authorized to certify this claim on behalf of the Contractor.
☐ I am an officer of the company
☐ I am otherwise authorized to bind the company
Signature: [________________________________]
Printed Name: [________________________________]
Title: [________________________________]
Date: [__/__/____]
XI. CONTRACTOR SIGNATURE (FOR CLAIMS $100,000 OR LESS)
Signature: [________________________________]
Printed Name: [________________________________]
Title: [________________________________]
Date: [__/__/____]
XII. ATTACHMENTS AND EXHIBITS
☐ Exhibit A: Contract and Modifications
☐ Exhibit B: Relevant Correspondence
☐ Exhibit C: Labor Cost Support
☐ Exhibit D: Material Cost Support
☐ Exhibit E: Subcontractor Cost Support
☐ Exhibit F: Indirect Rate Support
☐ Exhibit G: Schedule Analysis
☐ Exhibit H: Technical Documentation
☐ Exhibit I: Photographs
☐ Exhibit J: [________________________________]
☐ Exhibit K: [________________________________]
IMPORTANT NOTES
-
Statute of Limitations: Claims must be submitted within 6 years after the claim accrues (41 U.S.C. § 7103(a)(4)(A)).
-
Sum Certain Requirement: A valid CDA claim must seek payment of a sum certain, meaning a specific dollar amount must be claimed.
-
Certification Requirements: For claims exceeding $100,000, the certification is mandatory. A defective certification does not deprive the Board or Court of jurisdiction, but the complete absence of a required certification may result in dismissal.
-
Contracting Officer Decision Timeline:
- Claims of $100,000 or less: Decision within 60 days
- Claims over $100,000: Decision within 60 days OR notification of expected decision date within 60 days -
Deemed Denial: Failure to issue a decision within the required time constitutes a deemed denial, which may be appealed.
-
Interest: Interest accrues from the date the claim is received until paid.
-
Appeal Deadlines:
- Board of Contract Appeals: 90 days from receipt of final decision
- Court of Federal Claims: 12 months from receipt of final decision -
Continued Performance: The Contractor must continue performance during the pendency of any claim or appeal.
SOURCES AND REFERENCES
- Contract Disputes Act: 41 U.S.C. § 7101-7109
- FAR Part 33: Protests, Disputes, and Appeals
- FAR 52.233-1: Disputes Clause
- CBCA Rules of Procedure
- ASBCA Rules of Procedure
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: February 2026
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