43 C.F.R. Appendix I to Subpart C of Part 4—Suggested Form of Notice of Appeal
Title 43 - Public Lands: Interior
Interior Board of Contract Appeals, 801 North Quincy Street, Arlington, VA 22203 The undersigned contractor appeals to the Board of Contract Appeals from decision or findings of fact dated ____, by: The decision or findings of fact is erroneous because: (State specific facts and circumstances and the contractual provisions involved.) [46 FR 57499, Nov. 24, 1981, as amended at 67 FR 4368, Jan. 30, 2002]
Title 43: Public Lands: Interior
PART 4—DEPARTMENT HEARINGS AND APPEALS PROCEDURES
Subpart C—Special Rules of Practice Before the Interior Board of Contract Appeals
Appendix I to Subpart C of Part 4—Suggested Form of Notice of Appeal
(Name of Contractor)____________________
(Address)____________________
Contract No.____________________
(Invitation No.)____________________
Specifications No.____________________
(Name and Location of Project)____________________
(Name of Bureau or Office)____________________
(Title) ____________________________________ ____________________

