Form GSA 1142, Release of Claims

Release of Claims (Form GSA 1142) is the General Services Administration (GSA) form on which a contractor releases the United States of America from all claims arising under or by virtue of a specific contract, or any modification or change to it, except the claims the contractor lists.

The text is a single paragraph. It identifies the contract by its contract number, names the work the contract covers and where it is located, and then states the release. Immediately after the release, the form leaves room to list any claims against the Government and the amounts of those claims; the form says that if there are none, the contractor must so state. The contractor then signs and seals the form on a stated date, and a witness signs.

The GSA form page lists the form as GSA1142, current revision date 05/2015, with the authority or regulation PBS P 2800.6A. The PDF carries the printed edition "GSA 1142 (REV. 5/2015)", OMB Control Number 3090-0080 and an expiration date of 9/30/2027. The Paperwork Reduction Act statement on the form estimates 6 minutes to read the instructions, gather the facts and answer the questions.

The form is a release signed by the contractor. It is not a claim form and it does not itself state any amount owed to the contractor, other than the exceptions the contractor chooses to list.

The form is written for a contractor that has a contract with the United States of America and is releasing the United States from claims under that contract. The contractor identifies the contract by number, describes what the contract is for and where it is located, and signs the release.

Who signs:

• The contractor prints or types the contractor's name, signs, and adds an address and an official title, so the form is meant to be signed by a person acting for the contractor in an official capacity. The form also provides a place for a seal.
• A witness signs on the line marked WITNESS.

A contractor that has claims against the Government should read the exceptions wording before signing: the release covers every claim under the contract except the ones listed on the form with their amounts. The form gives no other category of person who may use it, and it contains no instruction for signing on behalf of someone else beyond the official-title line.

No deadline is printed on Form GSA 1142. The form is completed for one specific contract, whose number you enter in the first blank, and it takes effect as a release of claims under that contract on the date you enter in the signature line ("this day of"). Complete and date it when you are ready to sign the release for that contract, and list any exceptions at that time, because the release covers every claim arising under the contract except those you name. The form's own revision printed on the PDF is GSA 1142 (REV. 5/2015).

The form prints no submission channel, mailing address, portal or appointment rule of its own. After the contractor and the witness have signed, the completed form goes to the party on the Government side of the contract named in the first blank.

The only address printed on the form is for comments about the paperwork burden: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405. That address is for comments on the time estimate and the burden of the information collection, not for sending the completed release.

Keep the signed original or a copy with your contract records. GSA publishes the form and its details at https://www.gsa.gov/reference/forms/release-of-claims. FillingPDF lets you fill out and download the PDF; submission follows the channels that apply to your contract.