Form CEM-6209 "Elevation of a Dispute" - California

What Is Form CEM-6209?

This is a legal form that was released by the California Department of Transportation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2011;
  • The latest edition provided by the California Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CEM-6209 by clicking the link below or browse more documents and templates provided by the California Department of Transportation.

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Download Form CEM-6209 "Elevation of a Dispute" - California

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STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
ELEVATION OF A DISPUTE
CEM-6209 (NEW 5/2011)
Instructions—Use of this form is optional. The resident engineer and contractor may jointly fill it out to help define the dispute and provide a means to document
efforts to resolve the dispute before elevating it to the next level. Use of the Dispute Resolution Ladder is not a substitute for filing a Request for Information or
complying with the contractual requirements for potential claims and dispute resolution.
PROJECT DESCRIPTION
DATE
DISTRICT/CO/RTE/PM
PRIME CONTRACTOR
CONTRACT NUMBER
SUBCONTRACTOR
Resident Engineer Level
This dispute is
a policy issue
an administrative issue
a technical or specification issue
Initial potential claim record number
submitted on
Agreed-upon problem—brief description of dispute needing further assistance for resolution.
Dollar amount claimed $
Number of days claimed
Where we agree
Where we disagree
Additional comments or recommendations
Dispute resolved at this level?
No, forwarded to next level on
(date) at
(time)
Yes, describe resolution below
If resolved, the date written feedback of the resolution was sent to team members.
(date) at
(time)
Caltrans Resident Engineer
Contractor Representative
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 or TDD (916)
ADA Notice
654-3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
ELEVATION OF A DISPUTE
CEM-6209 (NEW 5/2011)
Instructions—Use of this form is optional. The resident engineer and contractor may jointly fill it out to help define the dispute and provide a means to document
efforts to resolve the dispute before elevating it to the next level. Use of the Dispute Resolution Ladder is not a substitute for filing a Request for Information or
complying with the contractual requirements for potential claims and dispute resolution.
PROJECT DESCRIPTION
DATE
DISTRICT/CO/RTE/PM
PRIME CONTRACTOR
CONTRACT NUMBER
SUBCONTRACTOR
Resident Engineer Level
This dispute is
a policy issue
an administrative issue
a technical or specification issue
Initial potential claim record number
submitted on
Agreed-upon problem—brief description of dispute needing further assistance for resolution.
Dollar amount claimed $
Number of days claimed
Where we agree
Where we disagree
Additional comments or recommendations
Dispute resolved at this level?
No, forwarded to next level on
(date) at
(time)
Yes, describe resolution below
If resolved, the date written feedback of the resolution was sent to team members.
(date) at
(time)
Caltrans Resident Engineer
Contractor Representative
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 or TDD (916)
ADA Notice
654-3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.