Get Va Dgs-30-104 (form Co-12) 2015-2025

Filling out the VA DGS-30-104 (Form CO-12) online can simplify the process of requesting payment for contracted work. This guide will provide clear and detailed instructions for users to successfully complete the form.

Follow the steps to fill out the form accurately and efficiently.

1. Click the ‘Get Form’ button to access the form and open it in the document editor.
2. Begin by entering your Federal Employer Identification Number (FEIN) in the designated field. This unique number is essential for identification and processing of your payment request.
3. Next, fill in the contractor's name where prompted. Ensure that the name matches the legal entity as recognized in the contract.
4. Provide the corresponding date for the contractor representative's signature. This date reflects when the information was finalized and certified.
5. Complete the 'payment request number' along with the 'period beginning date' and 'period ending date' for which the payment is being requested. Ensure that these dates accurately correspond to the timeframe of the work completed.
6. In the section labeled 'Schedule of Values,' input the total value of work completed to date and the adjusted contract total. Accurately record any retainage percentage as per your contract agreement.
7. Complete the 'current value to date' and 'percent complete' sections for each contract line item. Use precise calculations to ensure the amounts reflect true progress on the project.
8. Once you have filled out the entire form and reviewed the information for accuracy, you can save your changes. Depending on your needs, you may download, print, or share the completed form for submission.

Start filling out your VA DGS-30-104 (Form CO-12) online today to streamline your payment request process.