CLAI

Name of the Project

Sponsor
Project Number
Schedule Start
Project cost

S.no

Items

Project Inputs
Site selection
Site inputs
Procurement
Design inputs
Design approvals
Site conditions
Resources
Execution Issues
Supply Issues

Date
WBS affected/ Reasons
claim activity result in attributable to
initiated additional cost/ claim initiation
reduction in cost

Claim Impact Process

Document/
deliverable
reference

Contract Conditions
Interface with other
agencies
Risks
External Factors
Stakeholders
engagement
Deliverables

CLAIMS MANAGEMENT REGISTRY

Agency
Schedule Completion
Final Project Cost
CLAIM DETAILS
Activity
under
Critical
Path?

Activity
Resources
dependent or
to be
independent?
affected

Variation

Admissibility Reasons thereon

of claim

Impact of Claim

Time

Cost

Other Areas

Details of claim
processed
under various
heads

Claim closed on Remarks

date/# of days
consumed to
close claim