Items 1 to 5: contract and firms
The prime contract number, the date the subcontract was awarded, the subcontract number, and the name, street address, city, state and ZIP code of the prime contractor and of the subcontractor.
SF1413
Statement and Acknowledgment
- Agency
- GSA
- Revision
- Rev. 10/2023
- Fillable fields
- 31
- Pages
- 2
- Official source
- GSA form page
- Checked
- October 20, 2026
Standard Form 1413 (SF 1413): Statement and Acknowledgment
Standard Form 1413 (SF 1413), Statement and Acknowledgment, is a two-sided record of a subcontract awarded under a federal prime contract. The footer says it is prescribed by GSA under FAR (48 CFR) 53.222(e), and GSA hosts it in its forms library. The edition printed on the form is STANDARD FORM 1413 (REV. 10/2023), with OMB Control Number 9000-0066, and the footer says the previous edition is not usable.
Part I is the Statement of Prime Contractor: the prime contract number, the subcontract number and award date, both firms' names and addresses, whether the prime contract contains the Contract Work Hours and Safety Standards Act overtime compensation clause, and a description of the subcontractor's work. Part II is the Acknowledgment of Subcontractor, where the subcontractor acknowledges that listed labor standards clauses of the prime contract are included in the subcontract.
The Paperwork Reduction Act statement estimates .05 hours to read the instructions, gather the facts and answer the questions. You can fill it out free in your browser on this page and download the result without an account.
What's on SF 1413
Item 6: overtime clause
Boxes for whether the prime contract does or does not contain the clause entitled Contract Work Hours and Safety Standards Act, Overtime Compensation.
Items 7 to 12: statement of prime contractor
The name of the awarding firm, a description of the subcontractor's work, the project and its location, then the name, title, signature and date of the person signing.
Item 13: clauses acknowledged
The labor standards clauses listed include overtime compensation (if included in the prime contract, see Block 6), Construction Wage Rate Requirements, Apprentices and Trainees, Payrolls and Basic Records, Withholding of Funds, Subcontracts (Labor Standards) and Certification of Eligibility, among others.
Items 14 to 17: acknowledgment of subcontractor
The names of any intermediate subcontractors in spaces A to D, then the name, title, signature and date of the person signing for the subcontractor.
How to complete SF 1413
- 1
Identify the contracts
Enter the prime contract number, the date the subcontract was awarded and the subcontract number in Items 1 to 3.
- 2
Name both firms
Fill in the prime contractor in Item 4 and the subcontractor in Item 5, each with name, street address, city, state and ZIP code.
- 3
Mark the overtime clause box
In Item 6, check whether the prime contract does or does not contain the overtime compensation clause. Item 13 refers back to this block.
- 4
Describe the work and sign Part I
Name the awarding firm and describe the subcontractor's work in Item 7, give the project and location in Items 8 and 9, then complete the name, title, signature and date in Items 10a to 12.
- 5
Complete Part II
On the back, list any intermediate subcontractors in Item 14. The person signing for the subcontractor gives a name, title, signature and date in Items 15a to 17.
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Where it goes and what the form says
Where it goes
The PDF prints no filing address or recipient. The only address on the form is for comments on the time estimate, and the statement says to send only such comments there.
Time to complete
The Paperwork Reduction Act statement estimates .05 hours to read the instructions, gather the facts and answer the questions.
OMB control number
The top of the form prints OMB Control Number: 9000-0066 and Expiration Date: 5/31/2027.
Edition and copies
The footer says Authorized For Local Reproduction and Previous Edition Is Not Usable, and that the form is prescribed by GSA/FAR (48 CFR) 53.222(e).
Comments on the estimate
U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.
Related forms
Who fills out SF 1413?
The two parts are completed by different firms. The PDF prints no instructions on where the form goes.
Official sources and the blank
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Questions about Form SF1413
Who issues SF 1413?
The footer says the form is prescribed by GSA/FAR (48 CFR) 53.222(e). GSA hosts a copy in its forms library, and GSA's page lists the authority as FAR (48 CFR) 53.222(e).
Who signs SF 1413?
There are two signers. A person signing for the prime contractor completes Items 10a to 12 in Part I, and a person signing for the subcontractor completes Items 15a to 17 in Part II. Each gives a name, title, signature and date.
What does Item 6 ask?
Whether the prime contract does or does not contain the clause entitled Contract Work Hours and Safety Standards Act, Overtime Compensation. Item 13 lists that clause with the note to see Block 6 if it is included in the prime contract.
Where do I send SF 1413?
The PDF prints no filing address. The GSA Regulatory Secretariat address on the back is only for comments on the time estimate.
How long does SF 1413 take?
The form estimates .05 hours to read the instructions, gather the facts and answer the questions.
Can an older edition of SF 1413 be used?
The footer of the Rev. 10/2023 edition says Previous Edition Is Not Usable.