MEMORANDUM FOR -[Insert name of requiring activity].
SUBJECT: Waiver of the Berry Amendment
I have reviewed the request for waiver of the provisions of the Berry Amendment (10 U.S.C. 2241, note) from -[insert name of requiring activity]-pertaining to the purchase and use of-[insert name of item(s)]-in the manufacture of -[insert name of item(s)]. In the course of this review, I have considered the alternatives which would not require approval of this waiver, and I find them to be unacceptable.
Accordingly, I determine that the provisions of the Berry Amendment are waived for the item(s)/program(s) set forth within this request. Specifically, my determination shall cover the -[insert name of item(s)/program(s)].
This approval expires [insert number] months from this date or sooner if a U.S. product becomes available.
