Templates
Change order request form

Change order request form

Document project changes systematically with three-stage approval process and visual evidence tracking.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF
Change order request form

Document project changes systematically with three-stage approval process and visual evidence tracking.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

A change order request form documents and authorizes modifications to original project agreements. This template helps you track scope changes, budget adjustments, and timeline revisions with a structured approach: request submission, project manager analysis, and final approval.

Around 35% of construction projects experience at least one change order, as estimated by the Independent Project Analysis Group. When unexpected site conditions require additional materials or a client requests design modifications mid-project, this form ensures all parties understand the full impact before proceeding. You can then prevent costly disputes and maintain clear communication throughout the change process.

Related categories

Preview of the template
Inspection
[This form is divided into three sections. Section 1 is intended for use by the individual submitting the change request. Section 2 is intended for use by the Project Manager to document/communicate their initial impact analysis of the requested change. Section 3 is intended for use by the Change Control Board (CCB) to document their final decision regarding the requested change.]
SUBMITTER - General Information
Brief description of request (Enter detailed description of the change being requested)
Priority level
Reason for change
Take photo evidence of item/areas affected and needed to modify
Assumptions and notes regarding the requested change
Name & Signature of Submitter
PROJECT MANAGER - Initial Analysis
Hour impact
Duration impact
Schedule impact
Attachments or references (i.e ., photos of drawings, specifications, schedule etc)
List down estimated cost of labor and the necessary materials needed
Name & Signature of Project Manager
CHANGE CONTROL BOARD - Decision
Decision
Specify Conditions
Decision Date & Time
Approval Signature
This template was downloaded 30 times

Frequently asked questions

What information should you include in the “brief description” section of a change order request form?

Focus on clearly stating what’s changing from the original scope. Include the specific work elements being modified, added, or removed, and reference related contract sections. Avoid technical jargon unless necessary, and be concise while ensuring anyone reviewing the form can understand exactly what’s being requested.

How do you determine the priority level for your change order request?

Assess how the change impacts critical path activities, budget thresholds, and safety considerations. High priority typically indicates changes affecting immediate project progress, safety issues, or significant financial implications. Medium priority suggests moderate schedule or cost impacts, while low priority indicates minimal disruption to the overall project timeline and budget.

How should you estimate the cost impact in the project manager analysis section?

Break down costs by separating labor hours (at appropriate rates), material quantities and prices, equipment needs, and any subcontractor quotes. Include both direct costs and indirect impacts like extended overhead or schedule delays. Be transparent about any assumptions made and include a reasonable contingency for uncertainties specific to the requested change.

What should you do if a change order request is rejected by the change control board?

Document the rejection reason in project records, notify all stakeholders involved, and determine if alternative solutions exist. Consider whether you can modify the request to address concerns and resubmit, or if the work must proceed as originally planned. Make sure that you properly document any discussions or decisions about proceeding without the change.

This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.