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Change Request Template

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A change request template is used as a formal authorization to make changes to the original scope of work.
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Rated 4.8/5 stars on Capterra
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Change Request Template

To (whom this is addressed)

We, hereby agree to make the following change(s):

Planned Work

Add work

Work title

Description of work to be done

Attach/ Take photo of drawings and specifications needed for the planned work

Reasons for change

Take photo evidence of item/areas to modify

List down estimated cost of labor and the necessary materials needed

Total Estimated Cost

Time Extension (if any)

Completion

THIS CHANGE ORDER BECOMES PART OF AND IN CONFORMANCE WITH THE EXISTING CONTRACT

We hereby agree to make the change(s) specified above at the price indicated per this Change Order.

Name & Signature of Authorized Contractor

The prices and specifications of this Change Order are satisfactory and are hereby accepted. All work is to be performed under the established terms and conditions specified in the original contract unless otherwise specified.

Name & Signature of Owner