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)
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
Please note that this checklist template is a hypothetical example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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