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Construction change order form

A construction change order template is used by contractors or engineers as formal authorization to make project modifications. Use this template to specify planned works in detail and indicate the reason for change with photo evidence of the item or area concerned. Provide estimated costings, and new project schedule (if any). Gather digital signatures from parties involved and take photos of work done as evidence of work completion.

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Inspection
To (whom this is addressed)
We, hereby agree to make the following change(s):
Construction Plan
Add Construction Plan
Work title
Describe work to be done
Reason for alterations
Please Specify
Take photo evidence of item/areas to modify
List down estimated cost of labor and the necessary materials needed
Estimated Total of Costs
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
Quality Inspection
Take photo evidence of finished work
Recommendations/ Additional Comments
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Please note that this checklist template is a hypothetical appuses-hero 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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