Construction Change Order Template

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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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Construction Change Order Template

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

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.