CONTRACTOR DETECTIVES
Change Order Blank

This form is a practical planning tool, not legal advice.

Project:
Customer:
Contractor:
Date:
Original contract or estimate date:

CHANGE REQUESTED BY
[ ] Customer
[ ] Contractor
[ ] Inspection/code requirement
[ ] Unforeseen condition
[ ] Other:

DESCRIPTION OF CHANGE
Describe the added, removed, or changed work:


REASON FOR CHANGE


COST CHANGE
Original contract amount:
Added cost:
Credit/deduction:
New contract amount:

SCHEDULE CHANGE
Original completion target:
Added days:
New completion target:

PAYMENT TERMS FOR THIS CHANGE
When is this change paid?


CUSTOMER QUESTIONS BEFORE APPROVAL
1.
2.
3.

APPROVAL
Customer signature/date:
Contractor signature/date: