Construction Change Order Form
Original Contract Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Company Information
Owner Name*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Constructional Changes
Changes are needed in contract;
The original contract total was:
Net amount of previous change orders:
The total amount of the original contract plus or minus the net change orders:
Total amount of change order
The new contract amount containing this change order will be as follows:
The term of the contract shall be replaced by the following number of days:
Completion date of this change order as of the expiry date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Order Construction Change
Should be Empty: