Fillable Change Order Request Form printable pdf download

Change Order Request Form

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Change Order Request Form

Date: From: _____________

Project title: Project location:_____________

To: ______________

COR number: _________________________

Under the contract signed between ____________________ and ______________________

on _____________________, you are hereby authorized and directed to make the following

change(s) in accordance with terms and conditions of the agreement:

Please describe the changes:

Please explain why these changes are required and support your reason with valid documents

or information from the subcontractor, supplier and so on:

Does the proposed change involve a change in contract time? Yes

If yes,

please mention the number of days by which the time of completion of this project will be

increased or decreased: ___________________________

Does the proposed change involve a change in the contract sum? Yes

If yes, what was the original amount of money? ______________________

What is the present agreement amount? _______________________________

Name of contractor: ___________________________Signature of contractor: ____________

Date: _________________Additional comments: ______________

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Change Order Request Form

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