CONSTRUCTION CHANGE ORDER

PROJECT NAME
LOCATION OF WORK
PROJECT MANAGER	CLIENT
REQUESTING PARTY	DATE OF REQUEST

CHANGE REQUEST OVERVIEW
DESCRIPTION OF CHANGES NEEDED
REASON FOR CHANGE
SUPPORT & JUSTIFICATION DOCUMENTS	List all attached documents which support the requested change, and justify any increased cost and time.
SPECIFICATIONS
ADDITIONAL INFORMATION

CHANGE IN CONTRACT PRICE	CHANGE IN CONTRACT TIMES
ORIGINAL PRICE	ORIGINAL TIMES
NET CHANGES OF PREVIOUS CHANGE ORDERS	NET CHANGES OF PREVIOUS CHANGE ORDERS IN DAYS
NET INCREASE / DECREASE	NET INCREASE / DECREASE
TOTAL CONTRACT PRICE WITH APPROVED CHANGES	TOTAL CONTRACT TIME WITH APPROVED CHANGES

ACCEPTED BY	APPROVED BY
SIGNATURE	SIGNATURE
NAME & TITLE	NAME & TITLE
DATE	DATE

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