STATEMENT OF WORK OUTLINE TEMPLATE

PROJECT TITLE
COMPANY NAME	CLIENT
PROJECT MANAGER	DATE SUBMITTED
AUTHOR	VERSION	0.0.0
PROJECT BEGIN DATE	END DATE

1.0 INTRODUCTION

Statement of Work Summary: What does the project work to achieve?

Background
What led to the necessity of this project?

Scope of Work

What does the project entail? What are the delivery methods?

1.3 Objectives

What does the project entail? What are the delivery methods?

OBJECTIVE	RATIONALE

2.0 TASKS / ACTIVITIES

TASK #	DESCRIPTION
2.1
2.2
2.3
2.4

3.0 SCHEDULE

State Period of Performance. List Milestones Below.

TASK #	DUE DATE	DELIVERABLE DESCRIPTION
3.1
3.2
3.3
3.4
3.5
3.6
3.7
3.8

TERMS OF PAYMENT

4.1 Fee Summary

Storage, Personnel, Training, Implementation Costs

4.3 Fee Breakdown

RATE SCHEDULE
ESTIMATED COST	DELIVERY SCHEDULE	DESCRIPTION
$500
$200
$75 per hr
$500
PAYMENT TERMS
COMPLETION DATE	PAYMENT DUE	PHASE / WORK DESCRIPTION

PROJECT REQUIREMENTS

5.1 Agency Responsibilities

5.2 Client Responsibilities

5.3 Mutual Responsibilities

PROJECT RISKS

PROJECT RISKS
ISSUE / RISK	MITIGATION / CONTINGENCY

STANDARDS AND COMPLIANCE

Communications Plan

Quality Management Plan

Training Plan

Standard Compliance

Regulatory Compliance

Privacy Adherence

BUSINESS TERMS / CONDITIONS

Contract Modifications

Confidentiality

Termination

COMMENTS AND APPROVAL

AUTHORIZATION

AUTHORIZATION
CLIENT	SIGNATURE
PRINTED NAME
DATE
PROVIDER	SIGNATURE
PRINTED NAME
DATE

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