Free Construction Change Order Request Template Editable Word Document

What’s included

• Request details: project and contract number, COR number and revision, who it’s submitted to, what caused the change, the date, and the contract clause or notice reference.
• Description & reason: a box to describe what changed, where and when, and how it differs from the original scope.
• Cost breakdown: labor, materials, equipment, subcontractors and other costs with their backup, then subtotal, markup, bond and insurance, tax and the total requested.
• Schedule impact: calendar days requested, affected activities or critical path, and lead-time assumptions.
• Attachments: photos, tickets, quotes, correspondence and schedule backup.
• Status & approval: status, approved amount and days, the change order number issued, and signature lines for both sides.

How to use this template

1. Fill in the COR number, the project and who it’s going to.
2. Say exactly what caused the change: the RFI, directive, drawing revision or field condition, with the date.
3. Describe the changed work and how it differs from your original scope.
4. Break out the cost with backup for every line, and apply markup only as your contract allows.
5. State the schedule impact. “To be determined” is fine, but don’t leave it blank.
6. Attach your backup, send it per the contract’s change procedure, and don’t start the work until it’s authorized in writing.

Template preview

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