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Change Order

A written record of one change to a job, agreed before the work is done.

Change order number

Date

Job / project

Job address

Customer name

Customer phone or email

Contractor

Original contract or quote date

Description of the changeWhat is being added, removed or changed, in plain words. Include materials and labor.

Reason for the changeWhat was found, or what the customer asked for.

Price of this changeAmount added to (or subtracted from) the job. Write "no change" if the price stays the same.

New job totalOriginal contract or quote total, plus or minus every approved change so far, including this one.

Effect on the scheduleExtra days, a new completion date, or "no change".

Payment for this changeWhen it is due and how it is paid (with the next progress payment, on completion, etc.).

Customer signature

Printed name

Date

Contractor signature

Printed name

Date

Both parties keep a copy. Work described here does not begin until both signatures are on this page. This template is provided free by Volta Orbit (voltaorbit.com/change-orders/template/); it is a general form, not legal advice. Check your state's home-improvement contract rules.