Change Order / Additional Work Authorization
Mid-job scope or price change that the client signs before the additional work is performed. Captures what is changing, why, the new price impact, and the schedule impact. Universal across cleaning, HVAC, landscaping, plumbing, electrical, and handyman work.
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What’s in this template
Change Order / Additional Work Authorization
Template notice. This is a general-purpose change-order form. Construction, plumbing, and electrical work in many jurisdictions have additional change-order requirements under state contractor law. Confirm with your state licensing board if this is your first time using one.
1. Reference Information
This Change Order amends the work agreement between Provider Business Name ("Provider") and Client Name ("Client") for the job referenced as Job / Project Reference.
- Change Order Number: Change Order Number
- Date: Change Order Date
- Original scope of work: Original Scope (one-line)
- Original quoted price: $Original Quoted Price ($)
2. Reason for the Change
Reason for Change
3. Description of Additional Work
Description of Additional Work
4. Price Impact
The price impact of this Change Order is $Price Change ($, + or -). Combined with the original quoted price of $Original Quoted Price ($), the revised total for the job is the sum of those two figures. Client agrees to pay the revised total in accordance with the payment terms of the original work agreement, unless the parties agree to different terms in writing.
5. Schedule Impact
Schedule Impact
6. Authorization
By signing below, Client authorizes Provider to perform the additional work described above at the price stated. Work under this Change Order will not begin until Client has signed.
All other terms of the original work agreement remain in effect. This Change Order, together with the original work agreement, is the complete agreement between the parties for the work described.
Client signature line
Provider signature line
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