Free Real Estate Change Order Request Form Template

Real Estate Change
Order Request Form

This form is to be used for submitting any requests for changes to the original project scope or contract. Please fill out this form completely to ensure timely review and approval of the proposed changes.

Project Information

Project Name

Project Manager

Request Date

Expected Implementation Date

Change Order Details

Description of Change

Affected Areas

Requested By

Cost and Time Estimates

Item

Estimated
Cost

Estimated
Time Impact

Additional Labor

Additional Materials

Equipment Rental

Permitting/Legal Fees

Total

Notes

Approval

[Name]

Project Manager

[Date]

[Name]

Financial Controller

[Date]

[Name]

Client Representative

[Date]


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