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]

Real Estate Templates @ Template.net