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Change Order · Pro

Streamline Construction Change Orders Effortlessly

Capture and formalize construction schedule and scope modifications with this comprehensive change order form for contractors and project owners.

Use This Template Free Preview

Blanc theme

formbuilder.ai/f/construction-project-schedule-scope-modification-change-order-form

Construction Project Schedule & Scope Modification Change Order Form

Change Order Number

· · ·

Project Name

· · ·

Project Number / Contract Number

· · ·

Submit

The Construction Project Schedule & Scope Modification Change Order Form is a professional tool designed to help general contractors, project managers, and clients formally document and approve any changes to an active construction contract. It captures all critical details including the original contract value, project timeline, and proposed scope modifications in one organized form.

This template is ideal for construction firms, subcontractors, and project owners who need a reliable, standardized process for tracking schedule extensions, revised completion dates, and detailed descriptions of scope changes. By centralizing this information, teams can reduce disputes, maintain compliance, and keep projects on track.

Using a digital change order form eliminates paperwork delays, ensures all stakeholders have a clear record of modifications, and accelerates approval workflows. Whether you're managing a small renovation or a large-scale build, this template helps you maintain transparency and contractual accuracy throughout the life of your project.

3 Pages

29 Questions

~10min To complete

Free No credit card needed

Field types Date ×5 Short Text ×4 Full Name ×4 Long Text ×4 currency ×2 Dropdown ×2 Signature ×2 Address daterange number File Upload Priority Selection termsandconditions

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Project & Contract Information 10 questions

Project & Contract Details

1 Change Order Number * Short Text

2 Project Name * Short Text

3 Project Number / Contract Number * Short Text

4 Project Location * Address

5 Project Owner / Client Name * Full Name

6 General Contractor / Prime Contractor * Full Name

7 Original Contract Number / Reference Short Text

8 Original Contract Date * Date

9 Original Contract Value * currency

10 Change Order Submission Date * Date

Page 2 Proposed Schedule & Scope Modifications 10 questions

Change Order Details

1 Change Order Type * Dropdown

Schedule Modification

2 Original Project Timeline (Start – Completion) * daterange

3 Proposed Schedule Extension (Calendar Days) number

4 Revised Completion Date * Date

5 Justification for Schedule Change * Long Text

Scope Modification

6 Detailed Description of Proposed Scope Changes * Long Text

7 Estimated Cost Impact of Scope Change * currency

8 Cost Impact Type * Dropdown

9 Impact on Existing Work, Materials, or Subcontractors Long Text

10 Supporting Documents (Drawings, Specs, Estimates, Photos) File Upload

Page 3 Approval & Authorization 9 questions

Review & Authorization

1 Change Order Priority Level * Priority Selection

2 Additional Notes or Conditions Long Text

By signing below, the authorized parties acknowledge and approve the proposed schedule and/or scope modifications as described in this change order. This change order becomes binding upon all required signatures.

3 Contractor Authorized Representative * Full Name

4 Contractor Signature * Signature

5 Contractor Signature Date * Date

6 Owner / Client Authorized Representative * Full Name

7 Owner / Client Signature * Signature

8 Owner Signature Date * Date

9 I confirm that all information provided is accurate and that I am authorized to submit/approve this change order on behalf of my organization. * termsandconditions

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.