Change Order Form

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Change Order Form

Client approval before extra work begins

Project Hawthorne kitchen renovation example

Original contract Agreement dated September 15 2026 Contract CR 2026 041

Contractor Northline Renovation LLC example company

Client Jordan Lee example client

Change number CO 003

Requested change

Scope of change Relocate the island outlet, add one dedicated 20 amp circuit, and patch the original floor opening after inspection.

Reason ☒ Client request ☐ Hidden condition ☐ Code or permit requirement ☐ Other

What is included Labor, standard materials, inspection coordination, and patching described above.

What is not included Cabinet redesign, finish upgrades, or work outside this written scope.

Price and payment

Original contract total USD 25,000.00

Price change add or deduct USD 1,800.00

New contract total $26,800.00

Deposit due after client signature $900.00

☐ Next draw ☐ On completion of this change ☐ Deposit now selected

Payment condition The deposit becomes due only after the client signs this change order. The contractor then uses Request deposit for this change.

Schedule

Time change + 2 calendar days

Original completion date November 20 2026

New completion date November 22 2026 calculated from the agreed change

Work starts only after client signature. If the contractor proceeds earlier, mark the exception below and accept the stated risk.

☐ No exception ☐ Verbal approval contractor proceeds at contractor risk

Client decision

Review the changed scope, price, new contract total, completion date, and payment timing before choosing one option.

☐ Approve and sign ☐ Ask a question ☐ Decline

Client approval

Client name Jordan Lee

Client email for signing code client@example.com

Client signature

Date and time

Electronic signing Use Sign document in Layers. The signer confirms access to the email address with a one time code, then receives the signed PDF and audit record.

Contractor acknowledgment

Contractor name and title Morgan Reyes Project Manager

Contractor signature

Date and time

After signature

Save the signed PDF with the original contract and the numbered change log.

If Deposit now is selected, choose Request deposit for this change and send the request to the verified client contact.

Do not begin the changed work until the client signature is recorded, unless the written contractor risk exception above is selected.

Change log

Change Sent Decision Signed PDF

CO 00__ ____ / ____ / ______ Approved Question Declined File or link __________________

CO 00__ ____ / ____ / ______ Approved Question Declined File or link __________________

Use note

Not legal advice. Contract, home improvement, notice, cancellation, signature, licensing, and payment rules vary by state and project. California home improvement contracts and changes may have specific writing and signature requirements. Electronic signatures may be valid under federal ESIGN and state UETA laws, but exceptions and record delivery rules apply. Review the actual contract and local law before use.

© Layers layers.md · CC BY 4.0 · Example names and amounts are fictional