Change Order Document
Free template for construction and contract change orders. Track scope changes, cost impacts, and schedule adjustments.
Sample Change Order
Change Order #
CO-2026-0142
Date
June 4, 2026
Project
Riverside Office Renovation
Contractor
Apex Construction LLC
Description
Install additional electrical outlets in Conference Room B per owner request dated June 2, 2026. Add (6) new 20A circuits to support increased AV equipment.
Cost Impact
Labor (12 hrs × $85/hr)
$1,020.00
Materials (conduit, wire, boxes)
$485.00
Electrical permits
$125.00
Markup (15%)
$229.50
Total Change Order Amount
$1,859.50
Schedule Impact
Time Extension
+3 days
Scope Documentation
Describe changes in detail
Cost Breakdown
Labor, materials, permits, markup
Schedule Impact
Day extensions and milestones
Approval Tracking
Sign-off fields for all parties