CHANGE ORDER for an Estimate
IMPORTANT: This Change Order modifies the original estimate referenced below and becomes part of it. All terms and conditions of the original estimate remain in effect except as specifically modified herein.
Reference Estimate #
*
Enter original estimate number
Change order #:
*
Please Select
CO-1
CO-2
CO-3
CO-4
Today's date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
CONTACTS
Your Company Name
*
This will show on the estimate as the business name.
Customer First Name
*
Last Name
*
Change #1
1. Type:
*
Please Select
Additional Work
Modification
Credit/Removal
1. Current Scope / Item:
(Required only for modifications/removals)
1. Revised Scope / Item:
*
Describe the change and how it differs from the original estimate.
1. Amount:
*
(+ or -) What dollar amount will this add to, or subtract from, the original estimate?
1. Should this item be taxed?
*
Please Select
Yes
No
Change #2
2. Type:
Please Select
Additional work
Modification
Removal of work
2. Current Scope / Item:
(Required only for modifications/removals)
2. Revised Scope / Item:
Describe the change and how it differs from the original estimate.
2. Amount:
(+ or -) What dollar amount will this add to, or subtract from, the original estimate?
2. Should this item be taxed?
Please Select
Yes
No
Change #3
3. Type:
Please Select
Additional work
Modification
Removal of work
3. Current Scope / Item:
(Required only for modifications/removals)
3. Revised Scope / Item:
Describe the change and how it differs from the original estimate.
3. Amount:
(+ or -) What dollar amount will this add to, or subtract from, the original estimate?
3. Should this item be taxed?
Please Select
Yes
No
Change #4
4. Type:
Please Select
Additional work
Modification
Removal of work
4. Current Scope / Item:
(Required only for modifications/removals)
4. Revised Scope / Item:
Describe the change and how it differs from the original estimate.
4. Amount:
(+ or -) What dollar amount will this add to, or subtract from, the original estimate?
4. Should this item be taxed?
Please Select
Yes
No
Change #5
5. Type:
Please Select
Additional work
Modification
Removal of work
5. Current Scope / Item:
(Required only for modifications/removals)
5. Revised Scope / Item:
Describe the change and how it differs from the original estimate.
5. Amount:
(+ or -) What dollar amount will this add to, or subtract from, the original estimate?
5. Should this item be taxed?
Please Select
Yes
No
Change #6
6. Type:
Please Select
Additional work
Modification
Removal of work
6. Current Scope / Item:
(Required only for modifications/removals)
6. Revised Scope / Item:
Describe the change and how it differs from the original estimate.
6. Amount:
(+ or -) What dollar amount will this add to, or subtract from, the original estimate?
6. Should this item be taxed?
Please Select
Yes
No
Change #7
7. Type:
Please Select
Additional work
Modification
Removal of work
7. Current Scope / Item:
(Required only for modifications/removals)
7. Revised Scope / Item:
Describe the change and how it differs from the original estimate.
7. Amount:
(+ or -) What dollar amount will this add to, or subtract from, the original estimate?
7. Should this item be taxed?
Please Select
Yes
No
NET $$ CHANGE
Each subsequent change order references the most current estimate amount.
Original Estimate Amount
What was the total dollar amount on the original estimate or the last change order? Do not include the dollar $ sign.
Net Change
What is the net dollar impact of all revisions listed above? Enter a negative value using the negative symbol (-). Do not include the dollar $ sign.
REVISED ESTIMATE TOTAL (Taxes will update automatically on estimate, if applicable.)
PROJECT TIMELINE CHANGES
Please note any changes in job duration:
No change to schedule
Adds or subtracts days (note specifics)
APPROVAL NEEDED
I understand:
*
Estimates require your approval before being sent to your customer. Please look for the revised estimate in your email inbox and respond with the invoice number and approval via email to info@jrbilling.com.
Provide any additional comments or instructions for Jackrabbit Billing.
If needed, I can also be reached at info@jrbilling.com; always include the estimate number.
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