Variance Purchase Order Form

Variance Purchase Order
Date

MonthDayYear
Date
Project
Lot # & Community Abbreviation
Scope of Work
Completion Date

MonthDayYear
Date
Subcontractor
Company Name
Sub Email
Subcontractor company's point of contact email
Subcontract Search
Reason for Variance
Back Charge?
If yes, back charge who?

Other
Back charge Contractor Email
example@example.com
Total Cost
Subcontractors Signature
Submitted by
Email
Should be Empty: