Additional Work Authorization

ADDITIONAL WORK AUTHORIZATION OWNER'S NAME PHONE DATE ADDRESS JOB NAME JOB NUMBER CITY STATE ZIP ADDRESS EXISTING CONTRACT NO. DATE OF EXISTING CONTRACT CITY STATE ZIP You are hereby authorized to perform the following specifically described additional work: ADDITIONAL CHARGE FOR ABOVE WORK IS: $ Payment to be made as follows: Above additional work to be performed under same conditions as specified in original contract unless otherwise stipulated. Date 19 Authorized Signature (OWNER SIGNS HERE) We hereby agree to furnish labor and materials - complete in accordance with the above specifications, at above stated price. Authorized Signature (CONTRACTOR SIGNS HERE) Date 19 THIS IS CHANGE ORDER NO. 2001 © American LegalNet, Inc. American LegalNet, Inc. www.FormsWorkFlow.com