Kitchen Remodel Change Order Form
Project & Client Information
Project Name
Client Name
Project Address
Change Order #
Date
Phone
Requested Change Details
Description of Change
Reason for Change
Scope of Work Affected
Cost Breakdown
Item / Work Description
Qty
Unit Cost
Total Cost
Total Additional Cost
Revised Project Cost
Schedule Impact
Additional Time Needed
New Project Completion Date
Approvals
Prepared By (Contractor)
Date
Approved By (Client)
Date