Owner Change Order Request
Free to fill in and print in your browser. A printable, auto-calculating change order request from general contractor to owner/developer — documents proposed scope changes, cost impact with labor/material/equipment/sub breakdown, schedule impact, and backup documentation. Edit inline, print clean. Need to save your data, add your logo, or reuse across projects? Get the template pack ↓
- Save data · reuse across projects
- Add your logo & company branding
- Works offline · no login
Project & Parties
Basis of Change & References
Scope of Work
Cost Breakdown
| Item / Description | Labor | Material | Equipment | Subcontractors | Row Total |
|---|---|---|---|---|---|
| Subtotal — Direct Costs | $0 | $0 | $0 | $0 | $0 |
| Overhead & Profit (Labor / Material / Equipment) % | Applied to L + M + E subtotal | $0 | |||
| Subcontractor Markup % | Applied to Subcontractors subtotal | $0 | |||
| Insurance & Bonds % | Applied to total + markups | $0 | |||
| Total — This Change Order Request | $0 | ||||
Schedule Impact
Contract Value Summary
| Original Contract Value | |
| Previously Approved Changes | |
| Adjusted Contract Value | $0 |
| Added (this OCR) | $0 |
| Deleted (this OCR) | $0 |
| Net This OCR | $0 |
| Revised Contract Value | $0 |
Supporting Documents
Execution & Submission
General Contractor/Construction Manager (Requesting Party)
Owner Response / Action
Owner Representative
Architect / Engineer
Distribution
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About the Owner Change Order Request template
An owner change order request is the contractor's priced proposal submitted to the project owner for changes to the prime contract. This template presents the change, cost, and schedule impact in a clear, professional format that helps owners review and approve changes with confidence.
What's included
- Owner and project identification
- Detailed change description and justification
- Cost summary with markup and totals
- Requested time extension
- Signature and approval block
- Delivered in Word, Excel, and fillable/printable PDF
How to use it
- Describe the change and why it is needed
- Summarize the cost impact and any time extension
- Attach supporting pricing or CORs
- Submit to the owner for review and signature
Frequently asked questions
What is an owner change order request?
It is the contractor's formal, priced proposal to the owner requesting a change to the prime contract, including cost and schedule impact for approval.