EXTRA-WORK CHECKLIST
Project and reference:
Original scope or drawing reference:
Requested by and date:
What changed:
Included work:
Excluded work:
Labor quantity and rate:
Materials and other costs:
Markup or agreed price:
Schedule impact:
Relevant photos/drawings:
Authorised reviewer:
Version and date sent:
Decision and date:
Required contractual notice/submission:

A recorded acknowledgement is not independent identity verification. Follow the underlying contract.