Notification of an

Extension
of Time

Issued by:
address:

IC/ICD
Employer:
address:
Job reference:
Notification No:
Issue date:

Contractor:
address:
Works:
Situated at:

Contract dated:
Under the terms of the above mentioned Contract,
I/We hereby give notice that the time for completion of

*Delete as
appropriate

* the Works
*SectionNo _______________of the Works

is extended beyond the Completion Date of

______________________________________ 20________

so as to expire on
______________________________________ 20________

*This reason is made by reason of my/our review.

To be signed by or for
the issuer named
Signed______________________________________________________________
above.

Distribution

Original to:

X Employer

Duplicate to:
X Contractor
Nominated
Sub-Contractors

Copies to:
Quantity Surveyor
Structural Engineer

Services Engineer
X File