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CONTRACTOR "REQUEST FOR CHANGE" REGISTER TEMPLATE

PROJECT: [INSERT PROJECT NAME & NUMBER]


CONTRACT No.: [INSERT CONTRACT NUMBER]
CONTRACTOR: [INSERT CONTRACTOR] Register Date: 02 January 2023

CONTRACTOR "REQUEST FOR CHANGE" REGISTER


CHANGE NOTICE REQUEST REPLY REQUIRED PROPOSAL DETAILS Authorities Response to Request
SUBJECT
Cost Impact Time Impact STATUS (OPEN,
CNR No. Cover Letter Reference Dated Yes No Reply by Date Document Reference (Letter) Dated CCN Ref Likely Claim (Y / N)
($) (Days) CLOSED)
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TOTAL PENDING / UNRESOLVED CHANGE NOTICES $0.00

Level - 3-E - External


EPM-KD0-TP-000035 Rev 002 Electronic documents once printed, are uncontrolled and may become out-dated. Refer to ECMS for current revision. Page 1 of 1

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