Construction payment request form 2026

1. Click ‘Get Form’ to open the construction payment request form in the editor.
2. Begin by entering the PROJECT # and CONTRACT # at the top of the form. This information is crucial for identifying your specific project.
3. Fill in the CONTRACTOR name and PROJECT DESCRIPTION to provide context about who is requesting payment and what work has been completed.
4. Input the NOTICE TO PROCEED date, COMPLETION DATE, and ADJ COMPLETION DATE to track project timelines effectively.
5. Document any TIME LOST TO DATE and specify the PAYMENT PERIOD for which you are requesting payment.
6. Complete the financial sections by entering CONTRACT AMOUNT, ADJ CONTRACT AMOUNT, and detailing TIME LOST THIS PERIOD in days.
7. Indicate the DATE WORK STARTED, % TIME USED, % JOB COMPLETED, and assess QUALITY WORK and PROGRESS WORK as required.
8. List each ITEM NO., DESCRIPTION, UNIT, UNIT PRICE, QUANTITY PER COMPLETED CONTRACT, and calculate TOTAL $ along with RETAINED amounts.
9. Finally, ensure all signatures are obtained from the CONTRACTOR, ENGINEER/PROJECT MANAGER, and COUNTY ENGINEER/DIRECTOR before submitting.

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