EWA Form

Job(Required)

Who Directed This Work(Required)

Date(Required)

Company(Required)

Work Requested(Required)

Building / Floor / Unit

Materials & Cost

Employee(s) & Hours(Required)

I certify that the information in this EWA accurately describes the extra work requested and the circumstances under which it was authorized.

Employee Name(Required)

Employee Signature(Required)

I certify that I am authorized to approve this extra work on behalf of the company identified above. I authorize All Trades General Contractors to perform the work described in this EWA, subject to applicable contract terms. I understand that this authorization may result in additional cost and/or time.

GC Representative

GC Representative Signature

Extra Work Authorization