Get Application For Payment Form

This guide provides a clear and comprehensive approach to filling out the Application For Payment Form online. Whether you are a subcontractor requesting payment or someone assisting in the process, following these steps will ensure accuracy and compliance with contract requirements.

Follow the steps to complete the Application For Payment Form online:

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in your name in the 'FROM' section to identify the subcontractor submitting the application.
3. In the 'PROJECT' field, provide the name or title of the project related to your payment request.
4. Enter the payment request number in the corresponding field to track your application.
5. For the 'PERIOD', specify the start and end dates for the billing period covered by this payment request.
6. Complete the 'STATEMENT OF CONTRACT ACCOUNT' section by entering the original contract amount.
7. List all approved change orders and their total amount in the appropriate field, referring to the attached breakdown.
8. Fill in the adjusted contract amount, accounting for any approved change orders.
9. Indicate the value of work completed to date, as detailed in the attached breakdown.
10. Provide the value of any approved change orders completed to date.
11. Document the value of materials stored on site, ensuring information matches the attached breakdown.
12. Calculate the 'Total to Date' by summing the value of work and materials.
13. Deduct the amount retained (indicate the percentage) from the total to arrive at 'Total Less Retainage'.
14. Input the total previously certified by deducting the amounts paid to date.
15. Finally, calculate the 'AMOUNT DUE THIS REQUEST' to indicate how much you are requesting this time.
16. In the 'CERTIFICATE OF THE SUBCONTRACTOR' section, certify the work and materials provided, ensuring that all previous payments and compliance with tax laws are acknowledged.
17. Sign the form as the subcontractor where indicated, providing your name and date.
18. Have your signature notarized if required, completing the 'Subscribed and sworn before me' section.
19. Review all fields for accuracy and completeness before submitting your application.
20. Once reviewed, save changes, and consider downloading, printing, or sharing the form as needed.

Complete your Application For Payment Form online today to ensure timely processing of your request.