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Phone number:
1.888.775.4555
WDI Change Order Form
Change Order Form
Name
First
Last
Date
- must be mm/dd/yyyy format
MM slash DD slash YYYY
Order Number
*
Required
Move Manager / Sales Person
*
Required
Client
Description of Work to be Done
Reason / Authorization
Client Request
Salesperson/MM Request
Change of Scope
New Business
Obtained Customer Approval
Yes
No
List Person's Name
If yes, list customer who approved changes:
Additional Man Hours Required
Please enter a number from
.5
to
50
.
Hours
Regular Time
Overtime
Email
This field is for validation purposes and should be left unchanged.
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