Sample Work Order Form

When customers and a service provider agree to a written contract, the provider may be required to submit a written work order to the customer before performing any work on a particular project. This gives the client a clear understanding of work to be done and the estimated cost involved.

Sample Work Order Form

Work Order No.: ___________________________________________

Assigned to:  ______________________________________________

Completed Date: ___________________________ Init: ____________________

Time: ________________________________________

Submitted by: ______________________________________________________

Email: __________________________ Phone: ____________________________

Department: ________________________ Building/ Room: __________________

Account No.: _______________________________

Date Submitted: __________________________________

Date Needed: _____________________________________

Title of work: ____________________________________

Description of work: __________________________________

Record by: ____________________________________________

Hours worked Record:

Date: ____________ Time: ___________________Total Hours: ___________________

Initials: ____________________________

Materials used Record:

Date: ________________________           Item: ___________________________

Amount: ________________________ Total: _____________________________

Stock ordered material total: _____________________________________

Total hours, ___________________ @ ___________________ per hour.

Miscellaneous Charges: _______________________________________

Total Charges for sheet: _______________________________________

Official use only:

Notes: _____________________________________

Billing Information: ______________________________

Mileage: _____________________________________________

Total costs: ____________________________________________

Category: Order Forms