Work Order Request

Vendor Name:

Contact:

Street Address:

City:

Phone:

State:

Zip Code:

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FOR CUSTOMER:

Name:

Work Site Street Address:

Street Address Line 2:

City

State:

Zip Code:

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Date of Request:

Date to be Completed

Description of work/repairs requested:

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COST ESTIMATE

Labor:

Contractor's Name:

Materials:

Permit #:

Sub Total:

Adjustments:

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** you must put a negative symbol in front if this should be subtracted.

Amended:

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** you must put a negative symbol in front if this should be subtracted.

TOTAL:

Notes/Comments:

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FOR TELEOS MANAGMENT

Approved By:

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Teleos Management Group

Approved By:

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For District/HOA Board

Date of Post Completion Inspection

Contactor's Ins. Co

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Work Order Approved for Payment and Set to Bookkeeper for Payment On:

Bookkeeper Initals:

Check #:

Contractor's Lis/Permit #:

Contractor's Cert. of Ins.:

Work Order Request

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