To[insert name ofBuilding Owner]:
Postal address:
Postcode:
Contact person:
Telephone:
Regarding construction at[insertaddress ofBuilding Site]:

TheBuilderadvises that theWorkis at the stage indicated below (there are five options - mark the option which applies with an X): Contract to build all stages
Base stage 10%
Frame stage 15%
Lock-up stage 35%
Fixing stage 25%
Final stage 10%

TheBuilderclaims a progress paymentof:	$
which is equal to [percentage of theContract Price] (insert relevant percentage from above):
The amount due is (insert amount; if this is the first progress payment, the amount of the deposit paid should be deducted from the progress payment amount):	$

This progress payment claim takes into account the following adjustments to theContract Price, which have been made since the contract was signed/the last progress payment claim was made: (Complete points 1-3 below only if applicable)
1. An overall adjustment to theContract Priceas a result of an agreedVariationto plans and specifications:
2.Variationin the actual price of the followingProvisional Sumitems:
3.Variationin the actual price of the followingPrime Cost Items:
(increase/decrease)	$
SeeClause 24and theProvisional SumSchedule
(increase/decrease)	$
(increase/decrease)	$
(increase/decrease)	$
SeeClause 25and thePrime Cost ItemSchedule
(increase/decrease)	$
(increase/decrease)	$
(increase/decrease)	$

Date:

Signed by (there are two options - mark the option which applies with an X):
Builder:
Builder's Representative:

Signature:

Regarding construction at[insertaddress ofBuilding Site]

Builder's(there are two options - mark the option which applies with an X):
notification of likely delay
claim forExtension of TimeforCompletion of Work.

The reason for the delay/likely delay is (there are six options - mark the option/s which apply with an X, and provide details where applicable):
Inclement Weather
industrial dispute
rectification of minorDefects
suspension ofWork(advised previously) (seeClause 35of the contract)
other reason beyond theBuilder'scontrol [specify]:
an act or omission of theBuilding Owner[if so, specify]:

The length of the likely delay or claimedExtension of Timeis (enter number of days):