TIME AND MATERIAL FIELD TICKET
Free field resource from BuildSlip — https://buildslip.com/time-and-material-ticket-template

Project / work location:
Ticket number / revision:
Work date:
Contractor / contact:
Requested by:
Related change / contract reference:

WORK PERFORMED
Work area:
Specific tasks completed:
Reason for extra work:
Excluded / incomplete work:

LABOR
Worker or role | regular hours | overtime hours | agreed rate(s) | amount

MATERIALS
Description | quantity | unit | unit cost | amount | receipt reference

EQUIPMENT
Description | hours or days | unit rate | amount

PRICING (IF AGREED)
Labor total:
Material total:
Equipment total:
Agreed markup / basis:
Applicable tax / basis:
Total / currency:
Rates / amounts still pending review:

EVIDENCE
Photo / drawing / receipt references:
Written instruction reference:

FIELD ACKNOWLEDGMENT
What is acknowledged: quantities / hours / work performed / agreed price / other
Unresolved or disputed items:
Representative name and role:
Signature:
Date:

FOLLOW-UP
Submitted to / date / method:
Change order request reference:
Invoice reference (if any):

Keep the signed original and issue a new numbered revision for corrections.
Acknowledgment of hours or quantities is not automatically approval of a
contract-price change. This worksheet is not legal advice or proof of payment.