💰
Construction & Field Services
Progress Payment Application
Submit a periodic payment application — billing period, work completed, stored materials, retention, and supporting schedule of values.
Use this template16 fields · Free · Customize before publishing
What this form looks like
Preview · not interactiveProgress Payment Application
Submit a periodic payment application — billing period, work completed, stored materials, retention, and supporting schedule of values.
Billing period
Contractor name*
Project name*
Application number*
Billing period*
Pick a date📅
Original contract sum*
Amount
Payment amounts
Work completed this period*
Amount
Stored materials this period
Amount
Retention held this period*
Amount
Amount withheld per contract retention terms.
Previous payments certified*
Amount
Current payment due*
Amount
Net amount requested for this application.
Supporting documents
Updated schedule of values*
⬆ Drop a file or click to upload
Lien waivers from subcontractors (if required)
⬆ Drop a file or click to upload
Contractor authorized signature*
Sign here
Sign to certify this application is accurate.
Submit