RUS Form 216 "Construction Change Order"

What Is RUS Form 216?

This is a legal form that was released by the U.S. Department of Agriculture - Rural Utilities Service on July 1, 1967 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

Released on July 1, 1967;
The latest available edition released by the U.S. Department of Agriculture - Rural Utilities Service;
Easy to use and ready to print;
Yours to fill out and keep for your records;
Compatible with most PDF-viewing applications;
Fill out the form in our online filing application.

Download a printable version of RUS Form 216 by clicking the link below or browse more documents and templates provided by the U.S. Department of Agriculture - Rural Utilities Service.

Download RUS Form 216 "Construction Change Order"

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DATE

DEPARTMENT OF AGRICULTURE

RURAL UTILITIES SERVICE

CONSTRUCTION CHANGE ORDER

PROJECT

LINE

SHEET NO.

ORDER NO.

POLES NO.

REFER TO ITEM NO.

CHANGE

REASON FOR CHANGE

CHANGE AUTHORIZED BY:

SYSTEM MANAGER

BORROWER'S ENGINEER

ITEMIZED COST OF ABOVE ORDER

CONTRACTOR

RUS Form 216 (Rev. 7-67)