The Application and Certification for Payment form is the cover sheet for your billing application. It includes these sections: header information, summary totals, and certification section.
Header Information
- Project name, location, and address
- Applicant (your company) information
- Owner/customer information
- Contractor information
- Architect information
- Contract date and number
Summary Totals
The Application and Certification for Payment form automatically summarizes these:
- Original contract sum
- Net change by change orders
- Contract sum to date
- Total completed and stored to date
- Retainage
- Total earned less retainage
- Less previous certificates for payment
- Current payment due
- Balance to finish, including retainage
Certification Signatures Section
- Applicant’s certification signature and date
- Architect’s certification (to be completed by architect/engineer)
- Owner’s/lender’s approval sections
